A healthcare facility should be a sanctuary, a place of healing and safety. Yet, for many children across the province of Central Java, the very buildings meant to protect them harbour a grave public health risk:, a lack of basic water, sanitation and hygiene (WASH) services. , According to 2020 Ministry of Health data, one in ten primary healthcare centers (Puskesmas) in Central Java lacks access to water services that meet standard safety protocols. Most Puskesmas have handwashing facilities with soap and running water located either near delivery areas or close to toilets, but not in both locations. Deep in the…, Puskesmas Sokaraja II, faced a major challenge. Although the taps ran, the water was unsafe. Laboratory tests revealed the supply was contaminated with E. coli and high levels of iron – a danger for a facility providing maternity care and serving thousands of patients, including children. In 2024 alone, over 8,000 children passed through the doors of Puskesmas…, WASH service improvements using WASH FIT (Water and Sanitation for Health Facility Improvement Tool). , WASH FIT is an assessment tool that helps health facilities improve water, sanitation, hygiene, environmental cleaning services and waste management. UNICEF introduced WASH FIT to Puskesmas in Banyumas and supported some of these centres to make improvements based on the assessment and action plan. This collaboration is made possible with the…, Dr. Cahyanita Sayekti, the Head of Puskesmas Sokaraja II, , affectionately known as Dr. Nita. “The water quality at Puskesmas Sokaraja II has transformed. Our latest laboratory checks show no traces of E. coli. Since we provide maternity services that require absolute hygiene, this is a game-changer.” The improvements extend beyond clean water. The Puskesmas also received industrial laundry machines,…, Puskesmas Banyumas, faced a different risk:, scarcity of water supply. , Housed in a striking cultural heritage building, a former Dutch bank (Banjoemasche Bank) constructed in 1775, the facility is a fixture of local history. It is also a bustling hub, designated as a child-friendly Puskesmas, with visits by over, 9,000 children per year. , “Our primary water source comes from the local private water supply company (PDAM),” explains, Dr. Kuntoro, the Head of Puskesmas Banyumas, . “There were times when the water simply stopped. We had to call PDAM and beg for a tank of water just to keep our operations running.” Responding to WASH FIT findings, the facility now uses new boreholes – deep wells that draw water from underground sources. This upgrade doubled the health centre’s water reserves. “I feel more secure now,” says…, PERIKSA tool (Perangkat Penilaian Risiko Iklim Sanitasi dan Air Minum), – developed by UNICEF together with Bappenas – Puskesmas can also identify ways to design more climate resilient water and sanitation systems. This combination was critical for, Puskesmas Baturraden II, . Situated in the shadow of Mount Slamet, the facility is vulnerable to the mountain’s volatile weather. Heavy rains and lightning strikes frequently severed the power grid, plunging the centre into darkness. Blackouts can be catastrophic – particularly for a refrigerator full of temperature-sensitive vaccine and medicine. “There was a time when…, Head of Puskesmas Baturraden II, Fajar Tri Asih,S.Kep.,Ns.,M.M.,M.Kep. , After the assessment, the Puskesmas identified a solution: harness the energy above them through an 8.5 kWh off-grid hybrid solar system. Capable of powering the clinic for up to 36 hours without sunlight, it ensures the facility remains operational even when the grid fails. “After being installed, we can save on electricity bills up to 30 percent…