Table 2.
Levels of COVID-19 preparedness by Health Sector and Locality according to Facility/Services Managers in 13 health districts in Guinea, April 2020 (n=197).
| Variables | Health Sector | Locality* | |||||
|---|---|---|---|---|---|---|---|
| Total | Public | Private | p-value | Conakry | Countryside | p-value | |
| N (%) | N (%) | N (%) | N (%) | N (%) | |||
| Facility/service preparedness to face the COVID-19 pandemic | n=197 | n=158 | n=39 | n=79 | n=118 | ||
| Facility/service has received guidance or instructions related | 152 (77.2) | 135 (85.4) | 17 (43.6) | <0.001 | 53 (67.1) | 99 (83.9) | 0.006 |
| to COVID-19 prevention and management from authorities (Yes) | |||||||
| Facility/service is implementing these guidelines (Yes) (n=152) | 147 (96.7) | 131 (97.0) | 16 (94.1) | 0.525 | 50 (94.3) | 97 (98.0) | 0.230 |
| HCWs know about IDSR Technical Guidelines (Yes) | 80 (40.6) | 65 (41.1) | 15 (38.5) | 0.760 | 27 (34.2) | 53 (44.9) | 0.133 |
| Latest version of IDSR Technical Guidelines available | 33 (41.3) | 28 (43.1) | 5 (33.3) | 0.490 | 10 (37.0) | 23 (43.4) | 0.585 |
| at facility/service (Yes) (n=80) | |||||||
| Facility/service has handwashing device at facility entrance (Yes) | 192 (97.5) | 154 (97.5) | 38 (97.4) | 0.991 | 78 (98.7) | 114 (96.6) | 0.353 |
| Facility/service has water supply (Yes) | 177 (89.9) | 139 (88.0) | 38 (97.4) | 0.080 | 72 (91.1) | 105 (89.0) | 0.623 |
| Facility/service has received IPC supplies in the preceding | 71 (36.0) | 62 (39.2) | 9 (23.1) | 0.060 | 43 (54.4) | 28 (23.7) | <0.001 |
| 3 months (Yes) | |||||||
| The IPC supplies received sufficient for the next 30 days (Yes) (n=71) | 14 (19.7) | 11 (17.7) | 3 (33.3) | 0.272 | 9 (20.9) | 5 (17.9) | 0.750 |
| Facility/service has an established COVID-19 task force (Yes) | 82 (41.6) | 77 (48.7) | 5 (12.8) | <0.001 | 31 (39.2) | 51 (43.2) | 0.579 |
| The COVID-19 Task Force involves (n=82): | |||||||
| Religious leaders (Yes) | 21 (25.6) | 21 (27.3) | 0 (0.0) | 0.176 | 4 (12.9) | 17 (33.3) | 0.040 |
| Authorities (Yes) | 34 (41.5) | 31 (39.2) | 3 (42.8) | 0.427 | 9 (29.0) | 25 (49.0) | 0.075 |
| Representatives of NGOs (Yes) | 22 (26.8) | 22 (28.6) | 0 (0.0) | 0.162 | 4 (12.9) | 18 (35.3) | 0.026 |
| Community leaders (Yes) | 29 (35.4) | 29 (37.7) | 0 (0.0) | 0.088 | 8 (25.8) | 21 (41.2) | 0.158 |
| HCWs trained to prevent and diagnose COVID-19 (Yes) | 47 (23.9) | 41 (25.9) | 6 (15.4) | 0.166 | 16 (20.3) | 31 (26.3) | 0.331 |
| Facility-level capacities to detect, isolate, refer, and manage | |||||||
| Triage system at entrance to detect suspected cases (Yes) | 125 (63.4) | 104 (65.8) | 21 (53.8) | 0.164 | 51 (64.6) | 74 (62.7) | 0.792 |
| COVID-19 sample collection capacity available (Yes) | 17 (8.6) | 17 (10.8) | 0 (0.0) | 0.032 | 10 (12.7) | 7 (5.9) | 0.099 |
| Capacity to transport samples of suspected COVID-19 cases (Yes) | 31 (15.7) | 29 (18.3) | 2 (5.1) | 0.042 | 10 (12.7) | 21 (17.8) | 0.332 |
| Dedicated space to manage suspected COVID-19 case (Yes) | 52 (26.4) | 45 (28.5) | 7 (18.0) | 19 (24.1) | 33 (28.0) | 0.541 | |
| Equipment to manage suspected COVID-19 cases available (n=169) | 0.181 | ||||||
| Resuscitation unit (Yes) | 9 (5.3) | 5 (3.8) | 4 (10.3) | 0.118 | 6 (8.3) | 3 (3.1) | 0.134 |
| COVID-19 dedicated beds (Yes) | 5 (3.0) | 4 (3.1) | 1 (2.6) | 0.868 | 4 (5.6) | 1 (1.0) | 0.086 |
| Oxygenators with supplies (Yes) | 3 (1.8) | 2 (1.5) | 1 (2.6) | 0.671 | 3 (4.2) | 0 (0.0) | 0.043 |
| Respirators (Yes) | 1 (0.6) | 1 (0.8) | 0 (0.0) | 0.583 | 1 (1.4) | 0 (0.0) | 0.244 |
| Availability of tracing and notification system for suspected COVID-19 | 75 (38.1) | 66 (41.8) | 9 (23.1) | 22 (27.9) | 53 (44.9) | 0.016 | |
| cases at facility/district-level (Yes) | 0.031 | ||||||
| Availability of adequate and functioning transportation mean | 51 (25.9) | 47 (29.8) | 4 (10.3) | 11 (13.9) | 40 (33.9) | 0.002 | |
| for referral of suspected COVID-19 cases (Yes) | 0.013 | ||||||
| Availability of sample collection and transportation protocol | 28 (14.2) | 28 (17.7) | 0 (0.0) | 11 (13.9) | 17 (14.4) | 0.924 | |
| for suspected COVID-19 cases (Yes) | 0.005 | ||||||
| Availability of guidance document for management of suspected | 58 (29.4) | 46 (29.1) | 12 (30.8) | 0.839 | 22 (27.9) | 36 (30.5) | 0.688 |
| COVID-19 cases and quarantine/isolation (Yes) | |||||||
*Conakry was the epicentre of the pandemic at the time of the survey (more than 98% of confirmed cases).