scholarly journals Hand hygiene compliance and associated factors among health care providers in Central Gondar zone public primary hospitals, Northwest Ethiopia

Author(s):  
Garedew Tadege Engdaw ◽  
Mulat Gebrehiwot ◽  
Zewudu Andualem

Abstract Background Poor hand hygiene compliance is one in all the leading contributory factors to healthcare-associated infections. This is an important source of complications across the continuum of care and poses a serious threat to people admitted to hospitals. However, the magnitude and associated factors of hand hygiene compliance in public primary hospitals were not well investigated in Ethiopia. Therefore, this study was conducted to assess hand hygiene compliance and associated factors among health care providers in Central Gondar Zone public primary hospitals, Northwest Ethiopia. Methods An Institutional based cross-sectional study was conducted from March to April 2019 among health care providers. The data were collected using self-administered questionnaires and observational checklists. Using Epi Info 3.1, data was entered and analyzed using SPSS version 23. The data were analyzed using descriptive statistics and logistic regression models. A p-value less than 0.05 with 95% confidence interval was used to declare statistical significance. Results Of 335 study participants, 50 (14.9%), had good hand hygiene compliance. Training on hand hygiene (AOR = 8.07, 95%CI: 2.91, 22.39), availability of adequate soap and water for hand hygiene (AOR = 5.10, 95%CI: 1.93, 13.52), availability of alcohol-based hand rub (AOR = 3.23, 95%CI: 1.32, 7.92), knowledge about hand hygiene (AOR = 6.74, 95%CI: 2.96, 15.34) and attitude towards hand hygiene (AOR = 2.15, 95%CI: 1.04, 4.46) were factors associated with hand hygiene compliance. Conclusion The overall level of hand hygiene compliance among health care providers was poor. Training, availability of adequate soap and water, availability of alcohol-based hand rub, knowledge on hand hygiene, and attitude of health care providers were significantly associated with hand hygiene compliance.

PLoS ONE ◽  
2020 ◽  
Vol 15 (8) ◽  
pp. e0238415 ◽  
Author(s):  
Belayneh Ayanaw Kassie ◽  
Aynishet Adane ◽  
Yared Tadesse Tilahun ◽  
Eskeziaw Abebe Kassahun ◽  
Amare Simegn Ayele ◽  
...  

Author(s):  
Karavadi Sri Sai Vidusha ◽  
Margaret Menzil

Background: Healthcare providers (HCPs) have been identified as the most common vehicle for transmission of hospital acquired infections (HAIs) from patient to patient and within the healthcare environment. Hand hygiene has been identified as the single most important, simplest and least expensive means of preventing HAIs. This study was conducted to assess the knowledge of hand hygiene among healthcare providers in a tertiary care hospital in Bengaluru.Methods: A cross sectional descriptive study was conducted among all the health care providers who have been working in the hospital for more than one year. Total 122 health care providers were included in the study. A semi-structured, self-administered questionnaire was developed and used to obtain information on respondent’s socio-demographic characteristics, and knowledge of hand hygiene. For collecting data in this study, the World Health Organization (WHO) "Hand Hygiene Knowledge Questionnaire "revised 2009 edition was used. Descriptive statistics was used as necessary.Results: A total of 122 health care providers participated in the study. Among them 78 (63.9%) have received formal training in hand washing. The mean age of the study participants was 29.11±8.6 years. Majority opined that hand rubbing is required before palpation of the abdomen (86.9%) knowledge about hand hygiene was found to be moderate in majority of the study subjects (144 out of 200, 74%).Conclusions: In the present study the knowledge on hand hygiene among health care providers is moderate it highlights the importance of improving the current training programs targeting hand hygiene practices among health care providers.


