2022-11-22-世界卫生组织-The_Hand_Hygiene_Acceleration_Framework_Tool_HHAFT_1页_218kb

The Hand Hygiene Acceleration Framework Tool (HHAFT) Summary

Core Content

The Hand Hygiene Acceleration Framework Tool (HHAFT) is a strategic planning and assessment tool developed by UNICEF, WHO, and WaterAid in 2022 as part of the Hand Hygiene for All (HH4A) initiative. It is designed to support governments in developing and implementing a plan of action for improving hand hygiene at both national and sub-national levels, with the lead government agency playing a central role in its application.

The tool serves as a comprehensive framework to track the progress of a country's hand hygiene improvement efforts, assess the quality of the implemented plan, and identify key barriers, opportunities, and priority actions. It is intended to facilitate cross-country learning and exchange, and to help coordinate global action towards the goal of universal hand hygiene by 2030.

Main Purpose

The HHAFT aims to:

• Support governments in strengthening their policy frameworks for hand hygiene.
• Identify and address barriers to achieving universal hand hygiene.
• Outline priority actions to accelerate progress.
• Drive investment in critical areas of hand hygiene improvement.
• Facilitate discussions on effective processes, success factors, and bottlenecks across sectors.

Key Features

• Cyclical and flexible use: The HHAFT can be used on a regular basis (e.g., during joint sector reviews or annual planning) or on an ad hoc basis depending on the country's needs.
• Integration with national mechanisms: It is designed to be embedded within existing government structures such as annual budgeting and planning processes.
• Enabling environment assessment: The tool helps map HHAFT questions with enabling environment indicators, allowing for a more structured analysis of challenges and opportunities.
• Stakeholder engagement: It supports the organization of workshops and the involvement of stakeholders, including the private sector, to maintain momentum and ensure alignment with HH4A goals.

Use Cases and Impact

The HHAFT has been piloted in nine countries and has since been shared with over 30 countries. It has proven useful in:

• Re-evaluating budgets and ensuring that dedicated funding is allocated to hand hygiene initiatives.
• Highlighting vulnerable populations and ensuring that the needs of these groups are addressed in the planning process.
• Clarifying the vision and reality of hand hygiene implementation, enabling more realistic and actionable strategies.
• Facilitating discussions among government agencies, development partners, and civil society to align efforts and responsibilities.

Example of Application

In Nigeria, the HHAFT helped the Federal Ministry of Water Resources to:

• Reconsider their budget allocation for hand hygiene.
• Outline bottlenecks by mapping questions to enabling environment indicators.
• Plan for stakeholder engagement through workshops.
• Strengthen private sector involvement in hand hygiene initiatives.

This demonstrates how the HHAFT can be a valuable resource for identifying and addressing gaps in implementation and for ensuring that all relevant sectors are involved in the process.

Conclusion

The HHAFT is a key instrument in the global effort to achieve universal hand hygiene by 2030. It provides a structured approach for governments to assess, plan, and implement hand hygiene strategies, while also facilitating cross-country collaboration and investment prioritization. By focusing on barriers and opportunities, it supports policy strengthening and sector coordination, ultimately contributing to the acceleration of progress in hand hygiene.