HCF-WISE materials and reports
If you are considering using the HCF-WISE Scales, start with the survey instruments and the project primer.
Survey instruments
These are the instruments currently being implemented. They are longer than the final scales will be, given that the current phase is about determining which items to keep.
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HCF-WISE Patient Survey
The full patient instrument, covering water, sanitation, hygiene, environmental cleaning, waste management, and menstrual health.
Request a copy: HCF-WISE Patient Survey -
HCF-WISE Facility Staff Survey
The staff instrument, covering the same six domains from the perspective of clinical, administrative, cleaning, and maintenance staff, with additional operational detail on cleaning practice.
Request a copy: HCF-WISE Facility Staff Survey
Teams planning to use the instruments should contact us first. We provide training, translation guidance, and the accompanying facility assessment protocol.
Facility assessment protocol
Surveys are paired with a structured assessment of each facility's WASH infrastructure, using observational methods recommended by WHO and UNICEF. It produces service levels for water, sanitation, hygiene, waste management, and environmental cleaning, so that experiential results can be read directly against conventional indicators for the same facilities.
Project documents
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School-WISE and HCF-WISE Project Primer
A short overview of why the project exists, how it is designed, where it is being conducted, and who is involved.
Request a copy: School-WISE and HCF-WISE Project Primer -
Call for Partners
A one-page summary of what partnership involves, for sharing with organizations that might want to implement the surveys.
Request a copy: Call for Partners -
Data Sharing, Attribution, and Consortium Guidelines
How data are shared, how authorship is determined, and what partners commit to.
Request a copy: Data Sharing, Attribution, and Consortium Guidelines
Publications
Peer-reviewed papers from the scale development work are in preparation. Early findings from consortium sites have appeared in the following.
Influence of Seasonality on WASH Insecurity in Healthcare Facilities
Sandec News, Eawag
Findings from the Uganda site on how water quality, availability, and user experience shift between the rainy and dry seasons.
Findings on WASH in schools are collected on the School-WISE Resources page.
Presentations
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March 2025
WHO and UNICEF WASH in Health Care Facilities Network webinar
Joshua Miller presented the project's approach and its relevance for advancing measurement of WASH service adequacy and user experience in health care facilities.
Newsletter
The project newsletter carries updates on milestones, new sites, publications, and consortium news.
We use your details only to send project updates. We do not share them with anyone else.