Table 3 Operational definition of IPC index

Domain 1: Trained provider

1 indicator – At least one provider available in the HF who is reported to be trained on IPC or waste management regardless of the timing and duration of the training

Domain score = Indicator (0% = no trained provider, 100% = at least one trained provider)

Domain 2: Guidelines

1 indicator – Observed availability of at least one guideline on health care waste management or infection control and prevention

Domain score = Indicator (0% = no guideline, 100% = at least one guideline)

Domain 3: Equipment and supplies

10 indicators – Observed availability and reported functionality of: i) soap and running water or alcohol-based hand rub, ii) needle destroyer, iii) waste receptacle, iv) disinfectant, v) gown or apron, vi) surgical mask, vii) latex gloves, viii) syringe, ix) eye protection, and x) sterilization equipment

Domain score = Percentage of functioning items available (Range: From 0% = no equipment and supplies to 100% = complete equipment and supplies, e.g. 6/10 = 60.0% in the case of 6 functioning items available)

IPC index

Readiness for IPC is measured across 3 domains: i) trained provider, ii) guidelines, and iii) equipment and supplies

IPC index = Mean score of the three domains (Range: From 0% = no IPC to 100% = complete IPC, e.g. (0% + 0% + 60.0%) / 3 = 20%)