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Key Messages
• Inadequate sanitation facilities in both host and refugee communities contribute to heightened health risks. In particular, schools in the host community had a high pupil-to-toilet ratio, highlighting the need for improved sanitation infrastructure.
• Schools in the host community of Garissa faced greater challenges in accessing safe water sources and required more water treatment compared to the Dadaab refugee camp, where water was typically treated at the source.
• Almost all toilets in health facilities within host communities were not adapted for individuals with mobility and/or physical impairments. This limitation restricted access to essential services and increased social isolation compared to the toilets in refugee health facilities.1
• In both health and school facilities within the host community, there often were not enough hand-washing stations, with the lack of soap reducing their effectiveness. Additionally, the absence of training on waste disposal protocols increases health risks.