Improvement in Infection Prevention and Control Compliance at the Three Tertiary Hospitals of Sierra Leone following an Operational Research Study
Implementing infection prevention and control (IPC) programmes in line with the World Health Organization’s (WHO) eight core components has been challenging in Sierra Leone. In 2021, a baseline study found that IPC compliance in three tertiary hospitals was sub-optimal. We aimed to measure the chang...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-07-01
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| Series: | Tropical Medicine and Infectious Disease |
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| Online Access: | https://www.mdpi.com/2414-6366/8/7/378 |
| _version_ | 1797587294810537984 |
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| author | Rugiatu Z. Kamara Ibrahim Franklyn Kamara Francis Moses Joseph Sam Kanu Christiana Kallon Mustapha Kabba Daphne B. Moffett Bobson Derrick Fofanah Senesie Margao Matilda N. Kamara Matilda Mattu Moiwo Satta S. T. K. Kpagoi Hannock M. Tweya Ajay M. V. Kumar Robert F. Terry |
| author_facet | Rugiatu Z. Kamara Ibrahim Franklyn Kamara Francis Moses Joseph Sam Kanu Christiana Kallon Mustapha Kabba Daphne B. Moffett Bobson Derrick Fofanah Senesie Margao Matilda N. Kamara Matilda Mattu Moiwo Satta S. T. K. Kpagoi Hannock M. Tweya Ajay M. V. Kumar Robert F. Terry |
| author_sort | Rugiatu Z. Kamara |
| collection | DOAJ |
| description | Implementing infection prevention and control (IPC) programmes in line with the World Health Organization’s (WHO) eight core components has been challenging in Sierra Leone. In 2021, a baseline study found that IPC compliance in three tertiary hospitals was sub-optimal. We aimed to measure the change in IPC compliance and describe recommended actions at these hospitals in 2023. This was a ‘before and after’ observational study using two routine cross-sectional assessments of IPC compliance using the WHO IPC Assessment Framework tool. IPC compliance was graded as inadequate (0–200), basic (201–400), intermediate (401–600), and advanced (601–800). The overall compliance scores for each hospital showed an improvement from ‘Basic’ in 2021 to ‘Intermediate’ in 2023, with a percentage increase in scores of 16.9%, 18.7%, and 26.9% in these hospitals. There was improved compliance in all core components, with the majority in the ‘Intermediate’ level for each hospital IPC programme. Recommended actions including the training of healthcare workers and revision of IPC guidelines were undertaken, but a dedicated IPC budget and healthcare-associated infection surveillance remained as gaps in 2023. Operational research is valuable in monitoring and improving IPC programme implementation. To reach the ‘Advanced’ level, these hospitals should establish a dedicated IPC budget and develop long-term implementation plans. |
| first_indexed | 2024-03-11T00:35:07Z |
| format | Article |
| id | doaj.art-49ece90138d64b349e87d077c98272da |
| institution | Directory Open Access Journal |
| issn | 2414-6366 |
| language | English |
| last_indexed | 2024-03-11T00:35:07Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Tropical Medicine and Infectious Disease |
| spelling | doaj.art-49ece90138d64b349e87d077c98272da2023-11-18T21:39:23ZengMDPI AGTropical Medicine and Infectious Disease2414-63662023-07-018737810.3390/tropicalmed8070378Improvement in Infection Prevention and Control Compliance at the Three Tertiary Hospitals of Sierra Leone following an Operational Research StudyRugiatu Z. Kamara0Ibrahim Franklyn Kamara1Francis Moses2Joseph Sam Kanu3Christiana Kallon4Mustapha Kabba5Daphne B. Moffett6Bobson Derrick Fofanah7Senesie Margao8Matilda N. Kamara9Matilda Mattu Moiwo10Satta S. T. K. Kpagoi11Hannock M. Tweya12Ajay M. V. Kumar13Robert F. Terry14United States Centers for Disease Control and Prevention Country Office, Emergency Operation Centre, Wilkinson Road, Freetown 00232, Sierra LeoneWorld Health Organization Country Office, 21 A-B Riverside Drive, Off Kingharman Road, Freetown 00232, Sierra LeoneMinistry of Health and Sanitation, Fourth Floor, Youyi Building, Freetown 00232, Sierra LeoneMinistry of Health and Sanitation, Fourth Floor, Youyi Building, Freetown 00232, Sierra LeoneMinistry of Health and Sanitation, Fourth Floor, Youyi Building, Freetown 00232, Sierra LeoneMinistry of Health and Sanitation, Fourth