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Infection prevention and control for COVID-19 response in the Rohingya refugee camps in Bangladesh: an intra-action review

BACKGROUND: Infection Prevention and Control (IPC) is critical in controlling the COVID-19 pandemic and is one of the pillars of the WHO COVID-19 Strategic Preparedness and Response Plan 2020. We conducted an Intra-Action Review (IAR) of IPC response efforts to the COVID-19 pandemic in Cox's Ba...

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Autores principales: Apolot, Rebecca Racheal, Kaddu, Simon Ssentamu, Evers, Egmond Samir, Debashish, Paul, Mowla, S. M. Niaz, Ahmed, Sabbir, Das, Aritra, Bhuiyan, Abu Toha M. R. H., Rahman, Md Mahbubur, Barua, Anupam, Maina, Allen Gidraf Kahindo, Sultan, Murad, Nyawara, Marsela, Willet, Victoria, Von Harbou, Kai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241551/
https://www.ncbi.nlm.nih.gov/pubmed/37277825
http://dx.doi.org/10.1186/s12939-023-01926-2
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author Apolot, Rebecca Racheal
Kaddu, Simon Ssentamu
Evers, Egmond Samir
Debashish, Paul
Mowla, S. M. Niaz
Ahmed, Sabbir
Das, Aritra
Bhuiyan, Abu Toha M. R. H.
Rahman, Md Mahbubur
Barua, Anupam
Maina, Allen Gidraf Kahindo
Sultan, Murad
Nyawara, Marsela
Willet, Victoria
Von Harbou, Kai
author_facet Apolot, Rebecca Racheal
Kaddu, Simon Ssentamu
Evers, Egmond Samir
Debashish, Paul
Mowla, S. M. Niaz
Ahmed, Sabbir
Das, Aritra
Bhuiyan, Abu Toha M. R. H.
Rahman, Md Mahbubur
Barua, Anupam
Maina, Allen Gidraf Kahindo
Sultan, Murad
Nyawara, Marsela
Willet, Victoria
Von Harbou, Kai
author_sort Apolot, Rebecca Racheal
collection PubMed
description BACKGROUND: Infection Prevention and Control (IPC) is critical in controlling the COVID-19 pandemic and is one of the pillars of the WHO COVID-19 Strategic Preparedness and Response Plan 2020. We conducted an Intra-Action Review (IAR) of IPC response efforts to the COVID-19 pandemic in Cox's Bazar, Bangladesh, to identify best practices, challenges, and recommendations for improvement of the current and future responses. METHODS: We conducted two meetings with 54 participants purposively selected from different organizations and agencies involved in the frontline implementation of IPC in Cox's Bazar district, Bangladesh. We used the IPC trigger questions from the WHO country COVID-19 IAR: trigger question database to guide the discussions. Meeting notes and transcripts were then analyzed manually using content analysis, and results were presented in text and quotes. RESULTS: Best practices included: assessments, a response plan, a working group, trainings, early case identification and isolation, hand hygiene in Health Facilities (HFs), monitoring and feedback, general masking in HFs, supportive supervision, design, infrastructure and environmental controls in Severe Acute Respiratory Infection Isolation and Treatment Centers (SARI ITCs) and HFs and waste management. Challenges included: frequent breakdown of incinerators, limited PPE supply, inconsistent adherence to IPC, lack of availability of uniforms for health workers, in particular cultural and gender appropriate uniforms and Personal Protective Equipment (PPE). Recommendations from the IAR were: (1) to promote the institutionalization of IPC, programs in HFs (2) establishment of IPC monitoring mechanisms in all HCFs, (3) strengthening IPC education and training in health care facilities, and (4) strengthen public health and social measures in communities. CONCLUSION: Establishing IPC programmes that include monitoring and continuous training are critical in promoting consistent and adaptive IPC practices. Response to a pandemic crisis combined with concurrent emergencies, such as protracted displacement of populations with many diverse actors, can only be successful with highly coordinated planning, leadership, resource mobilization, and close supervision. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12939-023-01926-2.
