After reviewing the literature validated IPCP audit or evaluation instruments were considered adaptable to the LMI country setting: 1) the Infection Control Nurses Association’s (ICNA), and 2) Audit tools for monitoring infection control standards and the Nosocomial Infection Program Rapid Evaluation Guide, produced for use in LMI countries by the Pan American Health Organization/Regional Office of the WHO (PAHO). Each of these tools had specific but complementary deficits. They were combined to create a new evaluation document, which was suitable for assessment of comprehensive IPCP in LMI countries.
Experts in infection prevention and control with experience in LMI country healthcare settings, and a regional expert from Fiji (also an LMI country), pre-piloted and confirmed the validity of the IPCPE instrument. A pilot of the IPCPE was conducted in person by the authors in Kiribati.