scholarly journals Infection prevention and waste management audit in the MCH department -Busia County Referral Hospital July 2019

2020 ◽  
Vol 101 ◽  
pp. 313
Author(s):  
O. Gaunya
Keyword(s):  
Waste Management ◽  
Infection Prevention ◽  
Referral Hospital ◽  
Management Audit

scholarly journals Experience and Challenges in Establishing Quarantine Facility for Suspected COVID-19 Cases: Field Briefing

2021 ◽  
Vol 06 (03) ◽  
pp. 1-8
Author(s):  
Shubha Garg ◽  
Keyword(s):  
Waste Management ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Medical Waste ◽  
Infection Prevention And Control ◽  
Successful Operation ◽  
Environmental Cleaning ◽  
The World ◽  
Medical Waste Management ◽  
And Control

Introduction: Due to the unprecedented SARS-CoV-2 pandemic, in late January 2020, many countries in the world imposed a travel ban. Governments across the world initiated repatriation operations for stranded nationals. It was important to instantly develop quarantine facilities for evacuees. As the disease was fairly new, data on it was sparse to fulfil the requirement. Objectives: We are sharing our experience of establishing and managing India’s first quarantine facility for repatriate nationals focusing on key parameters including infection prevention and control, environmental cleaning, and bio-medical waste management along with basic living requirements. Results: The facility housed a total of 617 evacuees from China and Italy. Among them, 17 were found to be positive on initial testing and one tested positive on the 14th day of testing. 25 contacts were traced and prescribed an additional quarantine period of fourteen days in the facility, and were discharged accordingly. All evacuees were put on community surveillance. Supply of logistics, manpower management, and ensuring compliance to protocols were some of the major challenges faced, for which appropriate actions were taken. Conclusion: Impeccable collaboration and coordination among different stakeholders is the most essential ingredient for the successful operation of any quarantine facility in the context of the current pandemic.

scholarly journals Improvement of Infection Prevention and Control Practices Using Quality Improvement Approach in Two Model Hospitals in Kenya

2020 ◽  
Vol 41 (S1) ◽  
pp. s286-s287
Author(s):  
Loyce Kihungi ◽  
Mary Ndinda ◽  
Samantha Dolan ◽  
Evelyn Wesangula ◽  
Linus Ndegwa ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Data Collection ◽  
Hand Hygiene ◽  
Waste Management ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Technical Assistance ◽  
Infection Prevention And Control ◽  
Waste Segregation ◽  
And Control

Background: Little is known about how best to implement infection prevention and control programs in low-resource settings. The quality improvement approach using plan-do-study-act (PDSA) cycles provides a framework for data-driven infection prevention and control implementation. We used quality improvement techniques and training to improve infection prevention and control practices in 2 model hospitals in Kenya. Methods: The 2 hospitals were chosen by the Kenya Ministry of Health for capacity building on infection prevention and control. At each site, the project team (the University of Washington International Training for Education and Training in Health, Ministry of Health, and Centers for Disease Control) conducted infection prevention and control training to infection prevention and control committee members. Infection prevention and control quality improvement activities were introduced in a staggered manner, focusing on hand hygiene and waste management practices. For hand hygiene, the project team’s technical assistance focused on facility hand hygiene infrastructure, hand hygiene practice adherence, hand hygiene supply quantification, and monitoring and evaluation using WHO hand hygiene audit tools. Waste management technical assistance focused on availability of policy, guidelines, equipment and supplies, waste segregation, waste quantification, and monitoring and evaluation using a data collection tool customized based on previously published tools. Regular interactive video conference sessions between the project team and the sites that included didactic sessions and sharing of data provided ongoing mentorship and feedback on quality improvement implementation, data interpretation, and data use. Results: Hand hygiene data collection began in April 2018. In hospital A, hand hygiene compliance increased from a baseline of 3% to 51% over 9 months. In Hospital B, hand hygiene compliance rates increased from 23% at baseline to 44% after 9 months. Waste management data collection began in November 2018. At hospital A, waste segregation compliance scores increased from 73% at baseline to 80% over 6 months, whereas hospital B, waste segregation compliance went from 44% to 80% over 6 months. Conclusions: A quality improvement approach appears to be a feasible means of infection prevention and control program strengthening in low resource settings.Funding: NoneDisclosures: None

scholarly journals Awareness and practice of medical waste management among healthcare providers in National Referral Hospital

