Health Workers Compliance Towards Infection Prevention and Control in Indonesia

2022 ◽  
Vol 14 (1) ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saiendhra Vasudevan Moodley ◽  
Muzimkhulu Zungu ◽  
Molebogeng Malotle ◽  
Kuku Voyi ◽  
Nico Claassen ◽  
...  

Abstract Background Health workers are crucial to the successful implementation of infection prevention and control strategies to limit the transmission of SARS-CoV-2 at healthcare facilities. The aim of our study was to determine SARS-CoV-2 infection prevention and control knowledge and attitudes of frontline health workers in four provinces of South Africa as well as explore some elements of health worker and health facility infection prevention and control practices. Methods A cross-sectional study design was utilised. The study population comprised both clinical and non-clinical staff working in casualty departments, outpatient departments, and entrance points of health facilities. A structured self-administered questionnaire was developed using the World Health Organization guidance as the basis for the knowledge questions. COVID-19 protocols were observed during data collection. Results A total of 286 health workers from 47 health facilities at different levels of care participated in the survey. The mean score on the 10 knowledge items was 6.3 (SD = 1.6). Approximately two-thirds of participants (67.4%) answered six or more questions correctly while less than a quarter of all participants (24.1%) managed to score eight or more. A knowledge score of 8 or more was significantly associated with occupational category (being either a medical doctor or nurse), age (< 40 years) and level of hospital (tertiary level). Only half of participants (50.7%) felt adequately prepared to deal with patients with COVD-19 at the time of the survey. The health workers displaying attitudes that would put themselves or others at risk were in the minority. Only 55.6% of participants had received infection prevention and control training. Some participants indicated they did not have access to medical masks (11.8%) and gloves (9.9%) in their departments. Conclusions The attitudes of participants reflected a willingness to engage in appropriate SARS-CoV-2 infection prevention and control practices as well as a commitment to be involved in COVID-19 patient care. Ensuring adequate infection prevention and control training for all staff and universal access to appropriate PPE were identified as key areas that needed to be addressed. Interim and final reports which identified key shortcomings that needed to be addressed were provided to the relevant provincial departments of health.


2019 ◽  
Author(s):  
Govha Emmanuel ◽  
Zizhou Simukai Tirivanhu ◽  
Shambira Gerald ◽  
Gombe Tafara Notion ◽  
Tsitsi Juru ◽  
...  

Abstract Background A healthcare-associated infection (HAI) is defined as an infection originating in the environment of a health facility that was not present or incubating at the time of patient admission. HAIs can be prevented through infection, prevention and control (IPC) measures. No hazard identification and risk assessment IPC rounds and monthly meetings were conducted in Goromonzi district since 1st of January to 30th of June 2018. No trainings nor orientation for the new employees was conducted. We therefore evaluated Goromonzi District IPC program. Methods A process-outcome evaluation using the logic model was conducted in Goromonzi district’s 15 health facilities. Checklists, interviewer administered questionnaires and key informant guides were used to collect data on availability of inputs, knowledge of health workers, processes performed, outputs and outcomes achieved. Data were entered into Epi Info 7TM, which was used to generate frequencies and proportions. Qualitative data from checklists and key informants interviews was sorted manually into themes and analysed. Results All 15 health facilities had adequate stocks of HIV test kits and PEP kits. Adequate bins and detergents were found in only 3/15 (20%) of health facilities. All facilities failed to hold a single IPC meeting and none had specific budget for IPC in 2018. No IPC mentorship activities were carried out in the district. Only 7/13 (54%) health workers who had needle pricks received PEP with 2/7 (29%) of them finishing the course. No health facility had a functional HAI surveillance system. The overall knowledge rating was fair. Conclusion The IPC program inputs in Goromonzi district were inadequate hence its failure to achieve the intended outputs and outcomes. Inadequate knowledge, unavailability of health worker training plans, specific budgets and absence of IPC committees reflected non prioritisation of the program.


