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

From: Organizational factors associated with health worker protection during the COVID-19 pandemic in four provinces of South Africa

SARS-CoV-2 dedicated wards for suspected and confirmed patients
Prevention Measures Question % of facilities deemed adequate % of facilities requiring improvement Comments
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