Hand hygiene practices among community Health Officers in Rivers State, Nigeria

Braimoh, Omoigberai Bashiru; Udeabor, Samuel Ebele

doi:10.4314/ahs.v13i2.43

Cited by 12 publications

(17 citation statements)

References 31 publications

(22 reference statements)

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“…A qualitative study in India identified interrupted supply of water, inadequate number of washbasins and the distance between patients and wash hand basins as barriers to HH practices [ 5 ]. Similar barriers as well as inadequate supply of alcohol-based hand rubs (ABHR) were even reported in a high resource setting [ 6 ]. In addition to the structural barriers, inadequate time [ 2 ], staff attitude, knowledge, education of HCW and workload issues [ 1 ] are functional impediments to effective HH practices.…”

Section: Introductionmentioning

confidence: 65%

Perceptions of Nigerian healthcare workers towards hand hygiene: a qualitative study

Nwaokenye¹,

Lakoh²,

Morgan³

2020

Pan Afr Med J

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Introduction hand hygiene (HH) is an effective measure to reduce healthcare-associated infections and the growing burden of antimicrobial resistance. There is a need to understand the perceptions of healthcare workers towards its practice and the use of alcohol-based hand rubs (ABHR) to make recommendations to promote HH. Our study aimed to explore the perceptions of Nigerian healthcare workers towards HH and the use and availability of ABHR to suggest potential interventions to improve its practice as qualitative evidence in this field is limited in Nigeria. Methods a qualitative study design was utilized to understand the perceptions of healthcare workers towards HH and the use of ABHR at Adeoyo Maternity Hospital, Ibadan, Nigeria. Purposive sampling was used to recruit nineteen healthcare workers who were interviewed. Thematic content analysis was used to analyze the data generated. Results five themes emerged including discrepancies in what constitutes HH practice as participants, motivation for HH practice, a good knowledge of timing as regards practice, barriers to good practice and evidence of poor practice. Conclusion while many healthcare workers know about HH and self-reported compliance towards it seems to be high, knowledge gaps, lack of resources, absence of regulations and poor working conditions were impediments to the successful implementation of HH practices. We recommend that hospitals institute well-articulated HH regulations, continuous education and training of healthcare workers. Hospitals should also ensure adequate provision of resources for hand hygiene and institute a continuous monitoring and feedback program to evaluate compliance with regulations.

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Section: Introductionmentioning

confidence: 65%

Perceptions of Nigerian healthcare workers towards hand hygiene: a qualitative study

Nwaokenye¹,

Lakoh²,

Morgan³

2020

Pan Afr Med J

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“…None of the work elements in the current study were performed in complete compliance to WHO's guidelines at all times, proving that compliance to basic hygiene often falls short of acceptable standards [15].The theatre staffs views on Patient safety culture…”

Section: Discussionmentioning

confidence: 80%

“…Surgical site infections can be prevented however, studies show that hand hygiene is not followed optimally in developing countries [15]. Compliance to basic hand hygiene should therefore be prioritised in order to optimize patient safety.…”

Section: Hygiene Routines Specific For Intraoperative Care According mentioning

confidence: 99%

Compliance to Intraoperative Basic Hygiene and Patient Safety Culture in Mozambique

