Infection Prevention and Control in Health Facilities in Post-Ebola Liberia: Don't Forget the Private Sector!

Hdl Handle:
http://hdl.handle.net/10144/618978
Title:
Infection Prevention and Control in Health Facilities in Post-Ebola Liberia: Don't Forget the Private Sector!
Authors:
Tremblay, N; Musa, E; Cooper, C; Van den Bergh, R; Owiti, P; Baller, A; Siafa, T; Woldeyohannes, D; Shringarpure, K; Gasasira, A
Journal:
Public Health Action
Abstract:
Setting: Recognising the importance of infection prevention and control (IPC), a minimum standards tool (MST) was developed in Liberia to guide the safe (re-) opening and provision of care in health facilities. Objectives: To analyse the implementation of specific IPC measures after the 2014 Ebola virus outbreak between June 2015 and May 2016, and to compare the relative improvements in IPC between the public and private sectors. Design: A retrospective comparative cohort study. Results: We evaluated 723 (94%) of the 769 health facilities in Liberia. Of these, 437 (60%) were public and 286 (40%) were private. There was an overall improvement in the MST scores from a median of 13 to 14 out of a maximum possible score of 16. While improvements were observed in all aspects of IPC in both public and private health facilities, IPC implementation was systematically higher in public facilities. Conclusions: We demonstrate the feasibility of monitoring IPC implementation using the MST checklist in post-Ebola Liberia. Our study shows that improvements were made in key aspects of IPC after 1 year of evaluations and tailored recommendations. We also highlight the need to increase the focus on the private sector to achieve further improvements in IPC.
Publisher:
International Union Against Tuberculosis and Lung Disease
Issue Date:
21-Jun-2017
URI:
http://hdl.handle.net/10144/618978
DOI:
10.5588/pha.16.0098
PubMed ID:
28744446
Submitted date:
2017-08-03
Language:
en
ISSN:
2220-8372
Appears in Collections:
Other Diseases

Full metadata record

DC FieldValue Language
dc.contributor.authorTremblay, Nen
dc.contributor.authorMusa, Een
dc.contributor.authorCooper, Cen
dc.contributor.authorVan den Bergh, Ren
dc.contributor.authorOwiti, Pen
dc.contributor.authorBaller, Aen
dc.contributor.authorSiafa, Ten
dc.contributor.authorWoldeyohannes, Den
dc.contributor.authorShringarpure, Ken
dc.contributor.authorGasasira, Aen
dc.date.accessioned2017-08-05T20:41:43Z-
dc.date.available2017-08-05T20:41:43Z-
dc.date.issued2017-06-21-
dc.date.submitted2017-08-03-
dc.identifier.citationInfection Prevention and Control in Health Facilities in Post-Ebola Liberia: Don't Forget the Private Sector! 2017, 7 (Suppl 1):S94-S99 Public Health Actionen
dc.identifier.issn2220-8372-
dc.identifier.pmid28744446-
dc.identifier.doi10.5588/pha.16.0098-
dc.identifier.urihttp://hdl.handle.net/10144/618978-
dc.description.abstractSetting: Recognising the importance of infection prevention and control (IPC), a minimum standards tool (MST) was developed in Liberia to guide the safe (re-) opening and provision of care in health facilities. Objectives: To analyse the implementation of specific IPC measures after the 2014 Ebola virus outbreak between June 2015 and May 2016, and to compare the relative improvements in IPC between the public and private sectors. Design: A retrospective comparative cohort study. Results: We evaluated 723 (94%) of the 769 health facilities in Liberia. Of these, 437 (60%) were public and 286 (40%) were private. There was an overall improvement in the MST scores from a median of 13 to 14 out of a maximum possible score of 16. While improvements were observed in all aspects of IPC in both public and private health facilities, IPC implementation was systematically higher in public facilities. Conclusions: We demonstrate the feasibility of monitoring IPC implementation using the MST checklist in post-Ebola Liberia. Our study shows that improvements were made in key aspects of IPC after 1 year of evaluations and tailored recommendations. We also highlight the need to increase the focus on the private sector to achieve further improvements in IPC.en
dc.language.isoenen
dc.publisherInternational Union Against Tuberculosis and Lung Diseaseen
dc.rightsArchived with thanks to Public Health Actionen
dc.titleInfection Prevention and Control in Health Facilities in Post-Ebola Liberia: Don't Forget the Private Sector!en
dc.identifier.journalPublic Health Actionen

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