Supply Department Research Articles

Integrated geophysical and remote sensing/GIS interpretation for delineating the structural elements and groundwater aquifers of the Foumban locality, Western Highlands of Cameroon (WHC)

This study was conducted in the Foumban locality, in the Western Highlands of Cameroon (WHC) where a majority of the population is suffering from scarcity of water for domestic purposes and many other related uses. Thus, it aims at investigating the structural and geo-electrical characteristics of the aquifer system of the locality, based on an integrated approach (Geophysics and GIS). For this purpose, the Landsat 8 image with 30 × 30 m resolution and 20 vertical electrical sounding (VES) data were analysed with ArcGIS, ENVI version 5.3, Stereonet v9.3.2 and QWSELN software, coupled with the principal component analysis (PCA). Based on the structural aspect, a total of 224 fractures with lengths higher than 1 km have been identified and drawn. They are mainly grouped in the Centre, North-East and South-East of the study area. Five main families within linear directions have been identified: N10-20 (13.84%), N20-30 (17.86%), N50-60 (9.82%), N80-90 (5.90%) and N140-150 (7.59%). They are mostly oriented NE-SW, following the Cameroon Volcanic Line (CVL). These fractures which play an important role in the capacitive and drainage function of the fractured aquifer result from the tectonic movements and decompression of rock masses. According to the geoelectrical characteristics, different VES curve types have been identified, corresponding to various alternate layers of conductive, semi resistive and resistive formations; with thickness ranging between 0.41 to 47 m and resistivity values between 82 to 3410 Ωm. The three cross-section realised (A-A’, B-B’ and C-C’) show that those alternate materials (topsoil, laterite, weathered layer, fractured basement and fresh basement rock) are discontinuous both vertically and horizontally, highlighting the geometry and hydrogeological complexity of these areas. This study is a contribution to a better understanding of the basement aquifers milieu; it could be used by the water supply departments and decision makers for locating appropriate positions of new productive wells in the study area.

Analysis of Infection Prevention Control Management of Central Sterile Supply Department (CSSD) Staff

Background: The Central Sterilization Supply Department’s (CSSD) main function is to clean, disinfect and provide sterile items for subsequent use by healthcare professionals in various hospital departments, including the ambulance. Materials and Methods: A survey of infection prevention control (IPC) knowledge, practice, and infrastructure adherence was conducted in a selected government super-speciality hospital's central sterilisation supply department (CSSD). The data were analysed, and a report with recommendations was presented to the institution's head. Results: The overall response showed good knowledge and practices with hospital environmental adherence to infection prevention control protocol with few infrastructure modifications facilitating the unidirectional flow pattern. Conclusion: This study was able to bring insights into the staff knowledge and practice towards IPC adherence

A novel hybrid fuzzy analytical hierarchy process–game theory model for prioritizing factors affecting the deterioration of water pipelines

Water pipes face significant aging and degradation problems due to several pipe-related, soil-related, operational, and environmental factors. Hence, the paramount objective of this research paper is to prioritize the criticality of the factors affecting the deterioration of water pipes in Hong Kong. The framework of the developed model is envisioned based on two main modules, namely weight computation and weight aggregation. The first module incorporates identifying and categorizing water deterioration factors. Then, the relative importance priorities of water deterioration factors are scrutinized using seven weight computation methods. These methods encompass analytical hierarchy process (AHP), Monte Carlo AHP, fuzzy AHP, magnitude-based fuzzy AHP, total difference-based fuzzy AHP, spherical fuzzy AHP and Pythagorean fuzzy AHP. In this regard, fuzzy-based and Monte Carlo-based methods are leveraged to circumvent the critical shortcomings of classical AHP. The performances of weight computation methods are analyzed using statistical evaluation indicators of satisfactory index (SAT) and distance between weights (WD). The second module is a hybrid meta-heuristic-based game theory model designated for compiling the importance weights of deterioration factors obtained from the first module. In this context, a set of widely acclaimed meta-heuristics are exploited and examined for optimizing the significance of deterioration factors. Analytical results exemplified that soil-related factors implicate the deterioration process more than pipe-related, operational-related, and environmental-related factors. It was also inferred that water pressure (6.64%) is the most significant factor influencing water pipe deterioration followed by internal corrosion and protection method (6.11%), and then soil corrosivity (6.05%). On the other hand, length (1.93%), rain deficit (1.97%), and street block length (2.33%) constitute the least influencers on water pipe deterioration. Results also demonstrated that spherical FAHP outperformed other variants of AHP accomplishing SAT and WD of 0.065 and 0.057, respectively. Comparative analysis revealed that particle swarm optimization-based game theory is a better mechanism than the remainder of meta-heuristic-based game theory models in obtaining a more accurate compromised-based weighting vector to the experts’ judgments. It is envisaged that this research can assist the water supplies department in identifying, assessing, and prioritizing the impairment causes of water pipelines in Hong Kong. It can also aid in establishing more accurate deterioration models and more cost-effective maintenance intervention programs.

