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Barriers to infection control in health facility - Coggle Diagram
Barriers to infection control in health facility
Caring for patients with TB
delayed diagnosis of patient with other conditions lead to tb infection
lack of space constrained hcws ability to follow protocols
lag time between patient admission and diagnosis of tb
unavailability of hospitals bed in tb wards
delayed diagnosis of tb and start treatment contribute to tb infection
Lack of space to separate MDR TB & XDR TB patients for isolation
lack of facilities to separate or isolate patients to comply with national health guidelines
IC Policies and practices
Inconsistent supplies of N95 respirators in hospitals
HCWs did not use N95 respirators due to inconsistent supplies, discomfort, and differing interpretations of policy
N95 respirators were suffocating, made it hard to communicate, and posed problems for those with a cough or asthma
poor implementation of policies
No HCWs underwent fit-tested for N95 respirators
Variations in interpretations in use of N95 respirators
confusion over the length of use of recommended N95 masks
Opening windows to allow air circulation is unrealistic in cold weather
Procurement problem led to shortage of N95 respirators
Non compliance by hospital employ - did not wear them
Inadequate physical infrastructure for ventilation or extractor fans
Cross ventilation was impossible due to limited window (one window in tb clinic)
Stigma and support in the workplace
Stigma prohibit implementation of IC measures
High risk of exposure to tb in the community & lack of isolation facility
Non payment for risk allowance - danger-pay"
Inadequate resources to make workplace safer for staff
Occupational health
HIV infected HCWs were reluctant to be redeployed to other health facility
Systematic TB screening
People dont disclose HIV/TB status die to stigma