OF0013 Infection prevention and control assessment tool kit

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WHO facility Checklist

Email *

Record my email address with my response

Date of Evaluation *

YYYY

Evaluated By (Name & Emp ID) *

1. Do you have an IPC programme?

0 No

5 Yes, without clearly defined objectives

10 Yes, with clearly defined objectives and annual activity plan

2. Is the IPC programme supported by an IPC team comprising of IPC professionals

0 No

5 Not a team, only an IPC focal person

10 Yes

3. Does the IPC team have at least one full-time IPC professional or equivalent (nurse or doctor working 100% in IPC) available?

0 No IPC professional available

2.5 No, only a part-time IPC professional available

5 Yes,oneper>250beds

10 Yes,oneper≤250beds

4. Does the IPC team or focal person have dedicated time for IPC activities?

0 No

10 Yes

5. Does the IPC team includer both doctors and nurses?

0 No

10 Yes

6.DoyouhaveanIPCcommittee5activelysupportingtheIPCteam?

0 No

10 Yes

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