A two-stage hybrid flow-shop formulation for sterilization processes in hospitals

Sterile processing is a critical secondary process and a major cost factor in the processing, acquisition, and storage of costly medical devices. This article aims to improve the performance of sterile processing by developing, implementing, and evaluating a dispatching rule-based algorithm to reduce the time medical devices spend in the central sterile supply department using a two-stage hybrid flow-shop formulation. The algorithm combines dispatching rules with stage decomposition and compatibility conditions. A genetic algorithm is designed to benchmark the performance in addition to an analytic bound. Real-world data from a large German hospital were used to test the effectiveness of the heuristics. The case study demonstrated the practical implications of the approach, leading to a reduction in the time medical devices spend in the system and improved utilization of washer-disinfector machines and sterilizers. It also highlighted the importance of aligning machine capacity with demand and the potential trade-offs associated with batch processing decisions. Our approach can contribute to substantial operational cost savings and efficiency gains, offering significant benefits to decision makers at both the operational and tactical levels.

Evaluating Boil Water Advisory Policies and Practices: Health Outcomes in Hong Kong

Boiling water (BW) is a common global practice, especially in Asia, for ensuring safe drinking water, though it does not remove chemical contaminants. The World Health Organisation recommends BW as an emergency measure against microbial contamination. In Hong Kong, the Water Supplies Department ensures water quality through strict regulations and extensive monitoring. Comparisons with Norway and Canada reveal effective practices such as water safety planning and risk-based advisories. Norway mandates water safety planning and uses messaging notifications for water advisories, ensuring high compliance, while Canada issues site-specific BW advisories based on risk assessments. Hong Kong faces unique challenges, such as a warm climate and complex building infrastructure, which impact water quality. Many buildings lack proper maintenance, leading to potential health risks and necessitating regular maintenance. Health management, public health education and expert guidance are essential for promoting efficient practices and ensuring safe drinking water.

THE RELEVANCE OF NURSE TRAINING FOR PERFORMANCE IN THE CENTRAL SUPPLY AND STERILIZATION DEPARTMENT: A narrative review

The present study aimed to highlight the importance of nurse training to ensure the good performance of the team in the Central Supply and Sterilization Department (CSSD). A narrative theoretical review was conducted, with searches in the BVS (Virtual Health Library) and Scielo (Scientific Electronic Library Online) databases. In addition to articles published in the last ten years, current documents and publications from national health organizations that guide the procedures for sterilizing medical-hospital materials were also considered. The flow of health product processing was described; subsequently, the responsibilities and expected skills of the nurse in the department were specified; finally, important aspects of the professional nurse's training for the role in the CSSD were discussed. The consulted works confirmed the relevance of training and continuous education for nurses as a means of ensuring the effectiveness of health product processing and, consequently, patient safety.

Establishing Nursing-Sensitive Quality Indicators for the Central Sterile Supply Department: A Modified Delphi Study.

Previous studies have shown that improving quality management in the central sterile supply department (CSSD) is an effective measure to control and decrease hospital-acquired infections. This study aimed to establish nursing-sensitive quality indicators for CSSD nursing in China. We drafted nursing-sensitive quality indicators on the basis of the Structure-Process-Outcome model, and then conducted 2 rounds of consultation with experts using a modified Delphi method to determine the indicators and scientific methods of measurement. We identified five CSSD nursing-sensitive quality indicators. Recovery rates of the 2 rounds of valid questionnaires were 100%. Expert authority coefficients were 0.810 and 0.902, respectively. Kendall's coefficients of concordance were 0.168 and 0.210, respectively ( P < .05). Evidence-based nursing-sensitive quality indicators for the CSSD were established.

