В настоящем документе подчеркиваются основные аспекты организации безопасного управления медицинскими отходами для того, чтобы лица, вырабатывающие
политику, п
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актикующие врачи и управляющие стремились улучшить эти службы в
медицинских учреждениях. Он основан на комплексном и более подробном пособии ВОЗ Safe management of waste from health care activities [Безопасное управление отходами медико-санитарной деятельности](WHO, 2014), а также на соответствующих резолюциях Всемирной ассамблеи здравоохранения (ВАЗ), других
документах ООН и возникающих глобальных и национальных тенденциях в области
WASH и IPC.
Safe management of wastes from health-care activities: A summary
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This global guidance provided the framework for over 100 countries to develop their NDVPs. This updated (second) version supersedes the previous version published in 16 November 2020. New information has been added on the following areas:
the COVID-19 Partners Platform;
the use of COVID
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-19 simulation exercises to test deployment strategies;
the indemnity agreement and no-fault compensation programme for vaccines secured through the COVAX Facility in the Advance Market Commitment (AMC) eligible economies;
the availability and use of the WHO-UNICEF COVID-19 Vaccine Introduction and deployment Costing (CVIC) tool;
the COVAX Facility’s humanitarian buffer that enables allocation of vaccine to cover high-risk populations in humanitarian settings;
recommendations for vaccination of pregnant and lactating women;
supplementary information on infection prevention and control (IPC) measures to be used to deliver COVID-19 vaccines safely;
the WHO licensed COVID-19 vaccines product-specific information;
use of geospatial data and digital micro plans for equitable access and delivery of COVID-19 vaccines;
lessons learned from the development of NDVPs and early experiences in COVID-19 vaccine deployment in countries; and
updated additional resources at the end of each chapter.
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This brief summarizes current evidence and guidance for maintaining safe and effective care across the spectrum of maternal, newborn and infant care while protecting mother and child and health care providers during COVID-19. Furthermore, implications of the principle of “do no harm” are reviewe
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d for maternal, newborn and infant care delivery during COVID-19, so that this information is conveniently and readily available to clinical and health system policy leaders and stakeholders in countries and communities. Additionally, considerations for safe oxygen delivery as well as key Infection Prevention and Control (IPC) measures at home and in healthcare facilities for pregnant women, newborns and children are described in detail in the brief.
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Surgical site infections (SSI) are a serious problem globally; they are the most frequent type of health care-associated infection (HAI) observed on admission in low- and middle-income countries (LMICs). Approximately one in 10 people who have surgery in LMICs acquire an SSI, and SSI is reported as
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the second most common HAI in Europe and the United States of America. Therefore, it is crucial to include SSI prevention activities in your overall IPC programme.
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Those who clean are the first line of defense against health care-associated infections (HAIs), and support efforts to reduce antimicrobial resistance (AMR).
Strengthening the training of this important group can contribute to resolving many of today’s public health challenges. This is importan
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t given that cleaning both surfaces and hands is vital to control the transmission of a number of HAIs.
This two-part training package targets those who clean heath care facilities.
The Trainer’s Guide takes the user through how to prepare, deliver and sustain an effective training for those who clean. The Modules and Resources provides instructions, definitions, photographs, posters and specific illustrations of recommended practices
The package can be used by those who deliver environmental cleaning training programmes and/or those with a background in IPC including ministries of health, nongovernmental organizations, academic institutions, experts working in Quality of care, IPC and environmental cleaning/ Water, sanitation and Hygiene (WASH) and Health facility IPC focal points and onsite cleaning supervisors
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The Global Report on Food Crises (GRFC) 2023 highlights that the number of people experiencing high levels of acute food insecurity and requiring urgent food and livelihood assistance increased for the fourth consecutive year in 2022. Over a quarter of a billion people were estimated to face acute h
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unger, with economic shocks and the Ukraine war contributing to the increase. In 2022, around 258 million people across 58 countries and territories faced acute food insecurity at crisis or worse levels (IPC/CH Phase 3-5), up from 193 million people in 53 countries and territories in 2021.
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The primary objective of this curriculum is to equip health and care workers with the essential knowledge and competencies necessary for delivering safe and effective care. By doing so it aims to significantly reduce HAIs and combat antimicrobial resistance, thereby safeguarding both patient and HCW
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s well-being.
This curriculum is developed to meet the needs of IPC professionals responsible for developing learning resources and overseeing training within health care organizations. Moreover, the curriculum is intended to encompass all individuals involved in health care delivery and support. This holistic approach includes a wide range of staff -ranging from clinical workers to administrative and auxiliary services, thus ensuring a broad and inclusive approach to IPC training.
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OpenWHO is an interactive, web-based, knowledge-transfer platform offering free online courses to improve the response to health emergencies. In summary, OpenWHO currently offers courses covering the following topics and languages to support the response to COVID-19:
A general introduction to
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emerging respiratory viruses, including novel coronaviruses (available in Arabic, Chinese, English, French, Russian, Spanish, Hindi, Hungarian, Indian Sign Language, Indonesian, Macedonian, Persian, Portuguese, Serbian, Turkish and Vietnamese);
Clinical care SARI (available in English, French, Russian, Spanish, Indonesian, Portuguese and Vietnamese);
Health and safety briefing for respiratory diseases – ePROTECT (available in Chinese, English, French, Russian, Spanish, Indonesian and Portuguese);
IPC for COVID-19 (available in Chinese, English, French, Russian, Spanish, Indonesian, Italian, Japanese, Macedonian, Portuguese, Serbian and Turkish);
COVID-19 operational planning guidelines and partners platform to support country preparedness and response (available in Chinese, English, French, Russian and Portuguese);
SARI treatment facility design (available in Arabic, English and Portuguese);
An introduction to Go.Data (available in English and in additional languages); and
How to put on and remove PPE for COVID-19 (available in English and in additional languages).
