INFECTION PREVENTION AND CONTROL IMPLEMENTATION IN RWANDA(Briefly) Presented by Dr Placide NSHIZIRUNGU,MD GIHUNDWE Hospital 1
IPC implementation in Rwanda is a system Done by many processes which are complementary From the central to the peripheral lever From the MOH to the population 2
Partners Ministry of Health TRAC Plus(Center of Treatment and Research on AIDS,Malaria,Tuberculosis and Other Epidemics) which is a center for infections disease control and prevention. Hospitals Health centers Population 3
MOH Policies Guidelines Reports and information Coordination Partners TRAC PLUS(AIDS TBC Malaria Other epidemics control and prevention) Research Treatment(National protocols elaborations) National measures Formations Supervisions Monitoring and evaluations 4
TRAC PLUS(AIDS TBC Malaria Other epidemics) Surveillance Reports and information Hospitals Treatment Prevention measures Medical waste management Hygiene committee Hygiene measures Supervision Monitoring and evaluations 5
Definition of a Hospital Hygiene Committee Is multidisciplinary committee appointed by the Hospital Managing Director, which aims mainly at promoting hospital hygiene for prevention of nosocomial infections with the following outcomes: 6
Improved hospital cleanliness; Reduction of flies and cockroaches population; Installation and use of handwashing facilities; Hygienic toilets for patients and staff; Proper drainage and disposal of sewage; Proper drainage of storm water; Use of safe water and food in the hospital; Use of mosquito nets by patients; 7
Improved post exposure care; Reduced administration of unnecessary injections; Reduced invasive medical procedures; Standardized and maintenance of medical equipment; Efficient management of healthcare wastes. Reduction of nosocomial infections; Demonstrations of nutrition gardens 8
Responsibilities of Hospital Hygiene Committee: Organizing and coordinating activities for prevention of nozocomial infections; Training and refreshing the hospital staff on hospital hygiene; Organizing health and hygiene education for hospital visitors and patients ; Ensuring the availability of adequate health and hygiene documents and tools (protocols, guides, posters ) Ensuring availability of water treatment agents and disinfectants; Ensuring injection safety and management of healthcare wastes; 9
Ensuring aseptic methods in surgery rooms and other healthcare units; Recording of the hospital infections; Bacteriological surveillance in the hospital and in critical zones particularly in surgery rooms, intensive care units etc.); Ensuring food safety in the hospital; Fighting against vermins; 10
Providing technical advices for all buildings projects; Establishing partnerships between hospital departments in the promotion of hygiene; Ensuring staff are involved in demonstrating nutrition gardens and hygienic practices; Monitoring and evaluation of hygiene activities; Draw up monthly report. 11
Hospitals Supervision Reports and information Health centers First care(minimum Activities Package) Prevention measures Hygiene measures Medical waste management People education 12
Health Centers People education Information Population Health insurance adherence Hygiene measures application Be treated as soon as possible 13
THANK YOU 14