Assessment of infection control practices in maternity units in Southern Nigeria

Friday, Okonofua; Edoja, Okpokunu; Osasu, Aigbogun; Chinenye, Nwandu; Cyril, Mokwenye; Kanguru, Lovney; Hussein, Julia

doi:10.1093/intqhc/mzs057

Cited by 13 publications

(26 citation statements)

References 15 publications

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“…It was also found out that only half of the sampled facilities had wash basins with elbow or knee taps. This finding concurred with a Nigerian study in which a third of the observed facilities had no 'hands-free' taps [21]. It was encouraging to note that liquid soap or handwashing and sterile gloves were reported to be widely available at the majority of the facilities which was consistent with a study in Pakistan [16].…”

Section: Discussionsupporting

confidence: 90%

Infection Control Practices Associated with Puerperal Sepsis in Harare City Maternity Units

Tirivavi¹

2019

CAJPH

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The time of childbirth are responsible for about ten percent of maternal deaths and contribute to severe morbidity as well as long-term disability among many women. Such infections are also termed puerperal sepsis and these are more prevalent in low to medium countries. Puerperal sepsis is preventable by simple and low cost solutions such as handwashing at the time of delivery, damp dusting and use of sterile equipment. The Harare City health department recorded puerperal sepsis as the third cause of maternal mortality, accounting for 18.1% of all maternal deaths recorded for the year 2016. The study sought to determine infection prevention and control practices associated with puerperal sepsis in Harare City maternity units. A descriptive cross-sectional research design was employed and data was purposively collected from 84 midwives from 12 polyclinics. Observational walks through visits were carried out to solicit infection control practices and availability of relevant inventory before recording on the checklist. Nurses had above average knowledge on infection and prevention control, however this did not translate to good infection and prevention control practices. The majority of midwives (83%) had not attend infection prevention and control trainings during the previous year and there was a major challenge of stock-outs of basic consumables and equipment such as surgical gloves and elbow taps.

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Section: Discussionsupporting

confidence: 90%

Infection Control Practices Associated with Puerperal Sepsis in Harare City Maternity Units

Tirivavi¹

2019

CAJPH

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“…(21) A study done in Nigeria (2012), revealed that sterile gloves were used routinely in 90.0% of the observations. (27) As regards timing of changing gloves, this was done immediately after use 77.8% of observations. Also, gloves were changed during going from dirt to a clean area in one third of observations.…”

Section: Discussionmentioning

confidence: 99%

Infection Control Knowledge and Practices of Obstetricians during Normal Labor in Maternity Hospitals in Alexandria: An Intervention Study

Wahdan

Elsayed

Ibrahim

2019

Journal of High Institute of Public Health

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Background: Infections during labor and the puerperium are among the leading causes of maternal mortality and morbidity worldwide, accounting for about one tenth of the global burden of maternal deaths. The infection risk associated with care in labor rooms is probably quite high. Objective(s): The study was conducted to assess infection control (IC) knowledge and practices of obstetricians in maternity hospitals in Alexandria during normal labor and to design, implement and evaluate the effect of an intervention program on IC practices of obstetricians. Methods: A cross-sectional study design was conducted among 135 obstetricians followed by an intervention study (one group pretest-posttest design). All obstetricians were asked to fill a questionnaire for assessment of knowledge and were observed three times using a checklist for assessment of practice. A health education program was designed and implemented among obstetricians then practices of obstetricians were reassessed using the same checklist. Results: Nearly 90% of obstetricians in this study had a good level of knowledge regarding standard IC precautions. Nearly two thirds of obstetricians (65.9%) had poor level of practice while 34.1% had fair level of practice pre-intervention. Post-intervention, 46.7% of obstetricians had fair level of practice. Areas of poor practice were hand hygiene and use of PPE. The best area of improvement in post-intervention was hand hygiene while use of PPE did not improve much. Conclusion: There is a gap between knowledge of obstetricians regarding IC and their practices.

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“…Screening generally is better at airports than at either sea or land entry points, similar to what occurred during the Ebola epidemic. The science and implementation of infection prevention and control in health facilities in SSA are still in early stages (23)(24)(25). The Ebola virus outbreak in west Africa highlighted the challenges with risk communication and community engagement during an epidemic.…”

Section: Uptake Of Covid-19 In Africamentioning

confidence: 99%

COVID-19 threatens health systems in sub-Saharan Africa: the eye of the crocodile

Paintsil¹

2020

Journal of Clinical Investigation

114

104

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Assessment of infection control practices in maternity units in Southern Nigeria

Cited by 13 publications

References 15 publications

Infection Control Practices Associated with Puerperal Sepsis in Harare City Maternity Units

Infection Control Practices Associated with Puerperal Sepsis in Harare City Maternity Units

Infection Control Knowledge and Practices of Obstetricians during Normal Labor in Maternity Hospitals in Alexandria: An Intervention Study

COVID-19 threatens health systems in sub-Saharan Africa: the eye of the crocodile

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