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Int. J. Environ. Res. Public Health 2022, 19, 9313. https://doi.org/10.3390/ijerph19159313. A mixed-methods study, using an online survey and in-depth interviews, was conducted. Participants included Mental Health Focal Points at the Ministries of Health, the World Health Organization (WHO) country
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and regional offices, and civil society representatives. Responses were received from 28 countries out of 55 contacted. The implementation level, based on standard guidelines, of MHPSS activities was below 50% in most countries. The most implemented MHPSS activities were establishing coordination groups (57%) and developing MHPSS strategy (45%), while the least implemented activities included implementing the developed MHPSS strategy (32%) and establishing monitoring and evaluation mechanisms (21%). Key factors that hindered implementing MHPSS activities included lack of political commitment and low prioritisation of mental health during emergencies, as it was seen as a “less important” issue during the COVID-19 pandemic, when more importance was given to infection prevention and control (IPC)
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Le Burkina connait depuis les 5 dernières années, une dégradation continue de la situation sécuritaire. Cette situation a connu une détérioration accélérée depuis 2029 principalement dans les régions du Nord, du Centre-Nord, du Sahel, de la Boucle du Mouhoun ,de l’Est et du Centre Est. C
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ette dégradation a entraîné un accroissement substantiel des déplacements internes et réduit l'accès déjà très limité aux services sociaux de base, y compris les services de santé, dans un contexte d'extrême pauvreté dans ces localités.
On estime un total de 2,2 millions de burkinabè qui sont dans un besoin humanitaire de plus en plus croissant dans tous les secteurs. Parmi ces populations vulnérables, on compte 1 902 150 déplacés internes à la date du 30 avril 2022 et plus de 1,2 millions étaient directement privées d’un accès aux soins de santé à cause principalement de la fermeture et ou du fonctionnement au minima des formations sanitaires dans les zones à défis sécuritaire. Au total, 290 communes sont concernées par le phénomène des PDIs dont la majorité se retrouvent à Djibo (285 654),
Kaya (123 610), Barsalogho (93 378), Gorgadji (43 651), Fada N’Gourma (85 574), Dori (66 798) et Gorom-Gorom (65 106).
La situation actuelle est rendue complexe par une annonce d’un niveau alarmant d'insécurité alimentaire et nutritionnelle selon les analyses faites par le Cadre intégré de Classification (IPC) de la malnutrition aiguë de novembre 2021 (IPC AMN) et du cadre harmonisé (CH) de l’insécurité alimentaire de mars 2022. Tous ces facteurs concourent à la dégradation de la situation alimentaire et nutritionnelle des populations affectées surtout les couches les plus vulnérables que sont les femmes et les enfants. C’est ainsi que le Ministère de la santé en collaboration avec l’UNICEF et le PAM a entrepris de réaliser une nouvelle enquête SMART rapide après celles 2019 et de 2020 auprès de certain nombre de localités abritant un grand nombre de déplacés internes afin d’évaluer la situation nutritionnelle et sanitaire des enfants de 6 à 59 mois et des femmes enceintes et des femmes allaitantes ayant des enfants de moins de 2 ans. Cette enquête a couvert 12 communes et localités qui sont reparties par région et par district sanitaire de la manière suivante: Tougan, Nouna, Kaya, Kongoussi, Tougouri, Pissila, Gayéri, Thiou, Séguénéga, Gorom-Gorom,
Gorgadji et Bani.
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These WHO guidelines which were updated in 2018, are valid for any country and suitable to local adaptations, and take account of the strength of available scientific evidence, the cost and resource implications, and patient values and preferences.
The 2018 edition of the guidelines includes the re
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vision of the recommendation regarding the use of 80% fraction of inspired oxygen (high FiO2) in surgical patients under general anaesthesia with tracheal intubation and the update of the section on implementation. Between 2017 and 2018, WHO re-assessed the evidence on the use of high FiO2 by updating the systematic review related to the effectiveness of this intervention to reduce SSI and commissioning an independent systematic review on adverse events potentially associated with it. Based on the updated evidence, the GDG decided to revise the strength of the recommendation from strong to conditional.
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20-22 July 2015, Monrovia, Liberia
BMJ Global Health2019;4:e001504. doi:10.1136/bmjgh-2019-00150
This checklist has been developed to support hospital preparedness for the management of COVID-19 patients.
Elements to be assessed have been divided into the following areas:
Establishment of a core team and key internal and external contact points
Human, material and facility capacit
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y
Communication and data protection
Hand hygiene, personal protective equipment (PPE), and waste management
Triage, first contact and prioritisation
Patient placement, moving of the patients in the facility, and visitor access
Environmental cleaning
For each area mentioned above, the elements or processes were identified and the items to be checked are listed below.
A procedure for the self-auditing of compliance with this checklist should be considered.
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Interim guidance 19 March 2020