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ZIMBABWE INFECTION PREVENTION and CONTROL PROJECT (ZIPCOP)

BRTI in partnership with Infection Control Association of Zimbabwe (ICAZ) and Management Science for Health (MSH) to support the Ministry of Health and Child Welfare (MOHCW) working to strengthen Infection Prevention and Control (IPC) in Health Facilities in Zimbabwe.

Award Period: 30 September 2011- 29 September 2016
Principal Investigator: Prof. Exnevia Gomo
Technical Advisor: Prof. Valerie Robertson
Consortium partners: BRTI, Infection Control Association of Zimbabwe(ICAZ), Management Science for Health (MSH)
Goal: To reduce morbidity and mortality from infectious diseases in Zimbabwe.
Purpose: To support the Ministry of Health and Child Welfare (MOHCW) in improving infection prevention and control (IPC) in health care facilities nationwide.

WHO has prioritized infection control as one of the essential components of HIV/TB prevention, care and treatment services. However in the last ten years it has been difficult to maintain an effective IPC program due to lack of funding, loss of experienced staff, lack of training and multi-tasking of available staff, s and deterioration of infrastructure. The project, working closely with CDC-Zimbabwe, aims to support the Ministry of Health and Child welfare in strengthening training, management and administrative controls of IPC programs in health institutions around Zimbabwe. In addition a refurbishment exercise will be conducted in selected health facilities with the guidance of MOHCW with the goal of reducing the risk of transmission of infections including TB in health care facilities.

The Objectives of the Project include

Objective 1: To support the MOHCW in the development and dissemination of a national IPC strategic plan and M&E tools for infection control by the end of year 1.

Objective 2: To provide in-service training on infection control to health care workers by the end of the project period.

Objective 3: To develop infection control plans for at least 100 facilities (20 per project year) by the end of the project period.

Objective 4: To renovate at least 10 facilities by the end of the project period and reduce risk of TB transmission

Objective 5: To provide post exposure prophylaxis (PEP) to 100% of health care workers exposed to HIV in the 100 facilities that are supported in the development of IPC plans by the end of the project period.

The Consortium

The Consortium brings different strengths from the collaborating partners. BRTII with its experience in project administration and implementation of training programs and will work with. ICAZ has many years of experience working with MOHCW on training and policies in IPC, and MSH has extensive experience in Africa in the development of IPC management systems and tools that are being used in developing countries. The complimenting efforts of the three partners, the consultative approach with all relevant MoHCW departments with technical support from CDC and input from stakeholders will ensure that IPC practice will be strengthen over the next 5 years This will contribute to the improved quality of care at all levels of the health service

Approach

The Project will be implemented in three phases:

Phase 1:. An administrative base will be developed within BRTI together with effective links with the MOHCW and CDC- Zimbabwe. A national consultation will be organized for the MOHCW including Provincial and District Health Executives, City Health Departments, Central, Mission and Private Hospitals, Prison Services and other key stakeholders involved in IPC. This will serve to introduce the project and provide a forum to seek senior management support and input into the development of the project. This process of consultation and collaboration will form the framework for the project. Capacity building for IPC management is also considered an important activity of the project.

Phase 2: Phase 2 will lay the foundation for training with the formation of an IPC training working group (IPCTWG) and a National training team (NIPCTT) to develop curricula and training modules for both pre-service and in-service training for all categories of health staff and implement training. The first stage of training will be a “training of trainers” workshop. These trainers will form the basis of Provincial IPC training teams (PIPCTT) who with the support of NIPCTT will in Stage 3 cascade down the IPC training to all levels of health care. Development of IPC plans to include risk assessment, surveillance activities and Facility training programs will also be covered by the training. The establishment of procedures for the refurbishment of facilities, procurement of personal protective equipment (PPE) and ARVs for post-exposure prophylaxis (PEP) will begin in Phase 2.

Phase 3: Phase 3 will see the continued implementation of training programs, strengthening of the implementation of the IPC plans within institutions and extension of IPC activities into the community. Mentoring of IPC trainees by both the NIPCTT and the PIPCTT is seen as an important part of the capacity building process. M&E tools will be developed for the MOHCW and also for the project to ensure that the expected outputs are met and that activities can be modified to ensure maximum impact. In this way with collaboration and support of the health care community a strong IPC program will be developed and will continue beyond the funding period.

Another aspect of the project is to strengthen the Infection Control Association as a professional organization. This will include training in administration, an improved communications system and information base. This will enable ICAZ to provide better support for its members in terms of training, access to up to date information on IPC and improve access to funding for research and training. The long term goal will be for the organization to support f its members in providing quality evidence based infection prevention and control programmes at all levels of health care in Zimbabwe

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With the contributions from a dedicated and professional staff complement, BRTI has achieved  20 years of continuing growth. From its inception in 1995, the BRTI has strived to become a a centre for excellence in health research and training in Africa. We are confident that the philosophy behind the formation of BRTI, that African scientists must take responsibility for improving their own working environment, was correct. We predict that, in spite of a degree of economic uncertainty in Zimbabwe, the gains that have been made during these years can be consolidated and expanded. We look forward to the future with confidence.

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