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spelling pubmed-102415512023-06-06 Infection prevention and control for COVID-19 response in the Rohingya refugee camps in Bangladesh: an intra-action review Apolot, Rebecca Racheal Kaddu, Simon Ssentamu Evers, Egmond Samir Debashish, Paul Mowla, S. M. Niaz Ahmed, Sabbir Das, Aritra Bhuiyan, Abu Toha M. R. H. Rahman, Md Mahbubur Barua, Anupam Maina, Allen Gidraf Kahindo Sultan, Murad Nyawara, Marsela Willet, Victoria Von Harbou, Kai Int J Equity Health Research BACKGROUND: Infection Prevention and Control (IPC) is critical in controlling the COVID-19 pandemic and is one of the pillars of the WHO COVID-19 Strategic Preparedness and Response Plan 2020. We conducted an Intra-Action Review (IAR) of IPC response efforts to the COVID-19 pandemic in Cox's Bazar, Bangladesh, to identify best practices, challenges, and recommendations for improvement of the current and future responses. METHODS: We conducted two meetings with 54 participants purposively selected from different organizations and agencies involved in the frontline implementation of IPC in Cox's Bazar district, Bangladesh. We used the IPC trigger questions from the WHO country COVID-19 IAR: trigger question database to guide the discussions. Meeting notes and transcripts were then analyzed manually using content analysis, and results were presented in text and quotes. RESULTS: Best practices included: assessments, a response plan, a working group, trainings, early case identification and isolation, hand hygiene in Health Facilities (HFs), monitoring and feedback, general masking in HFs, supportive supervision, design, infrastructure and environmental controls in Severe Acute Respiratory Infection Isolation and Treatment Centers (SARI ITCs) and HFs and waste management. Challenges included: frequent breakdown of incinerators, limited PPE supply, inconsistent adherence to IPC, lack of availability of uniforms for health workers, in particular cultural and gender appropriate uniforms and Personal Protective Equipment (PPE). Recommendations from the IAR were: (1) to promote the institutionalization of IPC, programs in HFs (2) establishment of IPC monitoring mechanisms in all HCFs, (3) strengthening IPC education and training in health care facilities, and (4) strengthen public health and social measures in communities. CONCLUSION: Establishing IPC programmes that include monitoring and continuous training are critical in promoting consistent and adaptive IPC practices. Response to a pandemic crisis combined with concurrent emergencies, such as protracted displacement of populations with many diverse actors, can only be successful with highly coordinated planning, leadership, resource mobilization, and close supervision. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12939-023-01926-2. BioMed Central 2023-06-06 /pmc/articles/PMC10241551/ /pubmed/37277825 http://dx.doi.org/10.1186/s12939-023-01926-2 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Apolot, Rebecca Racheal
Kaddu, Simon Ssentamu
Evers, Egmond Samir
Debashish, Paul
Mowla, S. M. Niaz
Ahmed, Sabbir
Das, Aritra
Bhuiyan, Abu Toha M. R. H.
Rahman, Md Mahbubur
Barua, Anupam
Maina, Allen Gidraf Kahindo
Sultan, Murad
Nyawara, Marsela
Willet, Victoria
Von Harbou, Kai
Infection prevention and control for COVID-19 response in the Rohingya refugee camps in Bangladesh: an intra-action review
title Infection prevention and control for COVID-19 response in the Rohingya refugee camps in Bangladesh: an intra-action review
title_full Infection prevention and control for COVID-19 response in the Rohingya refugee camps in Bangladesh: an intra-action review
title_fullStr Infection prevention and control for COVID-19 response in the Rohingya refugee camps in Bangladesh: an intra-action review
title_full_unstemmed Infection prevention and control for COVID-19 response in the Rohingya refugee camps in Bangladesh: an intra-action review
title_short Infection prevention and control for COVID-19 response in the Rohingya refugee camps in Bangladesh: an intra-action review
title_sort infection prevention and control for covid-19 response in the rohingya refugee camps in bangladesh: an intra-action review
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241551/
https://www.ncbi.nlm.nih.gov/pubmed/37277825
http://dx.doi.org/10.1186/s12939-023-01926-2
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