Response to the COVID-19 outbreak: Lessons from a Tertiary Healthcare Facility in Southwest Nigeria

Abstract

Background: Mitigating the risk of nosocomial infection is one of the core functions of healthcare managers in hospital environments.  This study aimed to describe the COVID-19 outbreak response in a tertiary healthcare facility in Nigeria.

Methods: A qualitative cross- sectional study was conducted among representatives of Heads of Infection Control Committees and units, the Accident and Emergency  unit, Family Medicine unit, and Private Suites on the COVID-19 outbreak response at the University College Hospital, Ibadan, Nigeria. Data  were analyzed using Colaizzi’s phenomenological method.

Results: Overall, seven (six physicians and one nurse) HCWs were  interviewed; six (71.4%) males and two (28.6%) females. The average age of the key informants was 45 ± 4.73 years. Four themes were  identified. Theme one “Essentials of screening protocol and screening area” described the development of screening protocol, and  dedication of a triage area. Theme two “Infection prevention and control within consultation premises” detailed adequate spacing; hand  hygiene, use of personal protective equipment; environmental sanitation; and waste management. Theme three “Mounting up  surveillance in the response activity” specified communication with the Disease Surveillance Unit; and surveillance activities. Theme four  “Training and psychosocial support for staff” described staff training, and provision of psychosocial care to infected staff.

Conclusion:  The COVID-19 outbreak measures implemented by the management of the University College Hospital, Ibadan were aimed at ensuring  that the hospital does not get overwhelmed by the surge in COVID-19 cases. In order to improve outbreak response in hospital settings, it  is important to undertake training, modify hospital practices, and evaluate implemented measures.