Table 4 Recommendations on IPC implementation on a hospital and a national level based on the interviews with the management of participating hospitals (38 hospitals)
Recommendations on hospital level | N (%) | Recommendations on national level | N (%) |
|---|---|---|---|
Update knowledge, especially about regulations and guidelines for IPC committee members by participating in IPC training regularly | 14 (36.8) | Provide more national training (free and online) for all hospitals, including private hospitals and hospitals in the eastern part of Indonesia | 22 (57.9) |
Additional funding for IPC (IPC budget is still joined with other units, especially for participation in training programs) | 11 (28.9) | Update of the IPC guidelines/regulations and dissemination to all hospitals | 10 (26.3) |
Adding more personnel in IPC committees (full-time IPCN, IPCLN, and training new IPCN) | 10 (26.3) | Additional funding for IPC | 8 (21.1) |
Raise more awareness, increase compliance, and improve implementation of IPC | 9 (23.7) | Guidance and regular evaluation of IPC implementations in hospitals | 7 (18.4) |
Enhance the coordination with other units, including management | 9 (23.7) | Improve facilities (e.g., availability and capability of microbiology laboratory, incinerator, logistic support, solid waste treatment plant, internet, and hand hygiene facilities) | 6 (15.8) |
Promotion and dissemination of IPC programs to all personnel in hospital (bundles, preparing videos or posters) | 5 (13.2) | Implement program that promotes IPC program continuously (e.g., hand hygiene week) | 5 (13.2) |
Improve facilities and infrastructure (e.g., availability and capability of microbiology laboratory, waste water, and solid waste treatment plant) | 5 (13.2) | Consider the capacity of local hospitals when implementing a new program (e.g., conduct a feasibility study before introducing a new program, including the budget for implementation, into the regional allocation fund) | 2 (5.3) |
Monitoring and evaluation of IPC program | 3 (7.9) | Requirements related to IPC program should be adapted to local conditions (e.g., requirements for IPCN, license for waste treatment plant) | 2 (5.3) |
Develop IPC program tailored to the conditions in the hospital | 3 (7.9) | Guidelines for PPE should be integrated between governments, occupational organization | 1 (2.6) |
Add more IPC trainers by having staff join IPC training programs | 2 (5.3) | Integrated program within or between local and central government to avoid redundant projects | 1 (2.6) |
Optimize follow-up of recommendation of IPC | 2 (5.3) | ||
Availability of electronic information system (especially for HAI surveillance and medical records) | 2 (5.3) |