Ongoing worldwide efforts to increase the scale of manufacturing and distribution mechanisms in the global
supply chain for PPE have improved since the onset of the COVID-19 public health emergency. However, global PPE shortages impacting health worker safety and the sustainability of essential health services remain. This guidance is intended for public health authorities an organizations involved in decisions regarding PPE use and prioritization for health workers, such as Infection Prevention and Control and Occupational Health and Safety focal points, health care managers and individuals responsible for coordinating distribution and management of PPE.
The success of any modification to conventional PPE use strategies depends on the availability of adequate human resources , training , institutionally supported IPC and occupational health and safety measures and
consistent evaluation of the safety of a health service setting . Accompanying administrative and environmental/ engineering controls which reduce the risk of SARS-CoV transmission in health settings, as well as setting-specific guidance are described in detail in other WHO technical resources. This document includes operational advice for the use of PPE in the context of COVID-19 and is complimentary to other
technical resources used for the selection and procurement of PPE items, including; WHO’s Technical specifications of personal protective equipment for COVID-19 , WHO’s COVID-19 Essential Supplies Forecasting Tool , and for PPE items supplied through the UN COVID-19 Supply Chain System (CSCS) Supply Portal.
Strategies during shortages:
Where shortages in PPE supply are forecasted to impact the safety and sustainability of health care
delivery, the use of PPE in health care settings where patients with COVID-19 are cared for must be optimized:
- Optimize the use of PPE through care planning; bundling activities and using alternatives to face to-face interactions where quality of care can be maintained.
- Use PPE items according to the transmission risk; standard and transmission-based precautions should be accordingly applied when providing care to patients.
- Expand PPE availability by evaluating PPE items tested to functionally equivalent international standards.
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