Table 1

Hospital COVID-19 response plan

Stage	COVID-19 cases anticipated	Plan of action
0	None	1. Focused education a. To staff Infection prevention. Internal procedures for care of a patient with COVID-19. b. To public on infection prevention c. To non-infectious disease doctors and nurses on clinical manifestations of COVID-19 and patient management
		2. SOP development For prevention, screening, diagnosis, treatment and management. Specific SOPs for different hospital departments, for example, critical care, maternity, paediatrics, surgery and anaesthesia.
		3. Entry point and facility planning Identify and map out possible points of entry of patients with COVID-19 and prepare these for triaging. Identify and map out all facilities and machines needed to care for patients.
1	Case detected in Kenya	All actions in stage 0 plus: 1. Increase testing capacity
		2. Infection prevention and control HCWs to have N95 masks fitted. Set up triage rooms. Set up negative pressure rooms for cases requiring intubation.
		3. Training and drills For HCWs on patient with COVID-19 care.
		4. Ensuring materials and supply availability Stock levels adjusted to avail 6-month supply.
2	Local and community transmission confirmed	All actions in stages 0 and 1 plus: 1. Revise hospital accessibility Restriction of entrance to the hospital. Restriction of visitors to the hospital.
		2. Enforce IPC protocols Set-up of screening points, for example, temperature screening at all entrances for staff, patients and visitors. Mask wearing—mandatory for all.
3	Case reported at the hospital	All actions in stages 0, 1 and 2 plus: 1. Psychological support for staff caring for patients with COVID-19
4	Hospital capacity exhausted	All actions in stages 0, 1, 2 and 3 plus: 1. Consideration of alternative management sites
		2. Activate diversion protocol to other hospitals

HCW, healthcare worker; IPC, infection prevention and control; SOP, standard operating procedure.