Evaluate the Implementation of WHO Infection Prevention and Control Core Components Among Health Care Facilities

R. Haji, Blend Barzan Ameen, Sharif Hama Babakr
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Abstract

Programs for infection prevention and control comprise a range of action plans, including antiseptic regulations, a healthcare worker training program, and the monitoring of healthcare-associated infections. The purpose of the study is to evaluate the World Health Organization’s implementation of infection prevention and control programs level in Ranya tertiary and healthcare facilities. A cross-sectional study was conducted at Eight healthcare institutions in the Ranya administration in the Kurdistan Region of Iraq from February 2023 to the end of August 2023 using the World Health Organization Infection Prevention and Control Assessment Framework (IPCAF) checklist. The IPCAF consists of eight segments and each part has a score of 100, hence with the greatest score of 800. The respondents in this study were the heads of facilities and employees engaged in IPC-related tasks. The results show that 6 Healthcare staff (75%) had basic IPC levels, and they scored 235, 207.5, 222.5, 330, 362.5, and 347.5 out of 800 points respectively. Further, 2 Healthcare staff (25%) had inadequate IPC levels, and they scored 200 and 180 points. In addition, among the 8 IPC core components, the built environment and materials/equipment at the facility level (C8) had the highest scores, while minimum scores were observed in education, training (C3) and healthcare-associated infection surveillance (C4). In conclusion, the Ranya HCF facilities have certain working IPC aspects without appropriate implementation; further, practically all components need significant improvement.
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评估世界卫生组织感染预防与控制核心内容在医疗机构中的实施情况
感染预防和控制计划由一系列行动计划组成,包括防腐规定、医护人员培训计划和医护相关感染监测。本研究的目的是评估世界卫生组织在兰亚三级医院和医疗机构中实施感染预防和控制计划的水平。研究采用世界卫生组织感染预防与控制评估框架(IPCAF)核对表,于 2023 年 2 月至 2023 年 8 月底在伊拉克库尔德斯坦地区兰亚行政区的八家医疗机构进行了横断面研究。IPCAF 由八个部分组成,每个部分满分为 100 分,因此最高分为 800 分。本研究的受访者是医疗机构的负责人和从事 IPC 相关工作的员工。结果显示,6 名医疗保健人员(75%)具备 IPC 基础水平,他们的得分分别为 235、207.5、222.5、330、362.5 和 347.5 分(满分 800 分)。此外,2 名医护人员(25%)的 IPC 水平不足,他们的得分分别为 200 分和 180 分。此外,在 8 个 IPC 核心要素中,设施层面的建筑环境和材料/设备(C8)得分最高,而教育、培训(C3)和医护相关感染监测(C4)得分最低。总之,兰亚保健中心的设施在 IPC 方面有一定的可操作性,但没有得到适当的实施;此外,几乎所有的组成部分都需要大力改进。
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审稿时长
12 weeks
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