MHA FPX 5028 Assessment 4 Water Quality Improvement Action Plan

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Implementation and Evaluation of the WASH Program

MHA FPX 5028 Assessment 4 Attempt 1 Water Quality Improvement Action Plan

The sad part of public health (PH) and health administration (HA) is that it mostly operates in silos to improve people’s health. The role of healthcare administrators is to reduce illnesses and meet the rising customers’ expectations. They also have to make vital reimbursement strategies, select the right technologies, and improve interprofessional collaborations (Getahun, 2021). The expansion of PH administrators and HA requires professionals to work closely and remain focused on efforts to prevent illnesses. This is the reason our organization uses the Centers for Disease Control’s WASH program as a foundation for improving the water quality sanitation conditions for a refugee camp. This report aims to provide Master’s level nurses a chance to think about the related water quality issues and use techniques to improve the effectiveness of the program. 

How the Wash Program Complements Global Water and Sanitation Standards

As a health administrator hired by the Government, the goal of my task is to develop a quality enhancement plan to enhance the quality of sanitization of a refugee camp with a population of 5000. The water standards are quite low in addition to low-quality public health facilities; this is the reason some critical steps need to be determined for ensuring better health of the population in the long run. According to Girma et al. (2021), the WASH program is a compelling actionable strategy that helps to work on the long-term prevention and control measures for ensuring wellbeing of citizens. The program also comes with objectives to reduce poverty and improve the socio-economic status of people while allowing people to positively respond to global emergencies and diseases like COVID-19 and cancer.

The Center for Disease Control and Prevention CDC’s WASH framework is the globally recognized and acclaimed program recommended by the UNICEF; this program is focused in six areas and allows creating partnerships with many federal agencies in the United States. The program allows creating alliance with the Ministry of Health and other private or non-governmental agencies as well.  For example, the program provides water safety plans and helps to improve the hygiene and sanitation by offering interventions into communities and institutions including educational institutions and refugee camps.

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The program also aims to provide the sufficient infrastructure and good waste management techniques in healthcare facilities to enhance the level of quality healthcare. For example, the water safety plan (WSP) of the WASH program is supported by the World Health Organization (WHO) that provide guidelines such as reducing water sources’ contamination, preventing re-contamination, creating a system of assessment to improve the quality of water supply chain, and ensure effective operational monitoring to identify risks to meet health-related goals (Jacob, 2021). 

The Scope of the Refugee Camp to Meet the Standards

The refugee camp as a population of 5000 that requires immediate steps to be taken in the next six months to meet the expected future demands of the huge population. For example, according to the World Health Organization’s (WHO) guidelines, there are different components of water quality standards such as designated uses of a water body, methods to safeguard the designated population members, and meeting the anti-degradation needs to ensure the safety of users to drink and use only the high quality water sources (Rosenthal et al., 2017). This means that the authorities must not only monitor the physic-chemical indicators of water quality but also consider the characteristics such as the pH level, the temperature, and other nutrients such as nitrogen and phosphorus in water. Moreover, the water must also be checked for the industrial chemicals, hydrocarbons, and suspended sediments to ensure the quality provided to the refugees.  

The Scope of Costs Associated With Establishing the WASH Program

In the WASH quality plan, there will be long-term cost of education, equipment, and personnel hired involved. Typically, if the organization aims to install a water treatment plant of 8 to10 KLD capacity, it can cost the company almost $1500 (McGinnis et al., 2017). This means that these decentralized wastewater treatment systems are available in moderate costs; however, their constant maintenance and repair would also be required for the desirable performance. 

Moreover, despite the success of some previous strategies to improve the water quality of the refugee camp, the sanitation and hygiene (WASH) program also requires education related to understand of the lack of WASH implementation in refugee camps which results in the spread of many life-threatening diseases. The reason is mostly the insufficient financing and budgeting which are ranked as the key barriers in the way of incorporating successful and sustainable WASH initiatives.  