Optimising Surgical Instrument Trays for Sustainability and Patient Safety by Combining Actual Instrument Usage and Expert Recommendations

Annually, over 300 million surgeries occur globally, requiring numerous surgical instruments. However, many instruments on the tray are returned to the central sterile supply department (CSSD) unused, creating an unsustainable pattern of unnecessary consumption. To address this, we developed a method for optimising surgical instrument trays (SITs) that is straightforward to implement in other hospitals. This optimisation aims to enhance patient safety and sustainability and to improve working conditions and reduce costs. We identified actual instrument usage (IU) in the operating room (OR) and obtained expert recommendations (ERs). Data from both methods were combined in a computer model (CM) to adjust the SITs. The performance of the adjusted SITs was assessed over a year. IU of three different SITs was collected during 16 procedures (mean = 28.4%, SD = 6.4%). Combining IU and ERs resulted in a 36.7% reduction in instruments and a 31.3% weight reduction. These measures contribute to reducing the carbon footprint and enhancing sustainability. During the evaluation of the new SIT contents (n = 7 procedures), mean IU increased from 28.4% (SD = 6.4%) to 46.5% (SD = 11.0%), with no missing instruments during surgery. A one-year follow-up showed no need for further alterations. Combining both methods yields better results than using them individually, efficiently reducing unnecessary items in SITs without compromising patient safety.

Characterization of leakage signatures in buried water pipes by ground penetrating radar(GPR) and instantaneous frequency analysis

The aging and complexity of underground water pipes pose significant challenges to modern society, necessitating long-term monitoring and maintenance to prevent the socioeconomic costs. So, effective nondestructive and geophysical methods are needed to localize the possible leakage areas before any rational opening up is conducted. In this study, we propose a workflow to generate instantaneous frequency slices (IFS) from raw ground penetrating radar (GPR) data. Characterizing the horizontal and vertical patterns of water leakage using IFS revealed two key mechanisms—reflections due to the dry and wet interface and absorption due to water distributed in soil—that significantly influence instantaneous frequency. A well-designed real site (Q-Leak), in collaboration with the Water Supplies Department (WSD) of the government, was conducted to replicate typical leakage scenarios, validating the effectiveness of our IFS-based approach. The results of proposed method demonstrate that IFS is a reliable approach for characterizing leakages in buried water pipes, effectively addressing several challenges associated with amplitude slice analysis. Our proposed methodology enriches the toolkit available for large-scale, future-oriented water leakage detection.

PREEMPTIVE AND NON-PREEMPTIVE GOAL PROGRAMMING APPROACH TO INVENTORY OPTIMIZATION OF THE CENTRAL STERILE SUPPLY DEPARTMENT, UNIVERSITY COLLEGE HOSPITAL, IBADAN, NIGERIA

This research applied a multi-criteria optimization technique to analyse the inventory system of a Central Sterile Supply Department (CSSD) through preemptive and non-preemptive goal programming. Data on six raw materials and four finished products were collected, in addition to their costs, demand rates, shelf lives, and available capital. The developed objective function of the non-preemptive model combined four goals: inventory cost optimization (highest priority), inventory turnover, service level, and delivery lead time. The implemented model guaranteed zero stock-outs, reduced wait times between productions, timely product sales, and the elimination of unnecessary overall costs.

Emergency preparedness in the central sterile supply department: a multicenter cross-sectional survey

ObjectiveTo investigate the current situation of emergency preparation and emergency drill in the CSSD, and analyze its influence on the nurses’ emergency attitude and ability.MethodsThis study employed a multicenter stratified sampling method, conducted from January to June 2023 using the online survey, participants completed the general data, emergency preparedness and drill questionnaire, public health emergency response questionnaire and emergency capacity scale. An independent samples t test or Kruskal-Wallis test was used to analyse differences in nurses’ emergency capacity and attitudes.ResultsThe data from 15 provinces 55 hospitals in China. Overall, 77.58% of participants’ institutions set up emergency management teams, 85.45% have an emergency plan and revise it regularly. 92.12% store emergency supplies. All survey staff participated in the emergency drill, which predominantly consisted of individual drills (51.52%), with 90.30% being real combat drills, 49.09% of participants engaging in drills every quarter, and 91.52% of the drill’s participants exceeding 50%. The respondents’ emergency attitude score was (29.346 ± 6.029), their emergency ability score was (63.594 ± 10.413), and those with rescue experience showed a more positive attitude (Z = -2.316, P = 0.021). Different titles, education levels, rescue experience and the frequency of emergency drill affected the emergency rescue ability of the respondents (P < 0.05).ConclusionsMost medical institutions establish emergency management systems and plans, yet the content lacks geographical specificity.The duration and participation of emergency drills are high, but the effectiveness of the drills needs to be further improved, and the response capacity and attitudes of CSSD nurses are low. It is recommended that agencies develop comprehensive and targeted contingency plans to strengthen the inspection and evaluation of team strength, equipment and safeguards against the contingency plans, so as to ensure that the measures mandated by the contingency plans can be implemented promptly after the emergency response is initiated.

