Poor water, sanitation, and hygiene practices contribute to the spread of infections and negative health outcomes in communities and health care settings. Globally, roughly 3.85 billion people use health facilitates that lack basic hand hygiene services, while 1.7 billion people access health facilities that lack basic water services. Achieving the United Nations Sustainable Development Goal 6 (SDG 6)—ensuring access to water and sanitation for all—demands innovative and strategic solutions.

One such solution is the Aqua Research STREAM™ Disinfectant Generator (STREAM). The STREAM is an onsite chlorine generator that uses common salt and water to generate liquid chlorine that meets global standards for intermediate–level disinfection of surfaces in health care settings and can be used for treating drinking water.

With funding from the Conrad N. Hilton Foundation and in collaboration with ministries of health, this learning brief series provides real–world examples and lessons learned from implementing the STREAM in three countries: Ghana, Uganda, and Ethiopia.

It describes how PATH, in collaboration with ministries of health, is using the SDG 6 Global Accelerator Framework to introduce and scale up the STREAM on a national level.