Impact of supportive supervision visits on the availability of World Health Organization infection prevention and control core components in health facilities in Southwestern Uganda
Summary: Background: In sub-Saharan Africa, the provision of infection prevention and control (IPC) measures are often limited by resource constraints. Aim: To determine the association of supportive supervision activities with the availability of the WHO core components for IPC at health facilitie...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-06-01
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| Series: | Infection Prevention in Practice |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590088924000192 |
| _version_ | 1797237991595311104 |
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| author | Cozie Gwaikolo Bongomin Bodo Doreen Nabawanuka Michael Mukiibi Emmanuel Seremba Paul Muyinda Andrew Bakainaga Yonas Tegegn Woldemariam Christopher C. Moore Richard Ssekitoleko |
| author_facet | Cozie Gwaikolo Bongomin Bodo Doreen Nabawanuka Michael Mukiibi Emmanuel Seremba Paul Muyinda Andrew Bakainaga Yonas Tegegn Woldemariam Christopher C. Moore Richard Ssekitoleko |
| author_sort | Cozie Gwaikolo |
| collection | DOAJ |
| description | Summary: Background: In sub-Saharan Africa, the provision of infection prevention and control (IPC) measures are often limited by resource constraints. Aim: To determine the association of supportive supervision activities with the availability of the WHO core components for IPC at health facilities in Southwestern Uganda. Methods: We employed a before and after quality improvement study design. We conducted a baseline assessment of the availability of the WHO IPC core components and provided supportive supervision activities, which was followed by a second IPC assessment. We included health centers II-IV, which have increasing clinical care capacity, and regional hospitals. Findings: Of 244 regional health facilities, baseline assessment occurred at 111 (45%) of which 23 (21%) were reassessed. The number of facilities in the Red (<70%) category for each core component stayed the same or decreased at each facility type, but there was an increase from five to six health center III facilities scoring Red (<70%) for PPE. The number of facilities in the Green (>85%) category for each core component stayed the same or was increased at each facility type, but there was a decrease from four to two health center III facilities scoring Green (>85%) for instrument processing. There was an increase in the median (interquartile range [IQR]) overall score for all facilities (65 [54–72] vs 75 [68–83], P=0.0001). Conclusion: Supportive supervision activities were associated with improved availability of the core components of IPC at health facilities in Southwestern Uganda. PPE should be prioritized in health care facilities in Southwestern Uganda. |
| first_indexed | 2024-04-24T17:28:33Z |
| format | Article |
| id | doaj.art-c74957b98c8b4dbbb200189a564321b3 |
| institution | Directory Open Access Journal |
| issn | 2590-0889 |
| language | English |
| last_indexed | 2024-04-24T17:28:33Z |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Infection Prevention in Practice |
| spelling | doaj.art-c74957b98c8b4dbbb200189a564321b32024-03-28T06:38:38ZengElsevierInfection Prevention in Practice2590-08892024-06-0162100355Impact of supportive supervision visits on the availability of World Health Organization infection prevention and control core components in health facilities in Southwestern UgandaCozie Gwaikolo0Bongomin Bodo1Doreen Nabawanuka2Michael Mukiibi3Emmanuel Seremba4Paul Muyinda5Andrew Bakainaga6Yonas Tegegn Woldemariam7Christopher C. Moore8Richard Ssekitoleko9Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, USAWorld Health Organization, Kampala, UgandaWorld Health Organization, Kampala, UgandaWorld Health Organization, Kampala, UgandaCollege of Health Sciences, Makerere University, Kampala, Uganda; Kiruddu National Hospital, Kampala, UgandaCollege of Education and External Studies, Makerere University, Kampala, UgandaWorld Health Organization, Kampala, UgandaWorld Health Organization, Kampala, UgandaDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville, USA; Department of Medicine, Mbarara University of Science and Technology, Mbarara, UgandaWorld Health Organization, Kampala, Uganda; Corresponding author. Address: PO Box 24578, Plot 1, Upper Kololo Terrace, Kampala Uganda.Summary: Background: In sub-Saharan Africa, the provision of infection prevention and control (IPC) measures are often limited by resource constraints. Aim: To determine the association of supportive supervision activities with the availability of the WHO core components for IPC at health facilities in Southwestern Uganda. Methods: We employed a before and after quality improvement study design. We conducted a baseline assessment of the availability of the WHO IPC core components and provided supportive supervision activities, which was followed by a second IPC assessment. We included health centers II-IV, which have increasing clinical care capacity, and regional hospitals. Findings: Of 244 regional health facilities, baseline assessment occurred at 111 (45%) of which 23 (21%) were reassessed. The number of facilities in the Red (<70%) category for each core component stayed the same or decreased at each facility type, but there was an increase from five to six health center III facilities scoring Red (<70%) for PPE. The number of facilities in the Green (>85%) category for each core component stayed the same or was increased at each facility type, but there was a decrease from four to two health center III facilities scoring Green (>85%) for instrument processing. There was an increase in the median (interquartile range [IQR]) overall score for all facilities (65 [54–72] vs 75 [68–83], P=0.0001). Conclusion: Supportive supervision activities were associated with improved availability of the core components of IPC at health facilities in Southwestern Uganda. PPE should be prioritized in health care facilities in Southwestern Uganda.http://www.sciencedirect.com/science/article/pii/S2590088924000192Supportive supervisionInfection prevention and controlUgandaSub-Saharan Africa |
| spellingShingle | Cozie Gwaikolo Bongomin Bodo Doreen Nabawanuka Michael Mukiibi Emmanuel Seremba Paul Muyinda Andrew Bakainaga Yonas Tegegn Woldemariam Christopher C. Moore Richard Ssekitoleko Impact of supportive supervision visits on the availability of World Health Organization infection prevention and control core components in health facilities in Southwestern Uganda Infection Prevention in Practice Supportive supervision Infection prevention and control Uganda Sub-Saharan Africa |
| title | Impact of supportive supervision visits on the availability of World Health Organization infection prevention and control core components in health facilities in Southwestern Uganda |
| title_full | Impact of supportive supervision visits on the availability of World Health Organization infection prevention and control core components in health facilities in Southwestern Uganda |
| title_fullStr | Impact of supportive supervision visits on the availability of World Health Organization infection prevention and control core components in health facilities in Southwestern Uganda |
| title_full_unstemmed | Impact of supportive supervision visits on the availability of World Health Organization infection prevention and control core components in health facilities in Southwestern Uganda |
| title_short | Impact of supportive supervision visits on the availability of World Health Organization infection prevention and control core components in health facilities in Southwestern Uganda |
| title_sort | impact of supportive supervision visits on the availability of world health organization infection prevention and control core components in health facilities in southwestern uganda |
| topic | Supportive supervision Infection prevention and control Uganda Sub-Saharan Africa |
| url | http://www.sciencedirect.com/science/article/pii/S2590088924000192 |
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