Baissa Abdoulaye Mariama, Hamani Samba, Ali Mahamane, Mouako Arlette Leufak, Anya Blanche-Philomene Melanga, Wiysonge Charles Shey
Organisation Mondiale de la Santé, Bureau Pays, Quartier Plateau, Avenue Mohamed VI 1204, Niamey, Niger.
Ministère de la Santé Publique, Place des Ministères, BP 623, Niamey, Niger.
Pan Afr Med J. 2020 Nov 11;37(Suppl 1):35. doi: 10.11604/pamj.supp.2020.37.35.26512. eCollection 2020.
Niger has been facing the coronavirus disease 2019 (COVID-19) pandemic since 19 March 2020. In this article we report an assessment of infection prevention and control (IPC) practices at healthcare facilities in the city of Niamey in Niger and propose solutions. This assessment focused on the 12 themes contained in the World Health Organization IPC assessment framework for healthcare facilities. The assessment was conducted in 83 public and private healthcare facilities, which represent 60% of healthcare facilities in the city of Niamey. At the level of tertiary healthcare facilities, the overall IPC score was 75% which represents a moderate level of compliance with recommended IPC practices. At the level of private healthcare facilities, the overall score was 53%; also, a moderate level of performance. Finally, the overall IPC score was 45% at primary public healthcare facilities; which shows a very low level of adherence to IPC recommendations. IPC practices in public and private healthcare facilities in Niamey remain a challenge for healthcare authorities. Developing a tailored restorative plan would be helpful in meeting this challenge.
自2020年3月19日以来，尼日尔一直面临2019冠状病毒病（COVID-19）疫情。在本文中，我们报告了对尼日尔尼亚美市医疗机构感染预防与控制（IPC）措施的评估情况，并提出了解决方案。该评估聚焦于世界卫生组织医疗机构IPC评估框架所包含的12个主题。评估在83家公立和私立医疗机构中开展，这些机构占尼亚美市医疗机构的60%。在三级医疗机构层面，IPC总体得分率为75%，这表明对推荐的IPC措施的遵守程度处于中等水平。在私立医疗机构层面，总体得分率为53%，同样处于中等表现水平。最后，在初级公立医疗机构层面，IPC总体得分率为45%，这表明对IPC建议的遵守程度非常低。尼亚美市公立和私立医疗机构的IPC措施对卫生当局而言仍是一项挑战。制定一份量身定制的恢复计划将有助于应对这一挑战。