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0243817
Author(s):  
Zimba Letho ◽  
Tshering Yangdon ◽  
Chhimi Lhamo ◽  
Chandra Bdr Limbu ◽  
Sonam Yoezer ◽  
...  
Keyword(s):  
Waste Management ◽  
Healthcare Workers ◽  
Medical Waste ◽  
Support Staff ◽  
Referral Hospital ◽  
Potential Hazard ◽  
Care Providers ◽  
National Guidelines ◽  
Medical Waste Management ◽  
National Referral Hospital

Introduction The management and treatment of Medical Waste (MW) are of great concern owing to its potential hazard to human health and the environment, particularly in developing countries. In Bhutan, although guidelines exist on the prevention and management of wastes, the implementation is still hampered by technological, economic, social difficulties and inadequate training of staff responsible for handling these waste. The study aimed at assessing the awareness and practice of medical waste management among health care providers and support staff at the National Referral Hospital and its compliance with the existing National guidelines and policies. Materials and methods An observational cross-sectional study was conducted from March to April 2019. Three research instruments were developed and used; (i) Demographic questionnaire, (ii) Awareness questions, and (iii) the Observational checklist. The data was coded and double entered into Epi data version 3.1 and SPSS version 18 was used for analysis. Descriptive statistics were used to present the findings of the study. Results The majority of the respondents were female (54.1%) with a mean age of 32.2 (±7.67) years, most of whom have not received any waste management related training/education (56.8%). About 74.4% are aware of medical waste management and 98.2% are aware on the importance of using proper personal protective equipment. Only 37.6% knew about the maximum time limit for medical waste to be kept in hospital premises is 48 hours. About 61.3% of the observed units/wards/departments correctly segregated the waste in accordance to the national guidelines. However, half of the Hospital wastes are not being correctly transported based on correct segregation process with 58% of waste not segregated into infectious and general wastes. Conclusion The awareness and practice of medical waste management among healthcare workers is often limited with inadequate sensitization and lack of proper implementation of the existing National guidelines at the study site. Therefore, timely and effective monitoring is required with regular training for healthcare workers and support staff. Furthermore, strengthening the waste management system at National Referral Hospital would provide beneficial impact in enhancing safety measures of patients.

scholarly journals AN OVERVIEW ON INFECTION PREVENTION AND CONTROL PRACTICES AND BIOMEDICAL WASTE MANAGEMENT (BMWM) IN COVID-19 ERA

2020 ◽  
pp. 5-8
Author(s):  
RAVI PRAKASH SHARMA ◽  
SIDDHARTHA DUTTA ◽  
GOVIND MISHRA ◽  
HINA LAL ◽  
TARUN KUMAR ◽  
...  
Keyword(s):  
Waste Management ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Management Practices ◽  
Healthcare Sector ◽  
Infection Prevention And Control ◽  
Physical And Mental Health ◽  
Biomedical Waste ◽  
The World ◽  
And Control

The ongoing Coronavirus disease (COVID-19) pandemic has affected the almost entire world and has hit the healthcare and economic sector with a hard blow. The Government imposed lockdowns in almost all part of the world has not only affected the global economy but also has harsh effects on physical and mental health of people around the world. To date, there is no specific and defined treatment or vaccine available for its prophylaxis and treatment; hence preventive strategies like Infection prevention and control (IPC) practices and proper disposal of biomedical waste (BMW) play key role in preventing transmission of the infection in the healthcare sector among healthcare professionals. Ethically, we all should follow the IPC and BMW guidelines soulfully to prevent ourselves and fellow workers from getting infected. The review highlights the salient features of the IPC and BMWM (Biomedical waste management) practices in concise manner for better understanding and implementation at this crucial period of COVID-19 pandemic.