Status of Professional Identity, Self-Directed Learning Competence, and Self-Efficacy Among Central Sterile Supply Department Nurses.

BACKGROUND Previous studies on professional identity, self-directed learning competence, and self-efficacy among central sterile supply department (CSSD) nurses are rare. We investigated the status of these 3 characteristics among CSSD nurses and offered suggestions, to provide a reference for CSSD talent development. MATERIAL AND METHODS CSSD nurses working in 45 hospitals in southwest China were invited to participate in a questionnaire survey in August 2021. The survey comprised a general information questionnaire, a self-directed learning competence rating scale, a professional identity scale, and a general self-efficacy scale. RESULTS The CSSD nurses' scores for professional identity, self-directed learning competence, and self-efficacy were 109.92±17.161, 125.77±21.316, and 26.92±6.633, respectively. For professional identity, statistically significant differences were identified (P≤0.05) for 3 factors: monthly income, reason for studying nursing, and reason for working in the CSSD. For self-directed learning competence, statistically significant differences (P≤0.05) were identified for 5 factors: age, hospital grade, type of employee, monthly income, and reason for working in the CSSD. For self-efficacy, statistically significant differences were identified (P≤0.05) for 3 factors: age, reason for studying nursing and working in the CSSD, and whether the CSSD nurses wished their children to become nurses. CONCLUSIONS The professional identity, self-directed learning competence, and self-efficacy of the CSSD nurses in this study were at the medium level. More attention should be paid to career planning of young nurses and improvement of their professional identity and self-directed learning competence.

Steam quality monitoring as a strategy to reduce wet packs and sterilization failure

Hospital articles processed by steam are widely used in the Central Sterile Supply Department (CSSD), responsible for due sterilization. Steam sterilization is discussed worldwide, aiming to protect patients. If steam is outside the specified requirements, the sterilization process may fail, resulting in the wet packs at the end of the sterilization cycle. The present study evaluated the steam quality at Santa Catarina Hospital (São Paulo, SP, Brazil) from 2016 to 2022. Saturated steam containing noncondensable gases, excess condensate, or even superheat was characterized using the methodology indicated in the European Standard EN 285:2015. From 2016 to 2020, qualification tests showed that the saturated steam quality does not achieve standardlimit parameters. Infrastructural maintenance actions were taken to adjust the saturated steam quality. In 2021, the steam quality followed technical standards, and its adequacy was confirmed in 2022. The points developed by the hospital's maintenance department, the adoption of appropriate devices for this purpose, and the correct preventive maintenance in the autoclaves, together with the correct qualification of the equipment and proof of the steam quality, contributed to improve the safety of the hospital sterilization process and reduce the incidence of wet packages.

Модернизация резервуарного парка региональной дирекции материально-технического снабжения железнодорожного транспорта

Objective: current system of organizing material and technical supply (MTS) in the Russian Railways Holding evaluation, determining the place and role of the regional supply department (RSD) in it, and identifying the most significant aspects of its activities. Methods: methods of comparative analysis of industry methodological documents and regulations for the functioning of both the entire MTS system and its individual departments, methods for calculating coefficients assessing the condition and use of the RSD fuel tank farm, statistical analysis and data processing, were used to achieve the goal of the study. Materials from scientific works on the chosen topic and periodicals were used to carry out the research. Results: highlighted the distinctive features of the MTS system in railway transport, that are expressed in a management and financing system high degree of centralization, in a number of financial and organizational restrictions of the regional material and technical supply department activities, reducing its functions in the procurement and delivery processes to operational control. The state and efficiency of using the fuel resource storage system in the department are evaluated, some proposals are made for its modernization. Practical significance: based on the calculations and comparative analysis of the results obtained, the advantages of modernizing the existing storage system for fuel and energy resources using modular storage technologies in directions with insignificant and changing cargo flows are substantiated. Those proposals can be used to improve the efficiency of the system for providing fuel resources to railway transport organizations.