2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Tirsit Kestela Zeleke ◽  
Tilahun Yemanu Birhan ◽  
Ousman Abubeker Abdela

Background. Kidney disease affects absorption, distribution, metabolism, and excretion of medicines and their metabolites. Therefore, when prescribing medicines for patients with kidney disease, dose adjustment is an accepted standard of practice. Objective. This study aimed to assess medicine dose adjustment practice and associated factors among adult patients with renal impairment admitted to medical wards at Amhara region referral hospitals. Method. Multicenter, institution-based, cross-sectional study was conducted from March 28, 2020, to August 30, 2020. The data was collected by using a pretested interviewer-administered structured questionnaire. Data were entered into Epi-Data version 4.6 and transferred into SPSS version 25 for further data processing and analysis. Descriptive statistics such as frequencies and percentages were computed. Both bivariable and multivariable binary logistic regression analyses were fitted to identify factors associated with dose adjustment practice. A 95% confidence interval and a p value less than 0.05 were used to declare statistical significance. Result. Among 815 medicines’ prescriptions that needed dose adjustment, 417 (51.2%) of them were dosed inappropriately. Number of medicines, number of comorbidities, and being unemployed were significantly associated with inappropriate dose adjustment. Conclusion. Our study revealed that there was a considerable rate of inappropriate dose adjustment in patients with renal impairment. Training for health care providers, use of guidelines, and communication with clinical pharmacists should be encouraged for good prescription practice.


2021 ◽  
Vol 62 (2) ◽  
Author(s):  
Nguyễn Phương Nam ◽  
Lê Thị Thanh Hương

Objective: The study described the routine hand hygiene of nurses and midwives at Tra Vinh Hospital of Obstetrics, Gynecology and Pediatrics in the year 2020 and some associated factors. Method: This was a cross sectional study. Totally, there were 360 chances of hand hygiene to be observed using a checklist. Data was analyzied by SPSS software version 20.0. Chi square test and odd ratios were applied with significant level at 0.05. Results: The prevalence of routine hand hygiene compliance was 33.3% by chances of hand hygiene, and was 30.3% by nurses and midwives. The highest prevalence of compliance was “After contact with patients” (55.5%) and the lowest prevalence was “After contact with blood and fluids”. Some factors associated with the compliance of routine hand hygiene among nurses and midwives were the availability of hand rubs, facilities supporting hand hygiene compliance, workload, rewards and punishments for the compliance of routine hand hygiene. Conclusion: There is a need to retrain routine hand hygiene for nurses and midwives. Supervision of the compliance of routine hand hygiene needs to be conducted, especially for Departments of Obstetrics, Department of Pediatrics, and Department of Surgical Obstetrics.


2019 ◽  
Vol 8 ◽  
pp. 216495611986877 ◽  
Author(s):  
Mohammed B Ayalew ◽  
Lidiya Solomon ◽  
Solomon Abay

Background Pharmaceutical care (PC) practice in Ethiopia is not well developed and is at its infant stage. As a result, very little is known about the level of involvement of pharmacy professionals in PC activities. Objective The aim of this study was to assess PC practice at drug retail outlets (DROs) of Gondar town and to identify factors associated with it. Method A cross-sectional study was conducted on 150 pharmacy professionals working in 55 DROs located in Gondar town, Northwest Ethiopia. Data on sociodemographic characteristics of respondents, their involvement in PC activities, handling of drug-related problems (DRPs), and consultation with colleagues and other health-care providers were collected and analyzed using statistical package for social sciences (SPSS) version 21. Results Majority of study participants were degree holders in pharmacy (68.7%) and work in community DROs (78%). Over half of the respondents (56.5%) were found to practice good PC, asking at least 3 of their last 5 patients what the goal of their drug therapy was. Nearly a quarter (24%) of pharmacy professionals did not document the desired therapeutic objectives for all the 5 patients they served. Handling of DRPs is poor for majority (76%) of the pharmacy professionals. Respondents working in the community DROs and diploma holders are poorly involved in PC activities. Age < 30 years, male sex, and working in the community DROs are significantly associated with poorer relation with colleague and other health-care providers. Conclusions Pharmacy professionals working in DROs of Gondar town have little involvement in the provision of PC. Especially, their handling of DRPs is very poor. The level of involvement of pharmacy professionals on some types of PC services was significantly associated with their sex, age, working site, and level of education.


Sign in / Sign up

Export Citation Format

Share Document