Healer-led vs. clinician-led training to improve personal protective equipment use among traditional healers in South Africa: a randomized controlled trial protocol

Figures & data

Figure 1. Trial Profile

Table

D. Assessment of PPE Skills at the completion of the training sessions
Hand Hygiene Checklist
Score each method of hand hygiene based on the tasks indicated: done – 1; not done or done incorrectly – 0; not applicable or not assessed – N/A.
Method	Task	Status	Notes
Alcohol-Based Hand Rub	ABHR is appropriate choice of hand hygiene for the situation
	Remove inappropriate jewellery
	Use enough alcohol rub to thoroughly wet both hands
	Spread product over all surfaces of hands (palms, between fingers, fingertips, back of hands and wrists)
	Rub hands for at least 15s or until product is dry
Alcohol-Based Hand Rub Subtotal
Soap and Water	Remove inappropriate jewellery
	Wet hands and apply soap
	Lather all surfaces of hands for 15s (palms, between fingers, fingertips, back of hands and wrists)
	Rinse all sides of hands under running water
	Dry hands with paper towels
	Turn off taps with paper towels
Soap and Water Subtotal
TOTAL SCORE
Donning Checklist
Indicate the personal protective equipment (PPE) required for the scenario then number them in the table as the user dons each item. Score the use of each item based on the tasks indicated: done – 1; not done or done incorrectly – 0; not applicable or not assessed – N/A.
PPE Required:
User’s PPE sequence↓	Task	Status	Notes
Hand Hygiene #____	Hand Hygiene was performed
	The choice of Hand Hygiene was appropriate
Mask #____	Chosen mask is appropriate face protection for the situation
	Place mask over the nose and mouth
	Mold metal strip to nose
	Secure elastics or ties
Gloves #____	Remove inappropriate jewellery
	Choose correct type of gloves (if available)
	Choose well-fitting gloves
	Put on gloves (if gown is worn, place gloves over gown cuffs)
Subtotal
PPE Selection Score (Add 5 points for each required item that was selected and subtract 5 points for each necessary item that was not selected.)
PPE Donning Sequence Score (No points if any sequence errors. Award 5 points for each required item/step in a perfect sequence – as listed in table.)
TOTAL SCORE
Doffing Checklist
Score the use of each item based on the tasks indicated: done – 1; not done or done incorrectly – 0; not applicable or not assessed – N/A.
Number of items to be doffed: _________
Number of hand hygiene steps required: ___________
User’s PPE sequence↓	Task	Status	Notes
Gloves #____	Remove the first glove using glove-to-glove technique
	Remove the second glove using skin-to-skin technique, turning gloves inside out
	Drop into garbage without touching bin
	Discard the gown in appropriate receptacle
Hand Hygiene #____	Hand Hygiene was performed
	The choice of Hand Hygiene was appropriate
Mask #____	Undo the ties or elastics without touching the front of the mask
	Holding the ties or elastics, lift mask away from the face
	Discard mask in the garbage
Hand Hygiene #____	Hand Hygiene was performed
	The choice of Hand Hygiene was appropriate
Subtotal
Doffing Sequence Score (No points if any sequence errors. Award 5 points for each required item/step in a perfect sequence – as listed in table.)
TOTAL SCORE