Emerg Infect Dis. 2022 Dec;28(13):S247-S254. doi: 10.3201/eid2813.212617.
The World Health Organization advocates a multimodal approach to improving infection prevention and control (IPC) measures, which Kenya adopted in response to the COVID-19 pandemic. The Kenya Ministry of Health formed a national IPC committee for policy and technical leadership, coordination, communication, and training. During March-November 2020, a total of 69,892 of 121,500 (57.5%) healthcare workers were trained on IPC. Facility readiness assessments were conducted in 777 health facilities using a standard tool assessing 16 domains. A mean score was calculated for each domain across all facilities. Only 3 domains met the minimum threshold of 80%. The Ministry of Health maintained a national list of all laboratory-confirmed SARS-CoV-2 infections. By December 2020, a total of 3,039 healthcare workers were confirmed to be SARS-CoV-2-positive, an infection rate (56/100,000 workers) 12 times higher than in the general population. Facility assessments and healthcare workers' infection data provided information to guide IPC improvements.
世界卫生组织提倡采取多模式方法来改善感染预防和控制(IPC)措施,肯尼亚针对 COVID-19 大流行采取了这一措施。肯尼亚卫生部成立了一个国家 IPC 委员会,负责政策和技术领导、协调、沟通和培训。在 2020 年 3 月至 11 月期间,共有 121500 名医护人员中的 69892 人接受了 IPC 培训。使用评估 16 个领域的标准工具,对 777 个卫生设施进行了准备情况评估。为所有设施计算了每个领域的平均分数。只有 3 个领域达到了 80%的最低阈值。卫生部维护了一份全国所有实验室确诊的 SARS-CoV-2 感染病例清单。到 2020 年 12 月,共有 3039 名医护人员被确诊为 SARS-CoV-2 阳性,感染率(每 10 万名工人中有 56 人)是普通人群的 12 倍。设施评估和医护人员的感染数据提供了信息,指导 IPC 的改进。