Table 1.
TB Infection control practice | How it can be improved |
---|---|
Managerial level | |
What should be the District and Provincial Managers’ Role in improving TB infection control? | 1. Ensure provision of material resources 2. Ensure policy clarity and implementation 3. Training/Mentoring and consultation to facilities 4. Provision of adequate human resources 5. Monitoring and Evaluation 6. Improve infrastructure and maintenance |
What possible incentives can be introduced for the good practice of TB infection control? | 1. Award for TB focal person 2. Prize-giving for facility e.g. trophy 3. Counselling and occupational health support |
Administrative level | |
How can we promote the use of tissues/masks for patients? | 1. Health education/group information sessions or videos 2. Provision of masks (in waiting area) |
How can we separate coughing from non-coughing patients? | 1. Triage and fast-tracking |
How can we promote TB and HIV screening for HCWs? | 1. Education on importance of screening 2. Routine screening by the occupational health nurse at central sick bay with record keeping 3. Incentives 4. Counselling |
What is the best format for TB infection control training? | For HCWs: 1. Workshop training followed by in-service/practical training at facility 2. Mentoring 3. Refresher training For patients 1. Facility videos to educate patients 2. Reading materials such as pamphlets for patients |
Environmental level | |
How can we ensure the windows are opened and kept open in waiting areas and consultation rooms? | 1. Allocate open-window marshal/focal person 2. Utilise monitoring tool, i.e. window register 3. Patient education and engagement 4. Keep open window posters/stickers |
Personal protective equipment | |
How can we promote the use of disposable (N95) respirators among HCWs? | 1. Provide disposable (N95) respirators and fit test 2. Training/education 3. Ensure compliance/Discipline (written warning on record) 4. Ensure policy is carried out |