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The IPC/WASH Health Systems Fragmentation Diagnostics · Five to ten minutes

Where is fragmentation holding your health system back?

The IPC/WASH Health Systems Fragmentation Diagnostic™ is an assessment instrument developed as a companion to the IHSTF. It evaluates ten defined dimensions of WASH, IPC, and health system integration and produces a personalised gap analysis with prioritised recommendations, completed by a user in five to ten minutes.

Score ten domains of integration on a four-point maturity scale and receive a gap analysis with your three priority domains and a practical 90-day plan.

The diagnostics helps policy makers, governments, UN agencies, and donor programmes assess the degree to which WASH and infection prevention and control are integrated into the health system, or remain fragmented across donor-driven, siloed programmes.

What the instrument does

Ten equally weighted domains, each scored from 1 to 4. The report names the three domains most in need of attention, what each weakness tends to cause, and what to do first.

This diagnostic is directional. It is not a formal accreditation, audit, certification, or clinical assessment.

The maturity scale

  • 1Highly fragmentedArrangements are siloed, inconsistent, reactive, conflicting, or unclear.
  • 2Partly coordinatedSome coordination exists, but important gaps, silos, or inconsistencies remain.
  • 3Mostly integratedCoordination works across most of the system, with specific gaps still to address.
  • 4Fully integratedArrangements are consistently aligned, embedded, system-wide, and continuously improved.

The ten domains

  1. 01Governance and accountability
  2. 02Strategic alignment
  3. 03Service delivery and referral pathways
  4. 04Health information exchange
  5. 05Financing and incentives
  6. 06Workforce integration
  7. 07Procurement and supply chains
  8. 08Quality and performance management
  9. 09Community and patient partnership
  10. 10Emergency preparedness and system resilience

Before you begin, please read the privacy notice, which explains how your information is collected, used and protected.

The instrument sits inside the Integrated Health Systems Transformation Framework™. See how engagements are structured.