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COVID-19 Handbook. 1st edition
General
Section I. Background
Section II. Surveillance
Section III. COVID-19. Emergency operation centre contact tracing protocol
Section IV. Protocol for infection prevention and control during healthcare when COVID-19 infection is suspected
Section V. Protocol on fumigation and appropriate chemicals
Section VI. Laboratory testing for COVID-19
Section VII. COVID-19 Triage protocol
Section VIII. Case management (Triage and management of suspect and confirmed cases)
Section IX. Death care and burial
Section X. Ethical issues and COVID-19 management
Section XI. Risk assessment and management of exposure of health care workers in the context of COVID-19
Section XII. Rights, roles responsibilities, occupational safety and health of the health care workforce in the management of COVID-19 patients in Ethiopia
Section XIII. Health care facility COVID-19 preparedness protocol
Section XIV. Risk communication and community engagement (RCCE) COVID-19 disease preparedness
Section XV. COVID-19 operational guidance for maintaining esential health services during an outbreak
Annexes
References
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COVID-19 Management Handbook Ethiopia
COVID-19 Handbook. 1st edition
Topic outline
General
Foreword
Page
Acknowledgments
Page
About / App
Page
Announcements
Forum
Section I. Background
Foreword
Page
Background
Page
Acknowledgments
Page
About / App
Page
Section II. Surveillance
Case Definitions for COVID-19
Page
Rumor Investigation and Verification
Page
Rumor Investigation and Verification Procedures
Page
Traveler Follow Up and Contact Tracing Procedure
Page
Section III. COVID-19. Emergency operation centre contact tracing protocol
Background
Page
Objectives
Page
Contact Tracing Approach
Page
Contact Identification and Definition
Page
Contact Assessment
Page
Contact Management of a Confirmed Case
Page
Contact Management of a Suspected Case
Page
Section IV. Protocol for infection prevention and control during healthcare when COVID-19 infection is suspected
Introduction
Page
Rumor Verification and Rapid Response Team (RRT)
Page
Early Recognition and Source Control
Page
Isolation and Treatment Units
Page
General Precautions
Page
List of IPC Materials Required
Page
Hand Hygiene Procedures
Page
Hand Washing Procedure with Water and Soap
Page
Alcohol-based Hand Rub Procedure
Page
Putting on and Taking off Personal Protective Equipment (PPE)
Page
Putting on Personal Protective Equipment (PPE)
Page
Taking off Personal Protective Equipment (PPE)
Page
Sample Transportation
Page
Environmental Cleaning
Page
Waste Management
Page
Section V. Protocol on fumigation and appropriate chemicals
Introduction
Page
Using Products Effectively
Page
Choice of Disinfectants, Fumigants or Procedures
Page
Fumigation of Rooms
Page
Disinfection in Rooms, Animal Houses, Vehicles, etc
Page
Chemical Decontamination of Materials Contaminated
Page
Personal Exposure
Page
Types of Incineration
Page
Autoclave Function
Page
Steps to Reduce your Risk when Using Disinfectants
Page
Section VI. Laboratory testing for COVID-19
Introduction
Page
Laboratory testing for COVID-19 in Suspected Cases
Page
Collection Instructions for Respiratory Specimens
Page
Laboratory Testing for COVID-19 virus
Page
Guidelines for use of Imaging Services
Page
Section VII. COVID-19 Triage protocol
Introduction
Page
Triage for COVID-19 Patients
Page
Flow Protocol for COVID-19 suspected or probable cases
Page
WHO – ICRC Integrated Triage Tool ≥ 12 years diagram
Page
WHO - ICRC Integrated Triage Tool under 12 years diagram
Page
Section VIII. Case management (Triage and management of suspect and confirmed cases)
Introduction
Page
General Principles of Clinical Management for COVID-19
Page
Specific Treatments
Page
Management of Mild illness
Page
Management of COVID-19 patients with Mild or Moderate Pneumonia
Page
Management of COVID-19 Patients with Severe Pneumonia or who develop SARI
Page
Management of COVID-19 Patients with Hypoxemic Respiratory Failure and ARDS
Page
Management of Acute Hypoxemic Respiratory Failure secondary to ARDS
Page
Management of Septic Shock
Page
Invasive Respiratory Support for COVID-19 Patients
Page
Mechanical Ventilator management of COVID-19 patients
Page
Discharge Criteria for COVID-19 Patients admitted to a Treatment Center
Page
Obstetric Patients with COVID-19
Page
COVID-19 Suspected Cases Management Protocol
Page
Oxygen Therapy for COVID-19
Page
Section IX. Death care and burial
Dead Body Handling in case of Death due to COVID-19
Page
While Deceased is in Bed
Page
In the Morgue
Page
Staff Handling of Dead Bodies of unknown category at the time of COVID-19 Outbreak
Page
Burial
Page
