Age: |
18–24 |
25–30 |
31–40 |
41–50 |
51–60 |
>60 |
Gender: |
Male |
Female |
Medical Profession: |
Physician |
Nursing |
Lab Tech |
Others |
I am working at: |
Private hospital |
Government hospital |
Poly clinic (private sector) |
Do you have infection control program at your institution? |
Yes |
No |
Don’t know |
Have you received some form of training or orientation about infection prevention and control? |
Yes |
No |
Do you have infection control policies and guidelines in your unit? |
Yes |
No |
Don’t know |
Do you think that all staff in your unit are following promptly infection control policies, rules and guidelines? |
Yes |
No |
Don’t know |
Do you think your hospital is prepared for any infection outbreak? |
Yes |
No |
Don’t know |
In your opinion, what is the cause(s) of outbreaks? |
Breaching infection control policies, rules, and guidelines |
No clear infection control policies, rules, and guidelines |
Carelessness of healthcare workers |
Shortage of appropriate personnel protective equipment |
Infection control infrastructures do not exist |
Factors that contribute to the spread of infection in the hospital: |
Hospital infrastructure and design |
Lack and shortage of staff |
No infection control training program |
No resources to fulfill the infection control requirements and needs |
No infection control on-call |
At your institution, do you have active infection control team? |
Yes |
No |
Don’t know |
Do you think that all staff can differentiate between different isolation protocol such as droplet or contact? |
Yes |
No |
Don’t know |
Do you have a list of reportable infectious agents available in your unit and accessible to all staff: |
Yes |
No |
Don’t know |
Is your hospital is enrolled in national surveillance system: |
Yes |
No |
Don’t know |
Which infections are reported to MOH: |
All healthcare associated infections |
All infections (both hospital and community acquired) |
Don’t know |
In your institution, is there known turnaround time of laboratory results of the reportable infectious agents: |
Yes |
No |
Don’t know |
What is reporting system do you have at your hospitals: |
Electronic surveillance system |
Paper version |
Telephone communication |
In your opinion, what is the effective reporting system for reporting infectious agents: |
Electronic surveillance system |
Paper version |
Telephone communication |
Do you have an emerging infectious diseases task force (dealing with outbreaks) |
Yes |
No |
Don’t know |
Do you agree that surveillance tool used in your institution is effective to prevent or control infection |
Yes |
No |
Don’t know |