Addis Ababa university has a university hospital, namely Tikur Anbessa, where emergency department was established 2 years ago for service delivery and academic programmes.The university specifically the medical school has partnership with American international health alliance/HIV-AIDS Twining center on capacity building of staff to support HIV-AIDS patients through USAID and CDC support. Through the twining center the emergency department is twinned with university of Wisconsin emergency department.
Tikur Anbessa hospital has IP policy and there is infection prevention committee which plays advisory role in where department of sanitation and health promotion follows day to day activities. In the quarterly surveillance an emergency department(ED) scored 33% which was alarmingly low level figure.
Therefore in a quality improvement project supported by university of Wisconsin and the twining center this area was selected as key and important area to reduce transmission of both HIV AIDS and other communicable problems
To improve infection prevention standard compliance from the existing 33% to 70% within 6 months period.
1. Pre Quality improvement project implementation period
The first infection prevention surveillance was done at October 2009, in which the score obtained was 33%. There were two other surveillances done in February 2010 which was 57% and in August 2010, just before implementation and the score was 37 %( figure 1)
2. After implementation was started surveillance was done at september2010, December 2010, and March 2011 and the results were 57%, 69% and 89% respectively.