Table 4 Overall SARS-CoV-2 dedicated wards for suspected and confirmed patients HealthWISE walkthrough risk assessment findings

Ventilation

Is natural ventilation adequate?

57

43

Some of the Province A facilities need significant improvements

Is there adequate mechanical ventilation

21

79

Administrative measures

Are patients social distancing?

83

17

All of the patients under investigation were practicing social distancing

Is staff social distancing?

83

17

Particularly during rest periods and when doing administrative work

Is furniture positioned for social distancing?

81

19

Are there posters or information leaflets about COVID-19?

11

89

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?

97

3

During the walkthrough, one facility in Province B did not have water as there was water outage in the whole town.

Are there hand sanitizers at all entrances and exit points?

95

5

Is waste properly segregated?

94

6

Are COVID-19 waste management boxes present

79

21

Personal Protective Equipment

Are workers wearing appropriate PPE?

85

15

Are they wearing PPE correctly?

86

14

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

5

95

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 is adequate PPE

70

30