Baseline Characteristics of a Cluster Randomized Controlled Trial Targeting Hand Hygiene in Primary Healthcare in Burkina Faso and Mali.

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health Pub Date : 2025-05-21 eCollection Date: 2025-01-01 DOI:10.3389/ijph.2025.1608406

Anaïs Galli, Mirko S Winkler, Jan Hattendorf, Max N D Friedrich, Issa Bagayogo, Aboubacar Ballo, Carola Bänziger, Hassane Dembélé, Mamadou Sory Keita, Maryna Peter, Alimata Ousséni Tall, Jürg Utzinger, Branwen Nia Owen

{"title":"Baseline Characteristics of a Cluster Randomized Controlled Trial Targeting Hand Hygiene in Primary Healthcare in Burkina Faso and Mali.","authors":"Anaïs Galli, Mirko S Winkler, Jan Hattendorf, Max N D Friedrich, Issa Bagayogo, Aboubacar Ballo, Carola Bänziger, Hassane Dembélé, Mamadou Sory Keita, Maryna Peter, Alimata Ousséni Tall, Jürg Utzinger, Branwen Nia Owen","doi":"10.3389/ijph.2025.1608406","DOIUrl":null,"url":null,"abstract":"Objectives: This study presents baseline characteristics of a cluster randomized controlled trial (cRCT) on hand hygiene in primary healthcare in Burkina Faso and Mali, addressing data gaps on hand hygiene practices in these settings.Methods: We implemented a two-arm cRCT in 48 primary healthcare facilities. Baseline data were collected (January-June 2023), followed by covariate-constrained randomization. We conducted covert hand hygiene observations, hand-rinse sampling for Escherichia coli detection, and a survey on behavioral factors among healthcare workers. The primary outcome is observed handwashing rate.Results: Baseline data included 309 healthcare workers. Trial arms were balanced in hand hygiene adherence, behavioral factors, and E. coli contamination. Hand hygiene adherence was low (12%). E. coli contamination was very high in Burkina Faso (76%) and considerable in Mali (23%). Participants had a high intention to wash their hands (93%) but only a quarter could name all moments for hand hygiene.Conclusion: Poor hand hygiene and E. coli contamination in our setting may heighten nosocomial infection risks. Interventions should address knowledge and build on high intentions to perform hand hygiene.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608406"},"PeriodicalIF":2.6000,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133522/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/ijph.2025.1608406","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives: This study presents baseline characteristics of a cluster randomized controlled trial (cRCT) on hand hygiene in primary healthcare in Burkina Faso and Mali, addressing data gaps on hand hygiene practices in these settings.

Methods: We implemented a two-arm cRCT in 48 primary healthcare facilities. Baseline data were collected (January-June 2023), followed by covariate-constrained randomization. We conducted covert hand hygiene observations, hand-rinse sampling for Escherichia coli detection, and a survey on behavioral factors among healthcare workers. The primary outcome is observed handwashing rate.

Results: Baseline data included 309 healthcare workers. Trial arms were balanced in hand hygiene adherence, behavioral factors, and E. coli contamination. Hand hygiene adherence was low (12%). E. coli contamination was very high in Burkina Faso (76%) and considerable in Mali (23%). Participants had a high intention to wash their hands (93%) but only a quarter could name all moments for hand hygiene.

Conclusion: Poor hand hygiene and E. coli contamination in our setting may heighten nosocomial infection risks. Interventions should address knowledge and build on high intentions to perform hand hygiene.

查看原文本刊更多论文

一项针对布基纳法索和马里初级卫生保健手卫生的聚类随机对照试验的基线特征

目的：本研究介绍了布基纳法索和马里初级卫生保健中手部卫生的聚类随机对照试验（cRCT）的基线特征，解决了这些环境中手部卫生实践的数据缺口。方法：我们在48个初级卫生保健机构中实施了一项双臂cRCT。收集基线数据（2023年1月至6月），然后进行协变量约束随机化。我们进行了隐蔽的手卫生观察，洗手液取样检测大肠杆菌，并调查了卫生保健工作者的行为因素。主要观察指标为洗手率。结果：基线数据包括309名医护人员。试验组在手卫生依从性、行为因素和大肠杆菌污染方面是平衡的。手卫生依从性低（12%）。大肠杆菌污染在布基纳法索非常高（76%），在马里相当高（23%）。参与者洗手的意愿很高（93%），但只有四分之一的人能说出所有需要洗手的时刻。结论：我院手卫生条件差和大肠杆菌污染可能增加院内感染风险。干预措施应涉及知识并建立在实施手卫生的高度意愿之上。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

2.20%

发文量

269

审稿时长

12 months

期刊介绍： The International Journal of Public Health publishes scientific articles relevant to global public health, from different countries and cultures, and assembles them into issues that raise awareness and understanding of public health problems and solutions. The Journal welcomes submissions of original research, critical and relevant reviews, methodological papers and manuscripts that emphasize theoretical content. IJPH sometimes publishes commentaries and opinions. Special issues highlight key areas of current research. The Editorial Board''s mission is to provide a thoughtful forum for contemporary issues and challenges in global public health research and practice.