Preparedness and Readiness Against COVID-19 Pandemic in Prison Institutions and Detention Centers in Southwest Ethiopia

Figures & data

Table 1 Risk Assessment of COVID-19 in Prison and Management of COVID-19 in Prison Institutions and Detention Centers of Bench-Sheko, Sheka, Kaffa, and West Omo Zones 2020 (n=21)

No.	Risk Assessment and Management	Detention Center (n=17)		Prison (n=4)
		Yes	No	Yes	No
1	Is there in-depth archive of all people moving in and out of prison?	0	17	2	2
2	Are risk assessments held on all people entering the prison?	0	17	1	3
3	Are such assessments undertaken in the case of prison officers entering the facility, at each access?	0	17	1	3
4	Is there a committed area for these risk assessments?	0	17	0	4
5	Is information on symptoms over the previous seven days collected as part of this risk assessment?	0	17	1	3
6	Is evidence gathered on recent contact with possible cases (over previous 14 days)?	0	17	0	4
7	Is information on travel limits and appearance of symptoms on condition that to prison officers so that they can inform the designated health-care providers?	2	15	1	3
8	Is advice on contact restrictions and presence of symptoms provided to visitors well in advance of their arrival at the prison?	5	12	NA	NA
9	Are asymptomatic individuals prevented from visiting if they meet any of the criteria for exclusion?	1	16	1	3
10	Are symptomatic visitors excluded from visits	0	17	NA	NA
11	Has some arrangement to allow non-contact visits (e.g. Skype or phone) been set up?	0	17	NA		NA

Abbreviation: NA, not applicable.

Table 2 Referral System and Clinical Management of Prisoners in Prison Institutions and Detention Centers of Bench-Sheko, Sheka, Kaffa, and West Omo Zones 2020 (n=21)

No.	Referral System and Clinical Management	Detention Center n=17		Prison n=4
		Yes	No	Yes	No
1	Do suspected cases have quick access to laboratory tests?	0	17	0	4
2	Do laboratory-confirmed cases have access to quarantine and management?	0	17	2	2
3	Do contacts of laboratory-confirmed cases have access to places for adequate quarantine according to national protocols?	0	17	0	4
4	Do health-care teams dealing with the collection of biological samples have access to the essential preventive protective equipment as described in WHO prison guidance?	0	17	0	4
5	Are prison authorities made alert of the hospitals to which they can transfer those necessitating admission?	0	17	0	4
6	Are there clear standards for shifting severely ill patients to hospital?	17	0	4	0
7	Are there etiquettes in place to manage patients’ onsite (if they do not meet the standards for transfer to hospital)?	17	0	4	0
8	Are there any actions in place to evade gathering of people in prison?	0	17	0	4

Table 3 Risk Communication of COVID-19 in Prison Institutions and Detention Centers of Bench-Sheko, Sheka, Kaffa, and West Omo Zones, 2020 (n=21)

No.	Risk Communication	Detention Center n=17		Prison n=4
		Yes	No	Yes	No
1	Is there a contact approach to deal with public and risk communication about disease outbreaks in prison?	5	12	3	1
2	Is there a mechanism to gather and integrate the risk perception of people in prison, staff and visitors in message development?	0	17	3	1
3	Are key messages communicated in a clear, accurate and relevant manner to people in prison facilities about preventive measures, especially hand hygiene and respiratory good manners?	15	2	4	0
4	Are key messages communicated in a clear, accurate and relevant manner to people in prison facilities about disease signs and symptoms, including warning signs of severe disease requiring instant medical attention?	10	7	3	1
5	Is information on COVID-19 accessible through relevant channels and tools and as conveyed by trusted influencers/mediators?	0	17	0	4
6	Are the items detailed in 2–4 available in formats that take account of possible language and cultural barriers and disabilities?	0	17	0	4

Table 4 Prevention Measures of COVID-19 in Prison Institutions and Detention Centers of Bench-Sheko, Sheka, Kaffa, and West Omo Zones, 2020 (n=21)

No.	Prevention Measures	Detention Center n=17		Prison n=4
		Yes	No	Yes	No
1	Are there standards in place to handle officers who meet the definition of a suspected or confirmed case?	0	17	0	4
2	Are there routines and facilities that allow hands to be washed with soap and water and dried using single-use towels?	17	0	4	0
3	Are wall-mounted liquid-soap providers available in communal areas such as toilets and showers?	0	17	0	4
4	Are paper towels available in these areas?	0	17	0	4
5	Are there routines and facilities in place that allow appropriate physical distancing?	0	17	0	4
6	Are there medical masks available for confirmed cases or suspected cases with symptoms (eg a cough)?	0	17	0	4
7	Are there facilities that let any person in prison suspected of having COVID-19, based on risk assessment, to be placed in isolation, in single accommodation, according to national rules?	0	17	3	1
8	When quarantined, are people in prison medically detected at least twice a day (including testing and recording of symptoms and temperature)?	0	17	0	4
9	Are staffs with COVID-19 symptoms encouraged to stay at home and seek medical attention as necessary?	0	17	0	4