Improvement of hand hygiene compliance among health professional staff of Neonatology Department in Nyamata Hospital

Umulisa, Solange; Musabyimana, Angèle; Wong, Rex; Adomako, Eva; Budd, April; Ntakirutimana, Théoneste

doi:10.1108/oth-07-2016-0038

Cited by 5 publications

(2 citation statements)

References 26 publications

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“…ACCEPTABILITY: Zambian government provided substantial support of the scale-up ART strategy3. COST: Significant funds from PEPFAR made this intervention possible59Umulisa et al [102]Hand hygiene/washing1. RESTRUCTURE: (In stalling locally made hand hygiene facilities at point of patient care; ensuring availability of water at hand hygiene facilities)2.…”

Section: Resultsmentioning

confidence: 99%

Implementation strategies for infection prevention and control promotion for nurses in Sub-Saharan Africa: a systematic review

et al. 2019

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BackgroundDespite impressive reductions in infectious disease burden within Sub-Saharan Africa (SSA), half of the top ten causes of poor health or death in SSA are communicable illnesses. With emerging and re-emerging infections affecting the region, the possibility of healthcare-acquired infections (HAIs) being transmitted to patients and healthcare workers, especially nurses, is a critical concern. Despite infection prevention and control (IPC) evidence-based practices (EBP) to minimize the transmission of HAIs, many healthcare systems in SSA are challenged to implement them. The purpose of this review is to synthesize and critique what is known about implementation strategies to promote IPC for nurses in SSA.MethodsThe databases, PubMed, Ovid/Medline, Embase, Cochrane, and CINHAL, were searched for articles with the following criteria: English language, peer-reviewed, published between 1998 and 2018, implemented in SSA, targeted nurses, and promoted IPC EBPs. Further, 6241 search results were produced and screened for eligibility to identify implementation strategies used to promote IPC for nurses in SSA. A total of 61 articles met the inclusion criteria for the final review. The articles were evaluated using the Joanna Briggs Institute’s (JBI) quality appraisal tools. Results were reported using PRISMA guidelines.ResultsMost studies were conducted in South Africa (n = 18, 30%), within the last 18 years (n = 41, 67%), and utilized a quasi-experimental design (n = 22, 36%). Few studies (n = 14, 23%) had sample populations comprising nurses only. The majority of studies focused on administrative precautions (n = 36, 59%). The most frequent implementation strategies reported were education (n = 59, 97%), quality management (n = 39, 64%), planning (n = 33, 54%), and restructure (n = 32, 53%). Penetration and feasibility were the most common outcomes measured for both EBPs and implementation strategies used to implement the EBPs. The most common MAStARI and MMAT scores were 5 (n = 19, 31%) and 50% (n = 3, 4.9%) respectively.ConclusionsAs infectious diseases, especially emerging and re-emerging infectious diseases, continue to challenge healthcare systems in SSA, nurses, the keystones to IPC practice, need to have a better understanding of which, in what combination, and in what context implementation strategies should be best utilized to ensure their safety and that of their patients. Based on the results of this review, it is clear that implementation of IPC EBPs in SSA requires additional research from an implementation science-specific perspective to promote IPC protocols for nurses in SSA.

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Section: Resultsmentioning

confidence: 99%

Implementation strategies for infection prevention and control promotion for nurses in Sub-Saharan Africa: a systematic review

et al. 2019

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“…Few studies conducted about hygiene compliance in health care settings among healthcare providers in Rwanda, either focused on one hospital or even one department. [7,8,9,10,11,12] The current study aimed at determining the prevalence of hand hygiene compliance among health care workers and related predictors from selected departments in 26 hospitals of Rwanda.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Compliance to Hand Hygiene among Health Care Workers in Rwanda

Ndatimana

Habiyakare²,

Niragire

et al. 2022

RJMHS

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BackgroundHand hygiene is critical to the prevention of Healthcare Acquired Infections. Compliance of health care workers to hand hygiene in developing countries is reportedly low.ObjectiveThe aim of this study was to assess predictors of hand hygiene compliance among healthcare workers in RwandaMethodsThis cross-sectional study was conducted in 26 selected hospitals. Trained hospital IPC focal points anonymously observed 1380 hand hygiene opportunities from 341 healthcare workers. Logistic regression analysis was used to identify predictors of compliance to hand hygiene among health care workers using Stata.ResultsThe overall compliance to HH was 72.4%. It was respectively 70%, 77% and 60% less likely in labor (AOR=0.30, 95% CI: 0.19-0.49), maternity (AOR= 0.27, 95% CI: 0.17-0.43), and neonatology (AOR= 0.40 95% CI: 0.25-0.65) departments than in theater. Other clinical staff than nurses/midwives were 35% less likely to comply than did medical doctors. The availability of water source and soap at hand washing station was associated with 2.5 times higher odds of compliance (AOR=2.46, 95% CI: 1.27-4.77).ConclusionThe compliance to HH is associated with the availability of hand hygiene facilities. Well-maintained water sources and soap at hand washing stations should be a priority in health care settings. Rwanda J Med Health Sci 2022;5(2):170-179

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