Impact of supportive supervision visits on the availability of World Health Organization infection prevention and control core components in health facilities in Southwestern Uganda

• Published in: Infection prevention in practice 2024-06, Vol.6 (2), p.100355, Article 100355
• Main Authors: Gwaikolo, Cozie, Bodo, Bongomin, Nabawanuka, Doreen, Mukiibi, Michael, Seremba, Emmanuel, Muyinda, Paul, Bakainaga, Andrew, Woldemariam, Yonas Tegegn, Moore, Christopher C., Ssekitoleko, Richard
• Format: Article
• Language: English
• Subjects: Infection prevention and control; Original; Sub-Saharan Africa; Supportive supervision; Uganda
• ISSN: 2590-0889; 2590-0889
• DOI: 10.1016/j.infpip.2024.100355

In sub-Saharan Africa, the provision of infection prevention and control (IPC) measures are often limited by resource constraints. To determine the association of supportive supervision activities with the availability of the WHO core components for IPC at health facilities in Southwestern Uganda. We employed a before and after quality improvement study design. We conducted a baseline assessment of the availability of the WHO IPC core components and provided supportive supervision activities, which was followed by a second IPC assessment. We included health centers II-IV, which have increasing clinical care capacity, and regional hospitals. Of 244 regional health facilities, baseline assessment occurred at 111 (45%) of which 23 (21%) were reassessed. The number of facilities in the Red (85%) for instrument processing. There was an increase in the median (interquartile range [IQR]) overall score for all facilities (65 [54–72] vs 75 [68–83], P=0.0001). Supportive supervision activities were associated with improved availability of the core components of IPC at health facilities in Southwestern Uganda. PPE should be prioritized in health care facilities in Southwestern Uganda.