Floor, Youyi Building, Freetown 00232, Sierra LeoneUnited States Centers for Disease Control and Prevention Country Office, Emergency Operation Centre, Wilkinson Road, Freetown 00232, Sierra LeoneWorld Health Organization Country Office, 21 A-B Riverside Drive, Off Kingharman Road, Freetown 00232, Sierra LeoneMinistry of Health and Sanitation, Fourth Floor, Youyi Building, Freetown 00232, Sierra LeoneMinistry of Health and Sanitation, Fourth Floor, Youyi Building, Freetown 00232, Sierra LeoneMinistry of Defence, Republic of Sierra Leone Armed Forces, Freetown 00232, Sierra LeoneMinistry of Health and Sanitation, Fourth Floor, Youyi Building, Freetown 00232, Sierra LeoneDepartment of Global Health, University of Washington, Seattle, WA 98195, USAInternational Union against Tuberculosis and Lung Disease, 2 Rue Jean Lantier, 75001 Paris, FranceThe Special Program for Research and Training in Tropical Diseases (TDR), World Health Organization, Avenue Appia 20, 1211 Geneva, SwitzerlandImplementing infection prevention and control (IPC) programmes in line with the World Health Organization’s (WHO) eight core components has been challenging in Sierra Leone. In 2021, a baseline study found that IPC compliance in three tertiary hospitals was sub-optimal. We aimed to measure the change in IPC compliance and describe recommended actions at these hospitals in 2023. This was a ‘before and after’ observational study using two routine cross-sectional assessments of IPC compliance using the WHO IPC Assessment Framework tool. IPC compliance was graded as inadequate (0–200), basic (201–400), intermediate (401–600), and advanced (601–800). The overall compliance scores for each hospital showed an improvement from ‘Basic’ in 2021 to ‘Intermediate’ in 2023, with a percentage increase in scores of 16.9%, 18.7%, and 26.9% in these hospitals. There was improved compliance in all core components, with the majority in the ‘Intermediate’ level for each hospital IPC programme. Recommended actions including the training of healthcare workers and revision of IPC guidelines were undertaken, but a dedicated IPC budget and healthcare-associated infection surveillance remained as gaps in 2023. Operational research is valuable in monitoring and improving IPC programme implementation. To reach the ‘Advanced’ level, these hospitals should establish a dedicated IPC budget and develop long-term implementation plans.https://www.mdpi.com/2414-6366/8/7/378infection prevention and controlIPCAFoperational researchimpact assessmenttertiary hospitalsantimicrobial resistance |
| spellingShingle | Rugiatu Z. Kamara Ibrahim Franklyn Kamara Francis Moses Joseph Sam Kanu Christiana Kallon Mustapha Kabba Daphne B. Moffett Bobson Derrick Fofanah Senesie Margao Matilda N. Kamara Matilda Mattu Moiwo Satta S. T. K. Kpagoi Hannock M. Tweya Ajay M. V. Kumar Robert F. Terry Improvement in Infection Prevention and Control Compliance at the Three Tertiary Hospitals of Sierra Leone following an Operational Research Study Tropical Medicine and Infectious Disease infection prevention and control IPCAF operational research impact assessment tertiary hospitals antimicrobial resistance |
| title | Improvement in Infection Prevention and Control Compliance at the Three Tertiary Hospitals of Sierra Leone following an Operational Research Study |
| title_full | Improvement in Infection Prevention and Control Compliance at the Three Tertiary Hospitals of Sierra Leone following an Operational Research Study |
| title_fullStr | Improvement in Infection Prevention and Control Compliance at the Three Tertiary Hospitals of Sierra Leone following an Operational Research Study |
| title_full_unstemmed | Improvement in Infection Prevention and Control Compliance at the Three Tertiary Hospitals of Sierra Leone following an Operational Research Study |
| title_short | Improvement in Infection Prevention and Control Compliance at the Three Tertiary Hospitals of Sierra Leone following an Operational Research Study |
| title_sort | improvement in infection prevention and control compliance at the three tertiary hospitals of sierra leone following an operational research study |
| topic | infection prevention and control IPCAF operational research impact assessment tertiary hospitals antimicrobial resistance |
| url | https://www.mdpi.com/2414-6366/8/7/378 |
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