both best practices and areas for improvement were identified.

Clinic/Ward practice

High performance (overall compliance rate of 97.3%) was achieved in clinics/wards. Forty-three out of 50 clinics/wards achieved full compliance based on the standards of structure and process criteria.

The high achievement in structure criteria indicated a positive supportive infrastructure for practicing effective infection prevention and control. Best practices in the following areas were observed:

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and thus the mask contaminated the face and ear.

Perform hand hygiene
  • Apply a palmful of ABHR which is enough to cover all surfaces
  • Carry out 7 steps of hand hygiene for 20 seconds
  • Did not apply sufficient amount of ABHR to cover all surfaces.
  • The duration of hand rubbing was less than 20 seconds.
  • The 7 steps of HH were not fully carried out.
Remarks: ABHR=Alcohol based handrub; HH=Hand hygiene; IC=Infection control; and PPE=Personal protective equipment.

Discussion

The Evaluation Team had assessed the current practices in supporting safe and effective use of PPE as well as individual staff competency in performing donning/ doffing of full PPE and HH in selected clinics/wards among the service units within the hospital. Based on collected data and field observation

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