Undertaking risk assessments for Hong Kong reservoirs

The 2013 RARS (risk assessments for reservoir safety management) guidance was developed for the Environment Agency to provide a robust three-tiered framework for the risk analysis, assessment and management of reservoirs in the United Kingdom. The methods presented can be used to assess a reservoir's risk in its entirety, either at a qualitative level (tier 1) or more in-depth quantitative levels (tiers 2 and 3). Binnies undertook RARS assessments of reservoirs for Hong Kong's Water Supply Department. This paper identifies the limitations and challenges encountered when applying the guidance in Hong Kong, beyond its original intended purpose. It outlines the adjustments made to assess the Hong Kong service reservoirs at tier 1, and large embankment and gravity dams at tier 2. Some of the differences include (i) how the nature of loading and external threats differs due to geographical and locational differences; (ii) how consequences of reservoir failure differ due to topology, population densities and cultural differences in the reservoirs’ uses and (iii) how the reservoirs are atypical from ‘Pennine’ type UK embankment dams, from which most UK empirical methods are derived.

Intelligent Energy System and Power Metering Optimization Based on the Energy Plan Model

With the national carbon neutrality and carbon peaking policies proposed one after another, this paper proposes intelligent Energy system design and power metering based on the Energy Plan model. In this paper, the Energy PLAN model is proposed as the basic model for energy development planning during the 14th Five-Year Plan period, and the simulation calculation is carried out for the energy system in 2020. The research shows that there is a large gap between the peak and valley of power load, the peak time of power supply and demand does not match, and the response-ability of the energy supply department is poor. Thus, the problems to be solved in the development of energy are determined. In addition, the accuracy of the model is further verified by comparing the actual data with the simulation results of Energy PLAN, and the direction of energy structure reform is determined. By coupling the NSGA-II (Non-dominated Sorting Genetic Algorithms-II) algorithm with the development model, a dual-objective multi-time scale scheduling model is established, which aims at the minimum operating cost and the best energy and environmental benefit coefficient. Secondly, the proposed model is solved using the NSGA-II algorithm. In order to ensure the diversity of solutions and promote the Pareto front approach to the ideal Pareto front, the fuzzy dominance method is used to perform a fast non-dominated sorting of the population, and the maximum satisfaction method is used to select the Pareto optimal compromise solution. Example analysis shows that when the power demand level is L*-L*-L*, the power input under “H-M”, “M-L” and “H-L” scenarios is 106.02 × 103, 102.73 × 103 and 94.2 × 103 GWh, respectively. However, when the power demand level is H*-L*-L*, the power input is always 142.64 × 103 GWh. With the decrease in the transmission rate, the measurement data obtained by the user’s electric acquisition platform becomes less and less, and the performance of state estimation becomes worse. When λ=50%, the proposed model still maintains a high estimation accuracy.

Prospects and challenges in logistics management of international companies

Inventory management models are aimed at establishing optimal batch sizes of resources that will be subsequently used in the production process. The author believes that the use of this model makes it possible to set order sizes not «manually» by employees of the supply department, but rely on an optimization economic and mathematical model. Considering that these calculations are given only for one item of purchased inventory items, we can conclude that expanding the use of this approach to other types of purchased parts and raw materials will contribute to greater savings in financial resources. The option proposed in the article helps to save the Company's expenses on the type of inventory under consideration by $244,4 per year compared to the original option (or by 1,3 %). Minimizing overall transportation costs will depend on optimal vehicle loading. Optimal loading of vehicles will minimize the number of vehicles involved in transportation, and therefore reduce the overall costs of delivering products to customers. The results of the work can be used to improve the Company's inventory management, as well as to solve problems of transport support for entering a new market (transport routing). The combination of ABC and XYZ analyzes will make it possible to have a visual representation of all inventories in the Company’s warehouse through the formation of standard groups of inventories, in relation to each of which the inventory management policy will be different. Considering the steady growth rate of the company's sales, the author recommends expanding the sales network by entering new markets, which could be, for example, regions of the Russian Federation.

