Infection prevention and control: Practice, uptake, and administrative control among primary health-care workers in enugu metropolis, Southeast Nigeria
Introduction: Administrative supervision of infection prevention and control (IPC) is the most important aspect of IPC/hazard controls. The practice, uptake, and compliance to IPC is a documented, cost-effective method of interrupting the infection transmission pathways. Poor or nonadherence to this...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | International Journal of Advanced Medical and Health Research |
| Subjects: | |
| Online Access: | http://www.ijamhrjournal.org/article.asp?issn=2349-4220;year=2022;volume=9;issue=1;spage=30;epage=37;aulast=Ochie |
| _version_ | 1811217717804400640 |
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| author | Casmir Ndubuisi Ochie Elias C Aniwada Chukwueloka K Uchegbu Thaddeus C Asogwa Chika N Onwasoigwe |
| author_facet | Casmir Ndubuisi Ochie Elias C Aniwada Chukwueloka K Uchegbu Thaddeus C Asogwa Chika N Onwasoigwe |
| author_sort | Casmir Ndubuisi Ochie |
| collection | DOAJ |
| description | Introduction: Administrative supervision of infection prevention and control (IPC) is the most important aspect of IPC/hazard controls. The practice, uptake, and compliance to IPC is a documented, cost-effective method of interrupting the infection transmission pathways. Poor or nonadherence to this has led to disabilities and loss of lives among health-care workers, especially in the face of emerging and re-emerging infections. The present study evaluated the practice of IPC as well as its uptake and administrative control among the primary health-care workers in Enugu metropolis, Southeast Nigeria. Methodology: This was an analytical cross-sectional study using semi-structured self-administered questionnaires and an observation checklist. Eligible health-care workers (HCWs) were selected using simple random sampling from ten primary health-care (PHC) facilities. Chi-square test was used to examine associations of interest. Binary logistic regression was employed to identify predictors of good IPC practices. Results: Three hundred eligible health-care workers participated in this study. More than a fifth (n = 65, 21.7%) of HCWs exhibited good practice of IPC measures. Correct practice of handwashing was noted among 275 (95.7%) respondents. Majority (n = 224, 74.7%) reported recapping of needles and engaged in unsanitary disposal of health-care wastes (n = 257, 85.7%). The prevalence of needlestick injuries 3 months prior to the study period was 53.3% (n = 160). Majority of those sampled reported a lack of IPC committee (n = 220, 73.3%), conspicuous signage to aid movement (n = 230, 76.7%), and an IPC policy (n = 217, 72.3%) in their respective centers. Identified predictors of good practice of IPC were age <40 years (adjusted odds ratios [AORs] 0.57; 95% confidence interval [CI] 0.38–0.57), being a community health extension worker or community health officer (AOR 3.76; 95% CI 1.56–9.03), and working for <20 years (AOR 5.10;95% CI 5.00-5.73). Conclusion: Poor practice of IPC and poor compliance to administrative control among PHC workers, in addition to lack of administrative facilities, remains a great challenge. There is an urgent need for capacity building on IPC and administrative support to reverse this trend. |
| first_indexed | 2024-04-12T07:00:37Z |
| format | Article |
| id | doaj.art-a33d4c5bfa724d5dae529e5b3072db1d |
| institution | Directory Open Access Journal |
| issn | 2349-4220 2350-0298 |
| language | English |
| last_indexed | 2024-04-12T07:00:37Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Advanced Medical and Health Research |
| spelling | doaj.art-a33d4c5bfa724d5dae529e5b3072db1d2022-12-22T03:43:02ZengWolters Kluwer Medknow PublicationsInternational Journal of Advanced Medical and Health Research2349-42202350-02982022-01-0191303710.4103/ijamr.ijamr_168_21Infection prevention and control: Practice, uptake, and administrative control among primary health-care workers in enugu metropolis, Southeast NigeriaCasmir Ndubuisi OchieElias C AniwadaChukwueloka K UchegbuThaddeus C AsogwaChika N OnwasoigweIntroduction: Administrative supervision of infection prevention and control (IPC) is the most important aspect of IPC/hazard controls. The practice, uptake, and compliance to IPC is a documented, cost-effective method of interrupting the infection transmission pathways. Poor or nonadherence to this has led to disabilities and loss of lives among health-care workers, especially in the face of emerging and re-emerging infections. The present study evaluated the practice of IPC as well as its uptake and administrative control among the primary health-care workers in Enugu metropolis, Southeast Nigeria. Methodology: This was an analytical cross-sectional study using semi-structured self-administered questionnaires and an observation checklist. Eligible health-care workers (HCWs) were selected using simple random sampling from ten primary health-care (PHC) facilities. Chi-square test was used to examine associations of interest. Binary logistic regression was employed to identify predictors of good IPC practices. Results: Three hundred eligible health-care workers participated in this study. More than a fifth (n = 65, 21.7%) of HCWs exhibited good practice of IPC measures. Correct practice of handwashing was noted among 275 (95.7%) respondents. Majority (n = 224, 74.7%) reported recapping of needles and engaged in unsanitary disposal of health-care wastes (n = 257, 85.7%). The prevalence of needlestick injuries 3 months prior to the study period was 53.3% (n = 160). Majority of those sampled reported a lack of IPC committee (n = 220, 73.3%), conspicuous signage to aid movement (n = 230, 76.7%), and an IPC policy (n = 217, 72.3%) in their respective centers. Identified predictors of good practice of IPC were age <40 years (adjusted odds ratios [AORs] 0.57; 95% confidence interval [CI] 0.38–0.57), being a community health extension worker or community health officer (AOR 3.76; 95% CI 1.56–9.03), and working for <20 years (AOR 5.10;95% CI 5.00-5.73). Conclusion: Poor practice of IPC and poor compliance to administrative control among PHC workers, in addition to lack of administrative facilities, remains a great challenge. There is an urgent need for capacity building on IPC and administrative support to reverse this trend.http://www.ijamhrjournal.org/article.asp?issn=2349-4220;year=2022;volume=9;issue=1;spage=30;epage=37;aulast=Ochieadministrative controlcomplianceinfection prevention and controlpracticeprimary health-care workers |
| spellingShingle | Casmir Ndubuisi Ochie Elias C Aniwada Chukwueloka K Uchegbu Thaddeus C Asogwa Chika N Onwasoigwe Infection prevention and control: Practice, uptake, and administrative control among primary health-care workers in enugu metropolis, Southeast Nigeria International Journal of Advanced Medical and Health Research administrative control compliance infection prevention and control practice primary health-care workers |
| title | Infection prevention and control: Practice, uptake, and administrative control among primary health-care workers in enugu metropolis, Southeast Nigeria |
| title_full | Infection prevention and control: Practice, uptake, and administrative control among primary health-care workers in enugu metropolis, Southeast Nigeria |
| title_fullStr | Infection prevention and control: Practice, uptake, and administrative control among primary health-care workers in enugu metropolis, Southeast Nigeria |
| title_full_unstemmed | Infection prevention and control: Practice, uptake, and administrative control among primary health-care workers in enugu metropolis, Southeast Nigeria |
| title_short | Infection prevention and control: Practice, uptake, and administrative control among primary health-care workers in enugu metropolis, Southeast Nigeria |
| title_sort | infection prevention and control practice uptake and administrative control among primary health care workers in enugu metropolis southeast nigeria |
| topic | administrative control compliance infection prevention and control practice primary health-care workers |
| url | http://www.ijamhrjournal.org/article.asp?issn=2349-4220;year=2022;volume=9;issue=1;spage=30;epage=37;aulast=Ochie |
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