IPC Assessment Framework — Evaluation Tool for Georgian Healthcare Facilities

IPC Assessment Framework for Georgian healthcare facilities: a structured tool for evaluating the eight WHO IPC core components. Self-assessment, gap analysis and improvement planning methodology published by PHIG.

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Document type
IPC Programme Assessment Tool
Scope
All Georgian healthcare facilities conducting IPC programme evaluation
Evidence basis
WHO IPC core components guideline (2016); WHO IPC Assessment Framework (IPCAF)
Published by
Public Health Institute of Georgia (PHIG)
Last updated
2025

The IPC Assessment Framework is a structured evaluation tool that allows Georgian healthcare facilities to assess their IPC programme against WHO’s eight core components[1][2] — identifying gaps, tracking progress and prioritising improvement actions. It is the recommended tool for facility-level IPC programme review and is used in Georgian accreditation assessments.

The WHO eight IPC core components

#Core componentWhat it coversKey assessment indicators
1IPC programmeDedicated IPC team, resources and accountabilityIPC focal person designated; IPC committee meeting ≥4x/year; IPC budget allocated
2IPC guidelinesEvidence-based facility IPC policies and proceduresNational guidelines adopted and adapted; SOPs available at point of care; reviewed within 3 years
3IPC education and trainingAll staff trained; competency assessed100% of new staff trained at induction; annual refresher; records maintained
4HAI surveillanceActive monitoring of HAI rates with feedbackAt least one HAI type under continuous surveillance; quarterly data feedback to clinical teams
5Multimodal improvement strategiesBundled interventions combining ≥3 elementsBundle approach adopted for at least 2 HAI prevention targets; compliance monitoring in place
6Monitoring, audit and feedbackRegular IPC practice audits with data-driven feedbackHand hygiene compliance audited ≥200 observations/ward/quarter; results shared within 2 weeks
7Workload, staffing and bed occupancyAdequate staffing to support safe IPC practiceNurse-to-patient ratios meet national minimums; bed occupancy does not routinely exceed 85%
8Built environment and equipmentPhysical infrastructure supports IPCHand hygiene stations at point of care; isolation rooms with negative pressure; adequate ventilation

How to use this framework

Each core component is assessed using a four-level scoring scale: Inadequate (0) — Basic (1) — Intermediate (2) — Advanced (3). A total score below 12 (out of 24) indicates a facility at basic or inadequate IPC level requiring immediate improvement. Scores of 12–18 indicate intermediate level; above 18 indicates advanced. PHIG recommends facilities conduct a self-assessment annually[2] and an externally facilitated assessment every three years. The framework is a required component of PHIG accreditation pre-assessment visits.

Key requirementFacilities should complete the IPC Assessment Framework before applying for PHIG accreditation or ASF accreditation assessment. The completed framework and evidence portfolio (policies, training records, surveillance data, audit results) should be submitted with the accreditation application. Gap analysis from the framework directly informs the facility improvement plan required for accreditation.

Georgian original source / ქართული წყარო

IPC Assessment Framework — WHO IPCAF

References

  1. [1] WHO. Guidelines on Core Components of Infection Prevention and Control Programmes at the National and Acute Health Care Facility Level. World Health Organization. 2016;—:—. Available at: https://www.who.int/publications/i/item/9789241549929
  2. [2] WHO. Infection Prevention and Control Assessment Framework at the Facility Level (IPCAF). World Health Organization. 2018;—:—. Available at: https://www.who.int/publications/i/item/WHO-HIS-SDS-2018.9
  3. [3] Tomczyk S, Twyman A, de Kraker MEA, et al. The first WHO global survey on infection prevention and control in health-care facilities. Lancet Infect Dis. 2022;22(6):845–856. doi:10.1016/S1473-3099(21)00809-4
  4. [4] Ministry of IDPs, Labour, Health and Social Affairs of Georgia. Order N01-268/o on the National IPC Programme. MoLHSA Georgia / Matsne. 2016;—:—. Available at: https://matsne.gov.ge/ka/document/view/3293056
PHIG Published by the Public Health Institute of Georgia (PHIG) · IPC Resources Library · Contact PHIG

In plain language

The IPC assessment framework helps a facility score its infection prevention programme against WHO core components — programme, guidelines, training, surveillance, multimodal strategies, monitoring, workload and environment — and plan improvements.

Key actions checklist

  • Complete the assessment with the IPC team and management
  • Score each core component honestly
  • Identify the weakest components
  • Agree an improvement plan with deadlines
  • Repeat the assessment at least yearly

International guidance

Questions and answers

Is the result an accreditation?

No. It is a self-assessment tool; accreditation is an external evaluation. See Accreditation in Georgia.

Who should lead it?

The IPC focal person and committee required by Order N268.