Midwives' practice and perception of labour and delivery care at the Mulago National Referral Hospital, Uganda

2020 ◽  
Vol 14 (1) ◽  
pp. 1-12
Author(s):  
Ziidah Namwaya ◽  
Imelda Namagembe ◽  
Dan Kaye ◽  
Gorrette Nalwadda ◽  
Grace Edwards ◽  
...  
Keyword(s):  
Infection Prevention ◽  
Current Practice ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Mulago Hospital ◽  
Cross Sectional ◽  
Neonatal Deaths ◽  
Mulago National Referral Hospital ◽  
Perception Of Care ◽  
National Referral Hospital

Background/Aims The majority of maternal deaths occur during labour, delivery, or within the first 4 hours after birth. This can be reduced by the care that midwives provide. At Mulago Hospital, little is documented on midwives' current practice and their perception of care offered during labor and delivery. The number of maternal and neonatal deaths as a result of preventable causes such as postpartum haemorrhage, obstructed labour, ruptured uterus and sepsis remains high. The aim of this study was to document the current practice of midwives, explore midwives' perception towards practice and identify factors that influence practice during birth in Uganda, to identify possible areas for improvement. Methods A cross-sectional study was conducted of midwives working in the three labour wards at the Mulago National referral hospital: the general ward, the private ward and the midwifery-led ward. Midwives' perceptions were explored using a semi-structured questionnaire, which asked midwives about their current practice and their perception of the care offered. Findings Care was found to be lacking in several areas. Only one-fifth (20.0%) of midwives reported always checking temperature every 4 hours. Only 20.5% reported that women are always supported in being mobile during labour. Less than half of the midwives (44.4%) knew the recommended drugs for managing the third stage of labour. Infection prevention practices were poor. Only 54% of midwives knew how to prepare magnesium sulphate for management of severe pre-eclampsia and eclampsia. Overall, the general labour ward was found to have the most gaps in midwives' knowledge. Lack of continuing education, supplies, teamwork and clinical guidelines were reported to affect practice. Staff shortages and midwives' decisions being underlooked by obstetricians were also reported to affect practice. Conclusions Overall, the study found that midwifery practice is suboptimal in key areas such as infection prevention, use of a partograph, and management of pre-eclampsia and eclampsia. Continuous professional development, provision of resources, and strengthening teamwork are recommended to improve maternal health outcomes at Mulago Hospital.

scholarly journals Knowledge, attitude, and practice of healthcare professionals regarding infection prevention at Gondar University referral hospital, northwest Ethiopia: a cross-sectional study

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Teshiwal Deress Yazie ◽  
Gezahegn Bewket Sharew ◽  
Wondwossen Abebe
Keyword(s):  
Infection Prevention ◽  
Healthcare Professionals ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Infection Prevention And Control ◽  
Sectional Study ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Study Participants ◽  
Knowledge Attitude And Practice

Abstract Objectives Workplace health and safety is vital in every organization particularly in the healthcare settings. The aim was to assess the levels of knowledge, attitude, and practices of the healthcare professionals towards safety at Gondar University referral hospital. An institution based cross-sectional study was conducted from February to June 2018. Proportional random sampling technique was used to include 282 study participants and data were collected using a structured self-administered questionnaire and analyzed using SPSS version 20. Results Among 282 study participants, 230 (81.6%), 181 (64.2%), and 162 (57.4%) had adequate knowledge, favorable attitude, and adequate practice scores, respectively. More than half (55.3%) of the study participants were untrained. There was a high (26.6%) prevalence of needlestick injury; however, the use of post-exposure prophylaxis after potential exposures was very limited. Generally, the levels of knowledge, attitude, and practice scores among the study participants were low. Therefore, there should be adequate and consistent supply of personal protective devices and other materials used for infection prevention and control. In addition, there should be awareness raising mechanism, including the provision of job aids and periodic training. Further, comprehensive studies should be conducted by including different types and levels of health facilities.

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