Author
Listed:
- Lutfe Ara
- Monisha Datta Trisha
- Md. Ehsanul Haque Tamal
- Noor Kutubul Alam Siddiquee
- SM Niaz Mowla
- Fahima Hossain
- Tarannum Rahman
- Md. Shafiqul Alam Sarker
- Md. Nur Haque Alam
Abstract
INTRODUCTION- Hand hygiene (HH), one of the most important preventive measures of Healthcare-associated infections (HCAIs), is often neglected by healthcare workers (HCWs) in low and middle-income countries (LMICs). PURPOSE- The purpose of the study is to assess the role of a multimodal intervention (MMI) for enhancing hand hygiene compliance (HHC) of HCWs in a resource-limited setting. METHODOLOGY- A pretest-posttest quasi-experimental study was conducted in five hospitals of Bangladesh where 984 HCWs (342 physicians and 642 nurses) were selected purposively. Using a structured checklist, a direct observational assessment was carried out on HCWs’ HHC both before and after the intervention. The MMI provided to HCWs comprised of- (i) system change, (ii) educational intervention, (iii) visual reminders, (iv) monitoring and performance feedback and (v) formation of infection control committees. RESULTS- Following intervention, overall HH compliance before and after patient contact significantly increased (p<0.00) to 50.1% and 57.2% respectively across all hospitals, professional categories and activities. Nurses were more compliant to HH than physicians (OR = 1.1, 95% CI- 1.0-1.3, P < 0.01) after patient contacts. However, both groups showed equal HHC (OR = 1, CI- 0.9-1.1, P = 0.72) before patient contacts. HCWs of private hospitals were 1.5 times more compliant to HHC than that of public hospitals. CONCLUSIONS- This study denotes that despite national policies on hand hygiene in Bangladesh, HCW’s compliance to HH is poor. Study findings also illustrate that a multimodal HH program resulted in significant improvement in HCWs’ HHC that deserves the potentials to assist the advancement of infection control practices targeting reduction of HCAIs.
Suggested Citation
Lutfe Ara & Monisha Datta Trisha & Md. Ehsanul Haque Tamal & Noor Kutubul Alam Siddiquee & SM Niaz Mowla & Fahima Hossain & Tarannum Rahman & Md. Shafiqul Alam Sarker & Md. Nur Haque Alam, 2019.
"Implementation of a Multimodal Multicentre Hand Hygiene Study: Evidence From Bangladesh Hospitals,"
Global Journal of Health Science, Canadian Center of Science and Education, vol. 11(11), pages 1-73, October.
Handle:
RePEc:ibn:gjhsjl:v:11:y:2019:i:11:p:73
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JEL classification:
- R00 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General - - - General
- Z0 - Other Special Topics - - General
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