Table 2 Level of compliance with ‘Clinical management’ and ‘Capacity building’ self-assessment questions
SafeCare4Covid self-assessment questionsa (n = 471) | Number of facilities per level of compliance, n (%) | |||
|---|---|---|---|---|
NC | PC | FC | NAb | |
Clinical Management (10/31 questions) | ||||
Do you have an emergency response plan for COVID-19? | 103 (22%) | 245 (52%) | 123 (26%) | – |
Do you have a guideline on how to triage and isolate (suspected) COVID-19 patients and is it implemented? | 89 (19%) | 201 (43%) | 163 (35%) | 18 (4%) |
Do you have guidelines that describes how to manage COVID-19 suspected patients? | 106 (23%) | 158 (34%) | 207 (44%) | – |
Do you have guidelines on how to treat and manage critically ill COVID-19 patients (including those requiring ventilation)? | 119 (25%) | 100 (21%) | 75 (16%) | 177 (38%) |
Does the facility have a contact tracing form for the suspected and confirmed COVID-19 cases? | 257 (55%) | 64 (14%) | 150 (32%) | – |
Do you have a risk communication and community engagement strategy? | 193 (41%) | 165 (35%) | 113 (24%) | – |
Are instructions (e.g. posters, guidelines, checklists) about COVID-19 symptoms and prevention clearly displayed to healthcare workers, patients and visitors? | 41 (9%) | 143 (30%) | 287 (61%) | – |
Do you have a process for referring COVID-19 suspected and infected patients? | 68 (14%) | 177 (38%) | 226 (48%) | – |
Do you have a protocol for the collection and referral of laboratory specimens of (suspected) COVID-19 patients? | 127 (27%) | 64 (14%) | 146 (31%) | 134 (28%) |
Do you keep informed about (inter) national COVID-19 guidelines? | 53 (11%) | 203 (43%) | 215 (46%) | – |
Capacity building (4/31 questions) | ||||
Do you have a COVID-19 emergency response team and are the roles and responsibilities defined? | 111 (24%) | 136 (29%) | 159 (34%) | 65 (14%) |
Are all staff trained on guidelines for triaging and management of COVID-19? | 136 (29%) | 191 (41%) | 144 (31%) | – |
Are there policies and procedures for monitoring and managing healthcare professionals and support staff for COVID-19 infection? | 162 (34%) | 187 (40%) | 122 (26%) | – |
Is there mental support (counsellor) for healthcare workers (HCW) and support staff taking care of the COVID-19 patients? | 274 (58%) | 110 (23%) | 87 (18%) | – |