Access to improved water, sanitation and hygiene (WASH) is essential for the delivery of high-quality care in healthcare facilities and the prevention of hospital-acquired infections such as the transmission of the SARS-CoV-2. In addition, unimpeded access to WASH facilities in coronavirus disease 2019 (COVID-19) treatment centres (TCs) is central in facilitating compliance with infection prevention and control protocols. However, data for the WASH status of COVID-19 TCs in Ghana are limited. We evaluated the WASH status of seven COVID-19 TCs in Ghana using the WHO/UNICEF water and sanitation for health facility improvement tool (WASH FIT). The water domain had the highest number of indicators meeting standards with an average percentage score of 90.5% (range: 66.7–100%) across the seven TCs, followed by management (66.9%) and hygiene (58.7%). The TCs performed poorly in the sanitation and healthcare waste domain, with an average percentage score of 44.6% (range: 22.2–75%). These findings highlight the challenges being faced by COVID-19 TCs in implementing WASH services. Specific WASH interventions are urgently required to strengthen WASH services in the COVID-19 TCs. This should precede the prioritisation of resources to WASH infrastructure in the treatment facilities coupled with actions that involve all stakeholders.

获得改善的水，卫生设施和卫生设施（WASH）对于在医疗机构中提供高质量护理以及预防医院获得性感染（例如SARS-CoV-2的传播）至关重要。此外，畅通无阻地访问2019年冠状病毒病（COVID-19）治疗中心（TC）中的WASH设施对于促进遵守感染预防和控制协议至关重要。但是，加纳COVID-19 TC的WASH状态数据有限。我们使用世卫组织/联合国儿童基金会卫生设施用水和卫生设施改善工具（WASH FIT）评估了加纳七个COVID-19 TC的WASH状况。在七个TC中，水域的指标达到标准的数量最多，平均百分比得分为90.5％（范围：66.7-100％），其次是管理（66.9％）和卫生（58.7％）。在卫生和医疗废物领域，TC表现不佳，平均百分比得分为44.6％（范围：22.2–75％）。这些发现凸显了COVID-19 TC在实施WASH服务方面面临的挑战。迫切需要采取特定的WASH干预措施，以加强COVID-19 TC中的WASH服务。这应该在对治疗设施中WASH基础设施的资源进行优先排序之前，应采取使所有利益相关者都参与的行动。