Minister of Health, Public Hygiene and Universal Health Coverage of Directorate General of Health, BP V 4 Abidjan, CI-AB. IV93. 14/ CI.AB. 110, Abidjan, Côte d'Ivoire.
Department of Public Health, Felix Houphouët Boigny University, UFR of Pharmaceutical and Biological Sciences, 22 BP 582 Abidjan 22, Abidjan, Côte d'Ivoire.
BMC Health Serv Res. 2023 Aug 16;23(1):870. doi: 10.1186/s12913-023-09853-2.
As part of the implementation of its mission "to integrate hygiene activities into healthcare", the general directorate of health conducted in 2018 with its technical structures, an evaluation of the implementation of Infection Prevention and Control (IPC) using the WHO IPCAF tool in 30 health-care facilities in the autonomous district of Abidjan.
This were a cross-sectional survey with a conceptualized component considering the issue of injection safety and sanitary waste management, which was conducted in the named health-care facilities from March 20 to 28, 2018. The scores of the essential components of the IPC made it possible to assess the IPC level of each health-care facility evaluated and the overall IPCAF score of all facilities.
The overall median IPCAF score of the health-care facilities was 242.5/800 and corresponded to an inadequate level overall. No facility reached the "advanced" level of performance, 5 facilities (17%) reached the "intermediate" level, 10 (33%) fell into the "basic" level, and 15 (50%) were at the "inadequate" level. Baseline institutions had much higher scores than first contact institutions.
IPC component activities were inadequate and fragmented in the under-resourced health facilities at the time of the assessment. It would be appropriate to provide adequate resources and develop expertise in IPC through strong political will and leadership. This will contribute to the achievement of universal health insurance objectives with safe health services for patients.
作为实施其“将卫生活动纳入医疗保健”使命的一部分，卫生总局及其技术结构于 2018 年利用世卫组织感染预防和控制（IPC）工具，在阿比让自治区的 30 家卫生保健机构中，对感染预防和控制（IPC）的实施情况进行了评估。
这是一项横断面调查，概念部分考虑了注射安全和卫生废物管理问题，于 2018 年 3 月 20 日至 28 日在指定的卫生保健机构进行。IPC 基本要素的得分可用于评估每个接受评估的卫生保健机构的 IPC 水平以及所有机构的总体 IPCAF 得分。
卫生保健机构的总体 IPCAF 中位数评分为 242.5/800，总体上属于不足水平。没有一个机构达到“先进”的绩效水平，5 个机构（17%）达到“中级”水平，10 个机构（33%）处于“基础”水平，15 个机构（50%）处于“不足”水平。基线机构的得分明显高于第一接触机构。
在评估时，资源不足的卫生保健机构的 IPC 组成部分活动不足且分散。通过强有力的政治意愿和领导力，提供充足的资源并发展感染预防和控制方面的专业知识，将有助于实现全民健康保险目标，为患者提供安全的卫生服务。
