Inadequate water, sanitation, and hygiene (WASH) practices within healthcare facilities heighten the likelihood of hospital-acquired infections. Therefore, this study aimed to assess the status of WASH services and barriers at public healthcare facilities in Addis Ababa. A converging parallel mixed design was conducted among 86 public health care facilities and 16 key informants. A stratified sampling technique was used to select health care facilities. Quantitative data was collected using a semi-structured checklist, and qualitative data was collected using key informant interviews. Thematic data analysis was done to identify the barriers. Independent analysis of the healthcare WASH domain revealed that 86% and 14% of healthcare facilities had access to basic and limited water services, respectively; 100% had limited access to sanitation services; and 88.4% had limited hand hygiene services. While 97.7% and 29% did not have environmental cleaning or waste management services, respectively. Lack of WASH service infrastructure, resource availability, governance and collaborative work, capacity and awareness building, and a framework for monitoring and evaluation were found to be barriers to WASH services. Lack of basic WASH service access and existing challenges at healthcare facilities hinder efforts towards infection prevention and control.

医疗机构内的水、环境卫生和个人卫生 (WASH) 做法不足会增加医院获得性感染的可能性。因此，本研究旨在评估亚的斯亚贝巴公共医疗机构的 WASH 服务状况和障碍。在 86 个公共卫生保健机构和 16 个关键信息提供者中进行了收敛并行混合设计。采用分层抽样技术来选择医疗保健机构。使用半结构化清单收集定量数据，并使用关键知情人访谈收集定性数据。进行专题数据分析以确定障碍。对医疗保健 WASH 领域的独立分析显示，86% 和 14% 的医疗机构分别可以获得基本和有限的供水服务；100%的人获得卫生服务的机会有限；88.4% 的人手部卫生服务有限。而分别有97.7%和29%的人没有环境清洁或废物管理服务。缺乏 WASH 服务基础设施、资源可用性、治理和协作工作、能力和意识建设以及监测和评估框架被认为是 WASH 服务的障碍。缺乏基本的 WASH 服务以及医疗机构现有的挑战阻碍了感染预防和控制的努力。