In Ghana, little is known about the drivers of inequities of basic water, sanitation, and hygiene (WASH) services in healthcare facilities (HCFs). We aim to examine the status and factors driving access to basic WASH services in Ghana. This survey involved an analysis of routine health service data submitted to the District Information Management System 2 (DHIMS 2). Complete data were available for 1,646 HCFs across Ghana for analysis. Coverage of basic Water, Sanitation and hygiene services was 69, 58, and 64%, respectively. About 50% had a WASH-IPC action plan, and 67% had a WASH-IPC manager who is responsible for the day-to-day WASH management. Regional inequities in access to basic WASH services exist, with the newly established regions and those in Northern Ghana being disadvantaged. Significant drivers of basic WASH services were the location of HCF, the level of service delivery, and availability of a trained facility-based assistant WASH manager. WASH services in Ghanaian HCFs have improved, but it is still not up to the standards set by the Sustainable Development Goals for WASH. Universal access to basic WASH services can be attained by mounting targeted WASH interventions and appointing WASH-IPC managers at all levels of the health system.

在加纳，人们对医疗机构 (HCF) 中基本水、环境卫生和个人卫生 (WASH) 服务不平等的驱动因素知之甚少。我们的目标是研究推动加纳获得基本 WASH 服务的状况和因素。这项调查涉及对提交给地区信息管理系统 2 (DHIMS 2) 的常规卫生服务数据进行分析。加纳各地 1,646 个 HCF 的完整数据可供分析。基本水、环境卫生和个人卫生服务的覆盖率分别为 69%、58% 和 64%。大约 50% 制定了 WASH-IPC 行动计划，67% 拥有一名负责日常 WASH 管理的 WASH-IPC 经理。在获得基本 WASH 服务方面存在地区不平等，新建立的地区和加纳北部的地区处于不利地位。基本 WASH 服务的重要驱动因素是 HCF 的位置、服务提供水平以及训练有素的设施助理 WASH 经理的可用性。加纳 HCF 的 WASH 服务有所改善，但仍未达到 WASH 可持续发展目标设定的标准。通过实施有针对性的 WASH 干预措施并在卫生系统各级任命 WASH-IPC 管理者，可以实现普遍获得基本 WASH 服务。