2021 ◽  
Vol 9 (2) ◽  
pp. 150-161
Author(s):  
Vincentia D. Kondor

Infection Prevention And Control Is An Important Topic In The Delivery Of Quality Health Care Because It Aims At Protecting The Patient, The Health Worker, And The General Public. The Main Objective Of The Study Was To Determine Health Workers’ Compliance With Infection Prevention And Control Policy Guidelines During Health Care Delivery. A Cross-Sectional Design Using A Quantitative Method Was Used To Carry Out This Study In Which 143 Health Workers At The La General Hospital Were Selected Using A Stratified Sampling Method. The Data Collected Using A Structured Questionnaire Was Statistically Analyzed Using Chi-Square Test And Logistic Regression To Establish An Association Between The Dependent And Independent Variables Using A Significance Level Of P<0.05 At 95% Confidence Interval. The Results Indicated That Knowledge Of Infection Prevention And Control Among Health Workers Was High As 97% Had Adequate Knowledge, With 64% Of This Proportion Having Excellent Knowledge. Additionally, The Availability Of Infection Prevention Resources To Health Workers Always Was 31.4%; Non-Compliance Due To Time Constraints At Work Was 66.4%, And Compliance With Infection Prevention And Control Guidelines Was 30.7%. Time Constraint At Work Was Significantly Associated With Health Workers’ Compliance With Infection Prevention And Control (P = 0.001). The Paper Suggests That Regular In-Service Training On Infection Prevention And Control Must Be Continued To Improve The Standards Of Health Delivery Practice. Management Is Encouraged To Improve The Availability Of Infection Prevention Resources To Health Workers And To Duly Regulate Staff Workload In Order To Reduce Time Constraints And Prevent Burnout.


2021 ◽  
Vol 6 (2) ◽  
pp. 99
Author(s):  
Muhammad Taufik Daniel Hasibuan ◽  
Harsudianto Silaen

The COVID-19 infection prevention and control program in hospitals is an effort to provide guidance for health workers to stay healthy, safe, productive, and the community gets services that meet standards. Health workers who work in hospitals are very vulnerable to being exposed to  COVID -19, so it is very important that health workers and policy makers understand the basic concepts of infectious diseases. The purpose of this study was to develop a program to prevent and control covid-19 infection in maintaining the health status of health workers at the Medan City Hospital. The type of research used is action research. The participants in this study were 14 people consisting of 2 parts, namely 1) Participants for qualitative data were taken from managerial such as medical services, nursing, medical records, infection prevention and control units, and the head of the room. 2) Participants for quantitative data are taken from health workers, namely nurses. Data collection in this study used various methods, namely individual interviews, observation, self-report, focus group discussions and several data collection tools, namely interview guides, focus group discussion guides, questionnaires, observation sheets, and supporting tools, namely voice recorders. The results of this study obtained outputs, namely standard operating procedures for the prevention and control of covid-19 infection, and from the results of health status checks on health workers from before and after the implementation of the  COVID -19 infection prevention and control program, the results were before (PCR/Antigen: Negative). 71.43%, Positive: 28.57%; Vital sign normal: 85.71%, Abnormal 14.29%), and after (PCR/Antigen: Negative 85.71%, Positive: 14.29%; Vital sign normal: 100%). This proves that there is an influence of the Covid-19 infection prevention and control program in maintaining the health status of health workers in hospitals. Suggestions to hospital leaders to continue to evaluate prevention and control programs for COVID-19 infection in accordance with developments and the situation at hand.


