Provide appropriately cleaned,disinfected or sterilized equipment for patient care as required

These questions pertain to National and subnational StateProvince levels. Where indicated please answer in a scale of 0-4: 0= not present initiatedplanned; 1=planned and initiated but implemention is less than 25, 2= implemented between 26-50, 3= implemented between 51-75, 4= fully implemented over 76 implementation at national level. Type of response National Subnational State province District References Explanation Is there a National Infection Prevention and Control IPC Guidelines, Programme and Policy ? please give refrences Scale of 0-4 for National and subnational level Is there a programme for hand hygiene improvement at various levels of healthcare? Please explain your response in Cell G7 Scale of 0-4 for National and subnational level If yes , are the WHO guidelines for handhygiene being followed? YesNo No Have national IPC guidelines been developed? Scale of 0-4 for National and subnational level Are these guidelines evidence based and include cost effective interventions? YesNo No Are these guidelines developed by the government G or by professional organisations P? Indicate G or P or both, whichever is applicable GP P Does the National authority collect, analyse, and report HAI and AMR data from HCF at country level ? Scale of 0-4 for National and subnational level If yes, indicate the level of HCF where these guidelines are being followed Scale of 0-4 for National and subnational level Whether there is a system for monitoring and evaluation of IPC practice? Scale of 0-4 for National and subnational level Is there a system in place for surveillance of HAI and investigation of outbreaks? Scale of 0-4 for National and subnational level Does the country have national policies and standards in place for cleaning, disinfection and sterilization and provision of sterilized and disinfected items for patient care? please give references Scale of 0-4 for National and subnational level What are the mechanisms to ensure compliance with these standards at the various levels of healthcare? Descriptive Does the country have National policies and standards for safe environment in healthcare? Scale of 0-4 for National and subnational level Are there regulation and Policies on Medical Waste Management? Scale of 0-4 for National and subnational level 4.1: Strengthen infection prevention and control structure and programmes across all healthcare services and all levels of care

4.2.: Provide appropriately cleaned,disinfected or sterilized equipment for patient care as required

4.3. Provide safe and clean environment by improving the general hygiene and sanitation of healthcare facilities Question No. These questions pertain to National and subnational StateProvince levels. Where indicated please answer in a scale of 0-4: 0= not present initiatedplanned; 1=planned and initiated but implemention is less than 25, 2= implemented between 26-50, 3= implemented between 51-75, 4= fully implemented over 76 implementation at national level. Type of response National Subnational State province District References Explanation 5.1 5.1 Safe Surgical care: 5.1.1 Is there a national policy and plan for surgical services at various levels of care? Attach documents give references Scale of 0-4 for National and subnational level 5.1.2 What is the extent of implementation of the National policy and plan for surgical services at various levels of HCF? Scale of 0-4 for National and subnational level 5.1.3 list the initiatives being taken to strengthen emergency surgical and obstetric services services at various levels of care Descriptive 5.1.4 Whether there are mechanisms in place for monitoring compliance with policies on surgical care? Give examples Descriptive 5.2 5.2: Safe childbirth 5.2.1 Are there national standards for basic maternal, neonatal and child health services? Give references Scale of 0-4 for National and subnational level 5.2.2 Is the WHO safe childbirth checklist or any other checklist being applied to support the delivery of essential maternal and perinatal practices? Scale of 0-4 for National and subnational level 5.3 5.3: Safe injections 5.3.1 Are there national policies for the safe and appropriate use of injections? Attach documentsgive refrences Scale of 0-4 for National and subnational level 5.3.2 Are there mechanisms existing to ensure the quality and safety of injection equipment? Scale of 0-4 for National and subnational level 5.3.3 Are there National Standards for safe injection practices which are applied at different levels of healthcare? Scale of 0-4 for National and subnational level 5.3.4 Are there regulations and guidelines on management of sharps waste? Scale of 0-4 for National and subnational level 5.4

5.4.: Safe Medication