The environmental impact of hip and knee arthroplasty: An analysis of carbon emissions and disposal costs

Background and purposeThe rise in hip and knee arthroplasty for osteoarthritis requires addressing healthcare system pollution to support Ireland's climate change goals. This research aimed to quantify waste generated and determine environmental and economic impacts to promote sustainable strategies in joint arthroplasty and shed light on the suboptimal waste management practices. MethodsThe study was conducted at National Orthopaedic Hospital Cappagh (NOHC), measuring waste generated during hip and knee arthroplasty. Clinical, domestic, and recycled waste weights were recorded, including the segregation of Central Sterile Supply Department (CSSD) Blue Wrap waste in ten operations. Kilograms of carbon dioxide emissions (kgCO2e) and disposal costs were calculated. ResultsIn a sample of 100 joint arthroplasty operations, the study found that revision knees produced 23.58 ​kgCO2e per case, revision hips 23.50 ​kgCO2e, primary knees 15.82 ​kgCO2e, and primary hips 14.64 ​kgCO2e. CSSD Blue Wrap contributed on average 13.5% of OT waste. Extrapolating these findings to the estimated number of joint arthroplasties performed in 2022 ​at NOHC (1556 hip and knee joint arthroplasties), the emissions were estimated to be 24,576 kgCO2e, with the cost of disposal up to €29,228. Strategies to mitigate this waste have been identified and proposed. ConclusionThe research aimed to address the environmental impact of orthopaedic joint arthroplasties, offering strategies to reduce waste generation, carbon emissions, and cost. Utilising our methodology to calculate greenhouse gas emissions will empower sustainability offices to conduct their own waste audits and implementing our strategies for waste management practices can help minimise environmental waste.

Assess The Workload Management Model and Enhanced Quality Control in The Central Sterile Supply Department: A Study Protocol.

Introduction The Central Sterile Supply Department (CSSD) plays a crucial role in ensuring the safety and efficacy of medical instruments and equipment used in healthcare settings. Effective workload management and quality control are essential for maintaining high standards of patient care and minimizing the risk of healthcare-associated infections. This study protocol aims to assess the implementation and impact of a new workload management model and enhanced quality control measures in a CSSD setting. Methods The study will employ a mixed-methods approach, including quantitative analysis of workload data, qualitative interviews with CSSD staff, and observational assessments of workflow and quality control procedures. The workload management model under investigation involves the allocation of resources based on demand patterns and the implementation of scheduling algorithms to optimize staff efficiency. Enhanced quality control measures include the implementation of advanced sterilization technologies, rigorous inspection protocols, and continuous staff training initiatives. Results The study expects to provide insights into the effectiveness of the workload management model in optimizing resource allocation and improving staff productivity. Additionally, it aims to evaluate the impact of enhanced quality control measures on the reliability and safety of instrument sterilization processes. Findings from this study will inform recommendations for further improvements in CSSD operations and contribute to the advancement of best practices in sterile supply management. Conclusion The successful implementation of an effective workload management model and enhanced quality control measures in the CSSD is crucial for maintaining patient safety and ensuring the efficient functioning of healthcare facilities. By systematically evaluating the implementation and impact of these interventions, this study protocol seeks to contribute to the ongoing improvement of CSSD operations and the enhancement of healthcare quality.

Infection prevention and control compliance during COVID-19 pandemic era: assessment of 26 regional referral hospitals in Tanzania

BackgroundInfection prevention and control (IPC) implementation at referral hospitals (RHs) in Tanzania is still inadequate, regardless of ongoing IPC capacity-building initiatives. This continues to challenge the quality of healthcare service provision as poor IPC implementation fuels healthcare-associated infections (HAIs) and antimicrobial resistance (AMR) problems. The study aimed to describe the implementation of IPC practices in 26 Regional RHs’ functional units in 2021.MethodsThe study involved secondary data from an assessment conducted using the National IPC Standard checklist for hospitals to all functional units at 26 regional RHs in 2021. Data were analysed in STATA version 15.0 to compute the weighted median with interquartile range (IQR) for each functional unit score.ResultsThe overall weighted median IPC compliance with 26 regional RHs in 2021 was 50 (41–60), whereby the lowest and highest scores were 24 and 72%, respectively. The highest-performing unit was the intensive care unit (ICU) for adults 71.4% (46.4–78.6), and lowest performing functional units were the mortuary, Central Sterilization and Supply Department, and blood transfusion [47.4% (36.8–57.9), 47.4% (40–50), and 47.6% (38.1–61.9)], respectively.ConclusionImplementation of IPC practices in 26 RHs in Tanzania is inadequate. We recommend that RHs need to strengthen IPC practices implementation in each functional unit in order to reach the required target of at least 80% score. This will enhance the reduction of the burden of HAIs and AMR, and increase the energy and morale of healthcare workers in preparedness and response to emerging and remerging diseases.