Infection prevention (IP) and medical waste management (MWM) is a critical component of quality health services. IP and MWM involves the entire health system, every person working at a health facility plays a role in good hygiene that includes clinical as well as non-clinical staff such as cleaning staff, security guards and ambulance drivers. Since it is one of the few services that touch every part of a health facility, the Fistula Care Plus (FC+) project often uses it as a starting point for quality improvement with partner facilities.