Transport of the Dead Body in case of death due to COVID-19 to Ethiopia from other foreign countries and viceversa
Page
Section X. Ethical issues and COVID-19 management
Introduction
Page
Obligations of Governments and the International Community
Page
Obligations of the Local Community
Page
Allocating Scarce Resources
Page
Restrictions on Freedom of Movement
Page
Obligations related to medical interventions for the diagnosis, treatment, and prevention of COVID-19
Page
Emergency use of Unproven Interventions Outside of Research
Page
Frontline Response Workers’ Rights and Obligations
Page
Ethical issues related to access of essential and emergency care, disclosure and facility responsiveness
Page
Section XI. Risk assessment and management of exposure of health care workers in the context of COVID-19
Introduction
Page
Objectives
Page
Risk Assessment Tool
Page
Recommendations for HCWs at High Risk for Infection
Page
Recommendations for HCW at Low Risk for COVID-19
Page
Recommendations for HCW who are COVID-19 Positive with Symptoms
Page
Reporting of Exposure and Management
Page
Section XII. Rights, roles responsibilities, occupational safety and health of the health care workforce in the management of COVID-19 patients in Ethiopia
Introduction
Page
Rights Employers and Managers in Health Facilities should
Page
Health Care Workers Responsibilities
Page
Recommendation for Stakeholders
Page
Section XIII. Health care facility COVID-19 preparedness protocol
Introduction
Page
Administrative Activities
Page
Infection Prevention and Control Activities
Page
Emergency Room Preparedness
Page
Outpatient Services
Page
Surgical and Anesthesia care Guidelines
Page
Transport of Suspected or Confirmed COVID-19 cases
Page
Preparation before bringing a Patient to the OR
Page
During Airway Manipulation
Page
Checklist to be used before giving Anesthesia for a Suspected or Confirmed COVID-19 patient
Page
Checklist to be used in the Operation Room for a suspected or confirmed COVID-19 patient
Page
Elective Surgical Procedures
Page
Surgical Outpatient clinics
Page
Outpatient Attendance
Page
Inpatient Facilities
Page
Human Resources Composition of the COVID-19 Treatment Centers
Page
COVID-19 Inpatient Care
Page
Section XIV. Risk communication and community engagement (RCCE) COVID-19 disease preparedness
Introduction
Page
General Objectives
Page
Situation analysis Ethiopia Preparedness for COVID-19
Page
Risk communication and community engagement system and structure (RCCE)
Page
Ethiopia RCCE preparedness strategy for COVID-19
Page
Leadership: public communication and media handling
Page
Case Management: Communicating risks for affected case, families and communities
Page
IPC: Communication within health facilities, Intensive care unit, quarantine / isolation center, and community engagement
Page
Point of Entry: Communicating risks to target population (passengers, travelers, transport providers, etc.)
Page
Surveillance: Communicating risk with affecting communities and interpersonal communication for contact tracing
Page
Risk Communication and Partner Coordination
Page
Communicating early about COVID-19
Page
Communicating about COVID-19 in the midst of Uncertainty
Page
Communicating to lower the public’s concern and fear about COVID-19
Page
SOP for managing Misinformation and Rumours
Page
Section XV. COVID-19 operational guidance for maintaining esential health services during an outbreak
Introduction
Page
Action point 1: Establish simplified purpose - designed governance and coordination mechanisms to complement response protocols
Page
Action point 2: Identify context - relevant essential services
Page
Action point 3: Optimize service delivery settings and platforms
Page
Action point 4: Establish effective patient flow (screening, triage, and targeted referral) at all levels
Page
Action point 5: Rapidly re-distribute health workforce capacity, including by re-assignment and task sharing
Page
Action point 6: Identify mechanisms to maintain availability of essential medications, equipment, and supplies
Page
Annexes
Diagram of Contact Tracing
Page
Contact Tracing Data Collection Tool
Page
Expected actions and steps to be taken by RCCE
Page
Responsibilities of each Functional Position in RCCE
Page
RCCE Action plan
Page
SOP for Communication COVID-19
Page
Early Communication of COVID-19
Page
Communicating about COVID-19 in the midst of Uncertainty
Page
Communicating to Lower the Public Concern and Fear about COVID-19
Page
Rumour Monitoring Tool
Page
Guideline for submitting specimen for laboratory testing for COVID-19
Page
Contact Listing Form
Page
WHO Information Sources & Guidance
Page
Quarantine Care Protocol
Page
Utilization of medical and surgical Masks and the N95 Respirator
Page
Existing Non COVID-19 Health Facility level COVID-19 Suspect Management
Page
References
References
Page