WHO's IPC IMPLEMENTATION MINIMUM REQUIREMENTS - duplicate

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MINIMUM REQUIREMENTS

AN IPC PROGRAMME

Hard copy IPC guideline
Hand hygiene SOPs (filed or pasted)
Decontamination of medical devices SOPs (filed or pasted)
Environmental cleaning SOPs (filed or pasted)
Healthcare waste management SOPs (filed or pasted)
Health worker protection SOPs (filed or pasted)
Aseptic technique SOPs (filed or pasted)
Triage of infection diseases (filed or pasted)
Standard precautions (pasted)
Transmission based precautions (filed or pasted)
SOPs for Healthcare Associated Infections
Occupational health SOPs (filed or pasted)
Healthcare workers educated on the recommended IPC practices
Monthly monitoring of the implementation of the IPC guidelines and SOPs (previous month assessment/supervision/mentorship)

IPC staff/team received specific IPC trained (at least annually)
All clinicians oriented/trained in IPC
All nurses oriented/trained in IPC
All Hospital attendants oriented in IPC
All Health surveillance assistants oriented in IPC
System and schedule of monitoring and evaluation (at least monthly) to check on the effectiveness of the IPC training/education
All frontline workers, nurse, clinicians, cleaners, HSAs, receive education/training on the facility IPC guidelines and SOPs upon employment

System change (build it: infrastructures, equipment, supplies and including human resource)
Training and education (teach it: the category of staff to be trained and type of training, to ensure intervention will be implemented in line with evidence-based policies)
Monitoring and feedback (Check it: regular monitoring and feedback activities to identify the gaps in IPC practices/indicators in the facility setting to allow prioritization of IPC interventions and to make sure that the interventions are being implemented correctly and safely)
Reminders and communication (sell it: Promoting an intervention by ensuring that there are cue to action at the point of care and messages are reinforced to health workers and patients. There is need for capacity/ funding to develop promotional messages and materials)
Culture change (Live it: Support for the intervention at every level of the health system. Senior managers to provide funding for equipment and other resources for IPC improvement)

Periodic and continuous monitoring indicators for IPC processes and structures
Training at facility level on protocols and tools and systems integration of collection and analysis of data
Bed occupancy should not exceed the standard capacity
Healthcare worker staffing levels should be adequately assigned according to patient workload
No more than on patient per bed
Spacing of at least one metre between the edges of beds

Safe and sufficient quantity of water for all IPC measures and specific medical activities
Functional and improved sanitation facilities: One per 20 beds for inpatient wards, all equipped with menstrual hygiene facilities; One per 50 people in out-patients, equipped with menstrual hygiene facilities
Functional hand hygiene facilities should always be available at point of care, toilets and service and waiting areas, and all should include soap, water, single-use/reusable towels, within 5 metres of toilets
Sufficient and appropriately labelled bins to allow for healthcare waste segregation should be available and used, less than 5 metres from point of generation
waste should be treated and disposed of safely via autoclave, incineration (850-1100oc) and or buried in a lined protected pit
Sufficient and appropriate supplies and reliable power/energy
Facility should have dedicated space/area for performing the decontamination and reprocessing of medical devices
Adequate single isolation rooms to cohort patients with similar pathogens or syndromes

LIST OF IPC TEAM THAT CONDUCTED THE ASSESSMENT