Table 3 Overall Outpatient Department HealthWISE walkthrough risk assessment findings

Ventilation

Is natural ventilation adequate?

20

80

The majority of the Province A facilities required a lot of improvement, there was poor natural ventilation

Is there adequate mechanical ventilation

4

96

There was no mechanical ventilation, on in few facilities

Administrative measures

Are patients social distancing?

67

33

Very few facilities were not ensuring that patients are observing social distancing. A few health facilities were using queue marshals to control social distancing.

Are staff social distancing?

25

75

Health workers concentrated around administrative desks to write notes, use telephone, complete forms, and even socialize. Small or lack of dining and rest areas contributed.

Are there markings for social distancing?

49

51

These were lacking in most OPDs

Is furniture positioned for social distancing?

40

60

Some hospitals had not rearranged the furniture for social distancing as the distance between the furniture was the same as before the Covid-19 pandemic, but some did not have space to change arrangement

Are the posters or information leaflets about COVID-19?

16

84

A few of the facilities had COVID-19 posters but they did not indicate how health workers can protect themselves and they were of poor quality

Is there an area with water and soap to clean hands?

96

4

With regards to the few facilities that did not have water, it was a municipality issue of a water outage in the whole municipality during the walk through

Are there hand sanitizers in all entrances and exit points?

58

42

Is waste properly segregated?

93

7

Are COVID-19 waste management boxes present

74

26

Personal Protective Equipment

Are workers wearing appropriate PPE?

93

7

Are they wearing PPE correctly?

29

71

The surgical mask was sometimes below the nose

Are the staff wearing the same clothes from home, during work and back home?

0

100

Since may carry SARS-CoV-2 fomites on clothing, it is advisable that health workers change clothes to PPE on arrival and change back to their clothing when departing work.

Do you think there was adequate PPE

97

3

Generally there was some form of PPE available