2018 ◽  
Vol 1 (1) ◽  
pp. 46
Author(s):  
Erna Tsalatsatul Fitriyah ◽  
Meidiana Dwidiyanti ◽  
Luky Dwiantoro

Background: Infectious diseases have become one of the world’s serious problems including in Indonesia. Infectious diseases can originate from the community and hospital environment. Health workers performing inappropriate medical procedures could also be a cause of transmission of infectious diseases. Infection prevention and control nurses (IPCNs) as the pioneers of prevention and infection control in hospitals have not optimally played their roles.   Purpose: This study aimed to explore the roles of IPCNs and their constraints in preparing for emerging infectious diseases. Methods: The present study employed a qualitative design with the hermeneutic phenomenological approach. The samples were seven IPCNs for the primary participants, and two Infection Prevention and Control Officers (IPCOs) and 13 Infection Prevention and Control Link Nurses (IPCLNs) as the triangulation participants. The data were collected using in-depth semi-structured interviews analyzed using a content analysis technique.   Results: The results identified two themes: (1) IPCNs played roles as clinical practitioners, activity coordinators, administrators, and educators, and (2) the roles of IPCNs had not been optimal due to the lack of support from the hospital management, insufficient infrastructure, weak monitoring and evaluation, and the unavailability of appropriate rewards and  punishment.Conclusion: The majority of participants in this study agreed that IPCNs had tried well to play their roles. However, various obstacles were encountered, which hindered the IPCNs in performing their roles.


F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 136
Author(s):  
Sharon Bright Amanya ◽  
Richard Nyeko ◽  
Bonniface Obura ◽  
Joy Acen ◽  
Caroline Nabasirye ◽  
...  

Background: Infection prevention and control (IPC) has increasingly been underscored as a key tool for limiting the transmission of coronavirus disease 2019 (Covid-19) and safeguarding health workers from infections during their work. Knowledge and compliance with IPC measures is therefore essential in protecting health workers. However, this has not been established among health workers in northern Uganda in light of the Covid-19 pandemic. The objective of this study was to determine the knowledge and compliance with Covid-19 infection prevention and control measures among health workers in regional referral hospitals in northern Uganda.  Methods: An online cross-sectional descriptive study was conducted among 75 health workers in regional referral hospitals within northern Uganda. A structured questionnaire was distributed to health workers via WhatsApp messenger. Sufficient knowledge was considered at a correct response score of ≥80%, while adequate compliance was rated ≥75% of the maximum score. Data were analyzed using SPSS v21.   Results: The majority of the health workers had sufficient knowledge (69%) and adequate compliance (68%) with Covid-19 IPC. Adequate compliance was significantly associated with training in Covid-19 IPC (p=0.039), access to Covid-19 IPC at workstations (p=0.036), and having strong institutional support (p=0.031). However, there was no significant relationship between knowledge and compliance with IPC (p=0.07). The socio-demographic characteristics of health workers, including age, sex, education level, occupation, working hours and work experience, had no statistically significant relationship with Covid-19 IPC knowledge or compliance.  Conclusion: Our results show fairly good knowledge and compliance with Covid-19 IPC among health workers in northern Uganda. There is need for more training and provision of guidelines to promote compliance with Covid-19 IPC.


2020 ◽  
Author(s):  
Saiendhra Vasudevan Moodley ◽  
Muzimkhulu Zungu ◽  
Molebogeng Malotle ◽  
Kuku Voyi ◽  
Nico Claassen ◽  
...  

Abstract Background: Health workers are crucial to the successful implementation of infection prevention and control strategies to limit the transmission of SARS-CoV-2 at healthcare facilities. The aim of our study was to determine SARS-CoV-2 infection prevention and control knowledge and attitudes of frontline health workers in four provinces of South Africa as well as explore some elements of health worker and health facility infection prevention and control practices.Methods: A cross-sectional study design was utilised. The study population comprised both clinical and non-clinical staff working in the casualty and outpatient departments. A structured questionnaire was developed using the World Health Organization guidance as the basis for the knowledge questions. The questionnaire was self-administered, and COVID-19 protocols were observed during data collection.Results: A total of 286 health workers from 47 health facilities at different levels of care participated in the survey. The mean score on the 10 knowledge items was 6.3 (SD=1.6). Approximately two-thirds of participants (67.4%) answered six or more questions correctly while less than a quarter of all participants (24.1%) managed to score eight or more. A knowledge score of 8 or more was significantly associated with occupational category (being either a medical doctor or nurse), age (<40 years) and level of hospital (tertiary level). Only half of participants (50.7%) felt adequately prepared to deal with patients with COVD-19 at the time of the survey. The health workers displaying attitudes that would put themselves or others at risk were in the minority. Only 55.6% of participants had received infection prevention and control training. Some participants indicated they did not have access to medical masks (11.8%) and gloves (9.9%) in their departments.Conclusions: The attitudes of participants reflected a willingness to engage in appropriate SARS-CoV-2 infection prevention and control practices as well as a commitment to be involved in COVID-19 patient care. Ensuring adequate infection prevention and control training for all staff and universal access to appropriate PPE were identified as key areas that needed to be addressed. Interim and final reports which identified key shortcomings that needed to be addressed were provided to the provincial departments of health.


