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The third in a series of four SHARE-WSSCC co-funded studies, this operational research sought to develop and pilot a suite of tools that could be used to objectively capture levels of cleanliness and the determinants, processes and outcomes of cleaning on the labour ward.

The tools were piloted via a ‘situation analysis’ and a ‘needs assessment’ of the state of maternity units’ WASH and infection prevention and control practices in Gujarat, India, which revealed WASH conditions to be sub-optimal. This study provided greater depth on coverage, status and use than existing data sources (Afsana et al., 2014).

To provide a cross-cultural comparison and through leveraged funding from the Soapbox Collaborative, the WASH & CLEAN study has been extended to Dhaka, Bangladesh