MHA FPX 5028 Assessment 4 Attempt 1 Water Quality Improvement Action Plan

Evaluates funding sources

Evaluating the funding resources include the evaluation of the funding for emergency measures and long-term support. There are many reasons related to improving knowledge around cost components and using the right ways to improve financing of the program. This can help to support the planning of the initiative in the future by devising the right financing mechanisms to improve funding of the WASH program.  Moreover, other local factors may also impact the funding such as the culture and the geography in the region. In several cases, the government-related funding is the vital source for the WASH program as the local government is responsible for the improvement of water and sanitation conditions.

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The lack of political agreement and will is the limitation of government funding; refugee camps are still not a priority of the government; which is why WASH funding must be divided among different NGOs and government sectors. This can happen though creating a lobby with donors and government professionals. Therefore, donor-based financing can play a significant role in the improvement of financial resources. Finally,anotehr method is to use private sector financing that can become a viable way to relieve the government of its budget deficit (Jacob, 2021). This is the reason why the private sector can be attracted to fund the WASH program through inviting private financers to look for a potential for profitability in the future. These funding agencies can work according to their budgets.  These partnerships can become crucial for ensuring the success of the WASH program. 

Proposes performance measures to assess the quality performance initiative.

This section aims to explain the ways to qualitatively assess the program performance and what are the most effective ways to assess the performance of the WASH program.  For example, the qualitative comparative analysis mode is used that helps professionals related to water and sanitation (WASH) to improve research (Girma et al., 2021). This model has a great potential to offer rouse outcomes and results and also helps the researchers and physicians to use qualitative metrics to improve their knowledge. This implies that this method is based on the analysis of the underplaying empirically sound theories of change to improve the WASH research and evaluate its effectiveness. This makes it an effective model to assess the performance of this program. 

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Moreover,   in the initial stages of the implementation, the WASH assessment will be conducted within the first three weeks of any refugee emergency. This will allow identifying the right resources to meet their needs (Getahun, 2021).The evaluation will determine the total number of refugees impacted or affected by the program and that will allow quantifying their vital needs by providing them the available resources. The data shows that almost 1300 refugees were able to improve their gastric health and bladder issues due to the implementation of the WASH program. This shows a moderate and hopeful sign of improvement in their overall wellbeing. 


Getahun, W., & Adane, M. (2021). Prevalence of acute diarrhea and water, sanitation, and hygiene (WASH) associated factors among children under five in Woldia Town, Amhara Region, northeastern Ethiopia. BMC Pediatrics21(1), 227.

Girma, M., Hussein, A., Norris, T., Genye, T., Tessema, M., Bossuyt, A., Hadis, M., van Zyl, C., Goyol, K., & Samuel, A. (2021). Progress in water, sanitation and hygiene (WASH) coverage and potential contribution to the decline in diarrhea and stunting in Ethiopia. Maternal & Child Nutrition, e13280. Advance online publication.

Jacob, B., & Kazaura, M. (2021). Access to safe water, sanitation, and hygiene: A cross-sectional study among the Maasai in Tanzania. The American Journal of Tropical Medicine and Hygiene104(4), 1535–1539.

MHA FPX 5028 Assessment 4 Attempt 1 Water Quality Improvement Action Plan

McGinnis, S. M., McKeon, T., Desai, R., Ejelonu, A., Laskowski, S., & Murphy, H. M. (2017). A systematic review: costing and financing of water, sanitation, and hygiene (WASH) in schools. International Journal of Environmental Research and Public Health14(4), 442.

Rosenthal, J., Arku, R. E., Baumgartner, J., Brown, J., Clasen, T., Eisenberg, J., Hovmand, P., Jagger, P., Luke, D. A., Quinn, A., & Yadama, G. N. (2020). Systems science approaches for global environmental health research: enhancing intervention design and implementation for household air pollution (HAP) and water, sanitation, and hygiene (WASH) programs. Environmental Health Perspectives128(10), 105001.

Scherer, N., Mactaggart, I., Huggett, C., Pheng, P., Rahman, M. U., Biran, A., & Wilbur, J. (2021). The inclusion of rights of people with disabilities and women and girls in water, sanitation, and hygiene policy documents and programs of Bangladesh and Cambodia: Content analysis using equiframe. International Journal of Environmental Research and Public Health18(10), 5087.