2020 ◽  
Author(s):  
Sharon Bright Amanya ◽  
Richard Nyeko ◽  
Bonniface Obura ◽  
Joy Acen ◽  
Caroline Nabasirye ◽  
...  

Abstract Background:Infection prevention and control (IPC) has increasingly been underscored as a key tool for limiting the transmission of Covid-19 and safeguarding health workers from infections during their work. Knowledge and compliance with IPC measures is therefore essential in protecting health workers. However, this has not been established among Ugandan health workers in light of the Covid-19 pandemic.Objective: To determine the knowledge and compliance with Covid-19 infection prevention and control measures among health workers in regional referral hospitals in Northern Uganda.Methods: An online cross-sectional descriptive study was conducted among 75 health workers in regional referral hospitals within Northern Uganda. A structured questionnaire was distributed to health workers via WhatsApp messenger. Sufficient knowledge was considered at a correct response score of ≥80%, while adequate compliance was rated ≥75 of the maximum score. Data were analyzed using SPSS v21.Results: The majority of the health workers had good knowledge (69%) and compliance (68%) with Covid-19 IPC. Good compliance was significantly associated with training in Covid-19 IPC (p=0.039), access to Covid-19 IPC at work stations (p=0.036), and having sufficient institutional support (p=0.031). However, there was no significant relationship between knowledge and compliance with IPC (p=0.007). The sociodemographic characteristics of health workers, including age, sex, education level, occupation, working hours and work experience, had no statistically significant relationship with Cvid-19 IPC knowledge or compliance.Discussion: Our findings provide support for IPC training and guidelines as well as adequate PPEs to be available to health workers to improve compliance with Covid-19 IPC.


2021 ◽  
Vol 2 ◽  
pp. 9
Author(s):  
Joseph Sunday ◽  
Muawiyya Babale Sufiyan ◽  
Clara Ladi Ejembi ◽  
Butawa Nuhu Natie ◽  
Abdulhakeem Abayomi Olorukooba ◽  
...  

Objectives: Infection prevention and control (IPC) practice in health facility (HF) is abysmally low in developing countries, resulting in significant preventable morbidity and mortality. This study assessed and compared health workers’ (HWs) practice of IPC strategies in public and private secondary HFs in Kaduna State. Material and Methods: A cross-sectional comparative study was employed. Using multistage sampling, 227 participants each were selected comprising of doctors, midwives, and nurses from public and private HF. Data were collected using interviewer-administered questionnaire and observation checklist and analyzed using bivariate and multivariate analysis. Statistical significance determined at P < 0.05. Results: The practice of infection prevention was poor. Overall, 42.3% of the HWs did not change their gowns in-between patients, with the significantly higher rates in 73.1% of private compared to 42.3% of public HF workers (P < 0.001). In addition, 30.5% and 10.1% of HWs do not use face mask and eye goggle, respectively, when conducting procedures likely to generate splash of body fluids, however, there was no significant difference in these poor practices in public compared to private HFs. The mean IPC practice was 51.6 ± 12.5%, this was significantly lower among public (48.8 ± 12.5%) compared to private (54.5 ± 11.9%) HF workers (P < 0.0001). Private HF workers were 3 times more likely to implement IPC interventions compared to public HF workers. Conclusion: IPC practice especially among public HF workers was poor.


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