Table 1.
Components of the site audit tool and response rates from 32 sites
| Key components | Indicators | Details | Result |
|---|---|---|---|
| Facility level measures | Facility plan for implementation of TB infection control | Appointment of facility based IC officer | 61.0 % |
| Policies and procedures (SOPs) for rapid identification, and isolation of TB cases | 61.3 % | ||
| Optimized space | Waiting area ventilated and uncrowded | 93.3 % | |
| Annual surveillance of health care workers (HCWs) is conducted | Any or all of: Symptom screen/TB skin test/Interferon-gamma Release Assay (IGRA)/Chest x-ray | 61.3 % | |
| TB IC Policies monitored | 1. Policies evaluated | 80.6 % | |
| 2. Documentation of frequency of training, training materials updated | |||
| Administrative control measures | Identification and separation of patients with symptoms | 1. Identification and separation of potentially infectious patients, including written procedures | 71 % |
| 2. Use of separate waiting rooms or outdoor waiting areas | |||
| Cough hygiene Education | 1. Cough hygiene education signs | 80.6 % | |
| 2. Resources for hand washing/disinfection | |||
| 3. Masks for coughing patients and others with respiratory infection. | |||
| Hand hygiene Policy | 1. Written policy or appropriate instructions for hand hygiene | 67.7 % | |
| 2. Instructions posted | |||
| 3. Availability and use of non-touch bins throughout the high-risk areas | |||
| Separation of sputum collection | Separate collection area | 80.6 % | |
| Well-ventilated area | |||
| Environmental control measures | Ventilation system is optimized | Air flow assessment performed | 54.8 % |
| Ventilation and/or air cleaning | Windows open, use of other ventilation, air cleaning methods | 80.6 % | |
| Personal Protective Equipment (PPE) (PPE, N95 masks or equivalent, fit testing for masks) | PPE available | 96.8 % | |
| (N95 Masks), gloves and respirators | 87.1 % | ||
| Fit Testing: written fit testing procedures, records for fit testing | 43.3 % |