Table 3

Sterile processing practice

Republic of Congo hospitals (n=4)Madagascar hospitals (n=14)Madagascar health centres (n=3)Benin hospitals (n=11)Benin health centres (n=23)
Cleaning
Number (%) of facilities with warm water easily available0 (0)0 (0)0 (0)0 (0)0 (0)
Number (%) of facilities with various sized brushes and sponges available for cleaning0 (0)0 (0)0 (0)0 (0)0 (0)
Number (%) of facilities with appropriate detergent* 0 (0)0 (0)0 (0)0 (0)0 (0)
Number (%) of facilities with clean clothes for drying instruments2 (50)0 (0)0 (0)6 (60)0 (0)
Decontamination
Number (%) of facilities using bleach solution
prior to cleaning†
4 (100)14 (100)3 (100)11 (100)23 (100)
Number (%) of facilities using three-sink method‡0 (0)0 (0)0 (0)0 (0)0 (0)
  • *Appropriate detergent defined as enzymatic or liquid soap with a pH between 7 and 10.18

  • †Use of bleach is no longer recommended. 9 10

  • ‡Three-sink method defined as two separate containers with warm, soapy water for decontaminating and cleaning, and a third with distilled water for rinsing.12