Background: Improving Water, Sanitation and Hygiene in health care settings is a critical prerequisite for achieving national health goals and Sustainable Development Goals (SDGs). The World Health Organization (WHO) ...Background: Improving Water, Sanitation and Hygiene in health care settings is a critical prerequisite for achieving national health goals and Sustainable Development Goals (SDGs). The World Health Organization (WHO) has set a target for each United Nations member state to reach by 2030. Each member state is required to reach by 2022, 2025 and 2030 at least 60%, 80% and 100%, respectively of basic level of service of the five elements which are water, sanitation, hygiene, waste management and environmental cleaning. Methods: This study aimed to evaluate and document the current state of basic water, sanitation, and hygiene services in all lower-level health care facilities in the Dar es Salaam region of Tanzania as of July 2022. A cross-sectional study was conducted in 99 public dispensaries in the Dar es Salaam region’s five councils: Ubungo, Kigamboni, Kinondoni and Temeke Municipalities, and Ilala City. The interviewee form and observational checklists were both digitalized using the Kobo tool software. The respondents were health care facility in-charges or nurse in-charges. Data were downloaded, validated, and imported to Stata version 15 for analysis. Results: The basic WASH level per JMP is far below the target in 2022. Each member state by 2022 is required to reach at least 60% of the basic level of service of each element. We found a low coverage of basic WASH in the 99 dispensaries included in this study. The basic WASH coverage was met in only 10 (10.1%) of the dispensaries, while the remaining 89 (89.9%) dispensaries fall on limited WASH services. Conclusion: This study revealed lower coverage of basic WASH services in dispensaries. An urgent need is required to improve the status of WASH in all the dispensaries and facilitate the provision of quality health care services, patient safety and reduce health care associated infections.展开更多
In order to improve the reliability of the power system and provide uninterrupted power to the consumer, automatic reclosing (ARC) devices are often used in overhead power lines. On top of that, the condition of short...In order to improve the reliability of the power system and provide uninterrupted power to the consumer, automatic reclosing (ARC) devices are often used in overhead power lines. On top of that, the condition of short-circuit elimination or removal during ARC recloser depends on many random factors. In this article, the number of outages of 110 kV overhead lines in the Khangai region of Mongolia was studied, and the statistics of ARC device operation were compared with international standards. Also, from the works produced by scientists from foreign countries, the development level and innovative trends of ARC devices were compared and studied, and the opportunity to introduce them to Mongolia’s grid system was sought. Furthermore, the 110 kV transmission lines outage and the operation of the ARC devices installed in the Khangai region of Mongolia were studied. Hence, the average operation success rate of the ARC device in the last ten years was 76%. It was also found that the number of outages of 110 kV power lines is 8 per year on average, which is 2 - 3 times higher than the international norm. Eventually, the power grid scheme of the Khangai region, especially the Bulgan-Murun 110 kV distribution network, was modelled by Digsilent Powerfactory by including the features of Mongolia’s power transmission network, and the operation of the model was checked by the load flow function of the software.展开更多
文摘Background: Improving Water, Sanitation and Hygiene in health care settings is a critical prerequisite for achieving national health goals and Sustainable Development Goals (SDGs). The World Health Organization (WHO) has set a target for each United Nations member state to reach by 2030. Each member state is required to reach by 2022, 2025 and 2030 at least 60%, 80% and 100%, respectively of basic level of service of the five elements which are water, sanitation, hygiene, waste management and environmental cleaning. Methods: This study aimed to evaluate and document the current state of basic water, sanitation, and hygiene services in all lower-level health care facilities in the Dar es Salaam region of Tanzania as of July 2022. A cross-sectional study was conducted in 99 public dispensaries in the Dar es Salaam region’s five councils: Ubungo, Kigamboni, Kinondoni and Temeke Municipalities, and Ilala City. The interviewee form and observational checklists were both digitalized using the Kobo tool software. The respondents were health care facility in-charges or nurse in-charges. Data were downloaded, validated, and imported to Stata version 15 for analysis. Results: The basic WASH level per JMP is far below the target in 2022. Each member state by 2022 is required to reach at least 60% of the basic level of service of each element. We found a low coverage of basic WASH in the 99 dispensaries included in this study. The basic WASH coverage was met in only 10 (10.1%) of the dispensaries, while the remaining 89 (89.9%) dispensaries fall on limited WASH services. Conclusion: This study revealed lower coverage of basic WASH services in dispensaries. An urgent need is required to improve the status of WASH in all the dispensaries and facilitate the provision of quality health care services, patient safety and reduce health care associated infections.
文摘In order to improve the reliability of the power system and provide uninterrupted power to the consumer, automatic reclosing (ARC) devices are often used in overhead power lines. On top of that, the condition of short-circuit elimination or removal during ARC recloser depends on many random factors. In this article, the number of outages of 110 kV overhead lines in the Khangai region of Mongolia was studied, and the statistics of ARC device operation were compared with international standards. Also, from the works produced by scientists from foreign countries, the development level and innovative trends of ARC devices were compared and studied, and the opportunity to introduce them to Mongolia’s grid system was sought. Furthermore, the 110 kV transmission lines outage and the operation of the ARC devices installed in the Khangai region of Mongolia were studied. Hence, the average operation success rate of the ARC device in the last ten years was 76%. It was also found that the number of outages of 110 kV power lines is 8 per year on average, which is 2 - 3 times higher than the international norm. Eventually, the power grid scheme of the Khangai region, especially the Bulgan-Murun 110 kV distribution network, was modelled by Digsilent Powerfactory by including the features of Mongolia’s power transmission network, and the operation of the model was checked by the load flow function of the software.
