Hand hygiene compliance among healthcare workers in Ghana’s health care institutions: An observational study

Abuosi, Aaron Asibi, Akoriyea, Samuel Kaba, Ntow-Kummi, Gloria , Akanuwe, Joseph, Abor, Patience Aseweh, Daniels, Anita Anima and Alhassan, Robert Kaba (2020) Hand hygiene compliance among healthcare workers in Ghana’s health care institutions: An observational study. Journal of Patient Safety and Risk Management, 25 (5). pp. 177-186. ISSN 2516-0435

Full content URL: https://doi.org/10.1177/2516043520958579

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Hand hygiene compliance among healthcare workers in Ghana’s health care institutions: An observational study
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Abstract

Objective: To assess hand hygiene compliance in selected primary hospitals in Ghana.

Design: A cross-sectional health facility-based observational study was conducted in primary health care facilities in five
regions in Ghana. A total of 546 healthcare workers including doctors, nurses, midwives and laboratory personnel from
106 health facilities participated in the study.

Main outcome measures: The main outcome measures included availability of hand hygiene materials and alcohol job
aids; compliance with moments of hand hygiene; and compliance with steps in hygienic hand washing. These were
assessed using descriptive statistics.

Results: The mean availability of hand hygiene material and alcohol job aids was 75% and 71% respectively. This was
described as moderately high, but less desirable. The mean hand hygiene compliance with moments of hand hygiene was 51%, which was also described asmoderately high, but less desirable. It was observed that, generally, hand hygiene was performed after procedures than before. However, the mean compliance with steps in hygienic hand washing was 86%, which was described as high and desirable.

Conclusion: Healthcare workers are generally competent in performance of hygienic hand washing. However, this does
not seem to influence compliance with moments of hand hygiene. Efforts must therefore be made to translate the
competence of healthcare workers in hygienic hand washing into willingness to comply with moments of hand hygiene,
especially contact with patients.

Additional Information:2020-11-04 RT Emailed Joseph to ask for copy of AM
Keywords:Compliance, Hand hygiene, Infection control, Primary care, Ghana
Subjects:A Medicine and Dentistry > A100 Pre-clinical Medicine
B Subjects allied to Medicine > B710 Community Nursing
A Medicine and Dentistry > A900 Others in Medicine and Dentistry
A Medicine and Dentistry > A300 Clinical Medicine
B Subjects allied to Medicine > B700 Nursing
Divisions:College of Social Science > School of Health & Social Care
ID Code:42329
Deposited On:04 Nov 2020 13:13

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