BACKGROUND Monitoring and evaluation are an essential part of infection prevention and control (IPC) implementation. The authors developed an IPC assessment framework (IPCAF) to support implementation of the World Health Organization (WHO) guidelines on core components of IPC programmes in acute healthcare facilities. AIM To evaluate the usability and reliability of the IPCAF tool for global use. METHODS The IPCAF is a questionnaire with a scoring system to measure the level of IPC implementation according to the eight WHO core components. The tool was pre-tested qualitatively, revised and translated selectively. A convenience sample of hospitals was invited to participate in the final testing. At least two IPC professionals from each hospital independently completed the IPCAF and a usability questionnaire online. The tool's internal consistency and interobserver reliability or intraclass correlation coefficient (ICC) were assessed, and usability questions were summarized descriptively. FINDINGS In total, 46 countries, 181 hospitals and 324 individuals participated; 52 (16%) and 55 (17%) individual respondents came from low- and lower-middle income countries, respectively. Fifty-two percent of respondents took less than 1 h to complete the IPCAF. Overall, there was adequate internal consistency and a high ICC (0.92, 95% confidence interval 0.89-0.94). Ten individual questions had poor reliability (ICC <0.4); these were considered for revision according to usability feedback and expert opinion. CONCLUSIONS The WHO IPCAF was tested using a robust global study and revised as necessary. It is now an effective tool for IPC improvement in healthcare facilities.

中文翻译：

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在急性医疗机构一级对WHO感染预防和控制评估框架进行测试。

背景技术监测和评估是感染预防和控制（IPC）实施的重要组成部分。作者开发了IPC评估框架（IPCAF），以支持实施世界卫生组织（WHO）关于急性医疗机构IPC计划核心组成部分的准则。目的评估IPCAF工具在全球范围内的可用性和可靠性。方法IPCAF是一种带有评分系统的问卷，用于根据WHO的八个核心要素来评估IPC的实施水平。该工具已进行了定性的预测试，修订和选择性翻译。邀请了方便的医院样本参加最终测试。每家医院至少有两名IPC专业人员独立完成IPCAF和在线可用性调查表。工具' 评估了内部一致性和观察者间可靠性或类内相关系数（ICC），并描述性地总结了可用性问题。结果共有46个国家，181家医院和324个人参加了调查；分别有52名（16％）和55名（17％）的个人受访者来自中低收入国家。52％的受访者不到1小时即可完成IPCAF。总体而言，内部一致性良好且ICC较高（0.92，95％置信区间0.89-0.94）。十个单独的问题的可靠性差（ICC <0.4）；根据可用性反馈和专家意见考虑对这些内容进行修订。结论世卫组织IPCAF已使用一项可靠的全球研究进行了测试，并根据需要进行了修订。现在，它已成为改善医疗机构IPC的有效工具。