Oscarsson¹,

Cl²

2016

Prev Inf Cntrl

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Background: Surgical site infections are commonly occurring within healthcare, especially in Africa. Good hygiene is the most effective way in which to reduce and prevent infection. However, compliance is often low or insufficient. Objective: To assess intraoperative compliance to basic hygiene in the operating theatre and the staffs' views on patient safety and to assess whether adherence to hand hygiene is related to patient safety culture in a developing country. Methods: The design was a structured observation in order to gathered information on compliance to basic intraoperative hygiene routines in operating theatres in Mozambique. Theatre staff was also asked to complete a survey on patient safety culture. Results: The study reveals that none of the work elements were performed in complete compliance to WHO's guidelines at all times. The theatre staff's views on patient safety culture showed the highest percentage of positive responses was within "Teamwork Within Hospital Units" and the dimensions with the least positive response was "Nonpunitive Response To Error" and "Staffing". A medium relation was found between compliance to basic hygiene and the results of the patient safety culture survey. Conclusion: This study shows that compliance to basic hygiene during the intraoperative phase in theatre was insufficient. There was a medium relation between the views of the staff on patient safety and their compliance to basic hand hygiene. This implies that working with the attitudes of the staff concerning patient safety could be one way of improving hygiene compliance which would be expected to reduce the number of surgical site infections.

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“…DOI: https://dx.doi.org/10.17352/2455-5479.000095 considered to reduce infection transmissibility in the hospital setting [5,6]. Although hand hygiene can be described as an effective, simple, cheap and not time consuming HAI control strategy most studies show low compliance rate of between 40% and 70% [7,8]. HCW have reported several factors that negatively impact their adherence with recommended practices including but not limited to; inadequate knowledge and lack of awareness, hand washing agents cause irritation and dryness, sinks are inconveniently located, lack of soap and paper towels, not enough time, over workload with understaffi ng, lack of knowledge of guidelines/protocols, and forgetfulness [9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

“…It affects 5-15% of hospitalized patients in developed country with higher fi gures quoted for developing countries [14,15]. Diarrhoea diseases and respiratory tract infections are among the leading contributors to the global burden of disease and poor water supply related to hand hygiene represents 7% of the risk factors [7].…”

Section: Introductionmentioning

confidence: 99%

A survey of hand hygiene knowledge, attitude and practices among health care workers in a tertiary hospital, Southwestern Nigeria

Agbana¹,

Ogundeji²,

Owoseni³

2020

Arch Community Med Public Health

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Background: Improper hand hygiene practices among Healthcare Providers (HCPs) are a common risk factor for and interventions to improve hygiene have proven to be effective strategy in reducing nosocomial infection. Hand hygiene has been described as the single most important, simplest and least expensive means of preventing nosocomial infections. Aim/Objectives: The studied was carried out to determine the knowledge, attitude and practice of hand hygiene among healthcare workers in a tertiary health facility. Materials/Methods: A cross-sectional study was conducted among 368 doctors, nurses and ward attendants using multistage sampling technique. Data were collected with a set of self-administered, modifi ed WHO questionnaire and analyzed using IBM and SPSS version 25 statistical package. Results: The mean age of respondents was 35.2±9.3 years, and majority of them were between 36-45years (33.6%). The male to female ratio was 1.6: 1. Most of the respondents were nurses (41.5%) and 370 (98.95%) of the respondents had a good knowledge of hand hygiene. Washing of hands before and after contact with patients was 44.65% and 56.2% respectively. Most of them have received training on hand washing in the last three years (53.4%), 222 (62.7%) respondents routinely used alcohol based hand rub. The main reason cited for not observing hand hygiene practices consistently were lack of running water (53.4%), unavailability of alcohol based hand rub(26.6%), and dirty water sinks (24.0%). Conclusion: Although knowledge, attitude and practice of hand hygiene were good among respondents in this study, lack of running water and unavailability of alcohol based hand rub remain major constraints. Hospital management should therefore provide adequate water supply and materials for sanitation and hand hygiene in healthcare facilities.

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Hand hygiene practices among community Health Officers in Rivers State, Nigeria

Cited by 12 publications

References 31 publications

Perceptions of Nigerian healthcare workers towards hand hygiene: a qualitative study

Perceptions of Nigerian healthcare workers towards hand hygiene: a qualitative study

Compliance to Intraoperative Basic Hygiene and Patient Safety Culture in Mozambique

A survey of hand hygiene knowledge, attitude and practices among health care workers in a tertiary hospital, Southwestern Nigeria

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