Infection Control Self-Assessment Tool for Primary Health Care Facilities
(2013; 101 pages)

SIAPS. 2013. Infection Control Self-Assessment Tool for Primary Health Care Facilities. Submitted to the US Agency for International Development by the SIAPS) Program. Arlington, VA: Management Sciences for Health.


Nosocomial or health-facility-acquired infections are a serious issue, representing one of the most significant causes of morbidity and mortality in healthcare systems and consuming many scarce resources, especially in developing countries. Although much has been done, particularly in the hospital setting, to reduce the risk of these infections, the problem persists and demands innovative and cost-efficient solutions.

Although the care provided in most primary health care facilities is predominantly ambulatory with few or no inpatient beds, infection prevention is still important to minimize or eliminate the risks of facility-acquired infections and assure quality patient care.

Health facilities and hospitals should have written infection control procedures and guidelines in place and should also be monitoring that these procedures are adhered to in both inpatient and ambulatory care settings.

The nine modules in the Infection Control Assessment Tool (ICAT) form part of a standardized approach that uses rapid cycles of quality improvement, where the tool is used to identify problem areas, and then specific indicators are used to monitor interventions. Each module includes sets of questions to assess current practices, followed by technical recommendations from recognized international agencies and institutions, such as the World Health Organization (WHO) and Centers for Disease Control and Prevention (CDC). In addition, the tool includes some observation checklists used in the assessment process and a module scoring sheet.

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