Table 3 Level of compliance with ‘Infrastructure and supplies’ and ‘Infection prevention and control’ self-assessment questions
SafeCare4Covid self-assessment questionsa (n = 471) | Number of facilities per level of compliance, n (%) | |||
|---|---|---|---|---|
NC | PC | FC | NAb | |
Infrastructure and supplies (12/31 questions) | – | |||
Have you assessed and improved the surge capacity of your healthcare facility? | 153 (32%) | 90 (19%) | 160 (34%) | 68 (14%) |
Is your infrastructure capable of fast-tracking patients and separating suspected COVID-19 patients from the normal patient population? | 161 (34%) | 124 (26%) | 186 (39%) | – |
Are there sufficient handwashing points including running water, liquid soap, disposable paper towels, hand sanitizer and handwashing posters available? | 23 (5%) | 155 (33%) | 293 (62%) | – |
Are there functional and clean toilet facilities and washrooms available for patients and staff? | 32 (7%) | 161 (34%) | 278 (59%) | – |
Are all the service points within the facility properly ventilated and lit? | 27 (6%) | 156 (33%) | 288 (61%) | – |
Are your service points adequately furnished for effective service provision in relation to COVID-19? (physical distance) | 39 (8%) | 245 (52%) | 187 (40%) | – |
Do all service points where suspected or confirmed COVID-19 cases are held have restricted access with proper documentation of movement in and out? | 67 (14%) | 113 (24%) | 118 (25%) | 173 (37%) |
Are all service points correctly labelled and restricted access implemented at all the entry points to restricted areas (e.g. isolation ward and COVID-19 ICU)? | 75 (16%) | 79 (17%) | 101 (21%) | 216 (46%) |
Do you have the required equipment (e.g. infrared thermometers, BP machines, pulse oximeters) for taking vital signs at each service point where COVID-19 patients are seen? | 14 (3%) | 163 (35%) | 228 (48%) | 66 (14%) |
Do you have, maintain, and monitor an (updated) inventory list of all equipment, supplies, and medication required for COVID-19 response? | 68 (14%) | 143 (30%) | 170 (36%) | 90 (19%) |
Do you have a maintenance mechanism for all essential equipment used for COVID-19 care? | 179 (38%) | 196 (42%) | 96 (20%) | – |
Do you have appropriate (back-up) arrangements for essential lifelines, like electricity and water? | 52 (11%) | 132 (28%) | 287 (61%) | – |
Infection prevention and control (5/31 questions) | – | |||
Do all staff and patients have access to the required personal protective equipment (PPE) such as masks, gloves, gowns, protective glasses, and boots? | 46 (10%) | 265 (56%) | 160 (34%) | – |
Are there Infection Prevention Control (IPC), cleaning and disinfection guidelines and schedules for all the areas and equipment within the facility? | 54 (11%) | 152 (32%) | 265 (56%) | – |
Is there a documented plan for waste management at this healthcare facility? | 65 (14%) | 180 (38%) | 226 (48%) | – |
Are the outcomes for IPC defined and monitored? | 77 (16%) | 241 (51%) | 153 (32%) | – |
Is there an infection prevention policy on the management of deceased COVID-19 patients? | 233 (49%) | 96 (20%) | 142 (30%) | – |