Knowledge, attitudes, and practices on infection prevention and control among healthcare workers in Rohingya refugee camp

IF 1.7 Q4 INFECTIOUS DISEASES

IJID regions Pub Date : 2025-09-07 DOI:10.1016/j.ijregi.2025.100750

Md. Atiar Rahman Mondol , Md. Monir Hossain Shimul , Sikder Masud Raihan , Saimum Arafat Pantho , Salamat Khandker

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Abstract

Objectives

The forcibly displaced Myanmar nationals (FDMN) camp in Cox’s Bazar, Bangladesh, is highly vulnerable to infectious disease outbreaks due to overcrowding and limited healthcare infrastructure. This study aimed to assess the knowledge, attitudes, and practices (KAP) related to infection prevention and control (IPC) among healthcare workers (HCWs) in the FDMN camp to identify gaps and inform targeted interventions.

Methods

A cross-sectional study was conducted between September 2023 and July 2024 among 401 HCWs employed in Primary Health Care Centers, Health Posts, Community Clinics, and Upazila Health Complexes within the FDMN camp. Respondents were randomly selected from the healthcare workforce list of the local civil surgeon’s office. Data were collected using a semi-structured, pretested questionnaire. The questionnaire covered sociodemographics and a KAP survey was developed based on the World Health Organization IPC protocol. Descriptive statistics, chi-square tests, and association analyses were performed using SPSS version 22, with significance set at P <0.05.

Results

Among 401 healthcare workers, 60.6% were female and 39.4% were male. Overall, 71.8% had good IPC knowledge, 64.4% showed positive attitudes, and 85.5% demonstrated good practices. Knowledge was significantly associated with age, experience, job station, and training (all P <0.01), while attitudes were influenced by experience and training (P <0.01). Practice was significantly associated with sex, experience, job station, and training (all P <0.01).

Conclusions

Healthcare workers in the FDMN camp showed good IPC knowledge and practices, though attitudes varied. Training significantly improved all KAP domains. Strengthening NGO-led training, supervision at PHCCs, and routine KAP monitoring is vital for sustainable infection control in refugee settings.

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罗兴亚难民营卫生保健工作者关于感染预防和控制的知识、态度和做法

孟加拉国考克斯巴扎尔被迫流离失所的缅甸国民（FDMN）营地由于过度拥挤和医疗基础设施有限，极易受到传染病爆发的影响。本研究旨在评估FDMN营地卫生保健工作者（HCWs）中与感染预防和控制（IPC）相关的知识、态度和实践（KAP），以确定差距并告知有针对性的干预措施。方法于2023年9月至2024年7月对FDMN营地内初级卫生保健中心、卫生站、社区诊所和Upazila卫生综合设施的401名卫生保健员进行横断面研究。受访者是从当地外科医生办公室的医疗保健人员名单中随机抽取的。数据收集使用半结构化，预先测试的问卷。调查问卷涉及社会人口统计，并根据世界卫生组织IPC协议制定了一项KAP调查。使用SPSS version 22进行描述性统计、卡方检验和关联分析，显著性设置为P <；0.05。结果401名医护人员中，女性占60.6%，男性占39.4%。总体而言，71.8%的人有良好的IPC知识，64.4%的人表现出积极的态度，85.5%的人表现出良好的做法。知识与年龄、经验、岗位、培训显著相关（P <0.01），态度受经验、培训影响（P <0.01）。实践与性别、经验、工作岗位、培训显著相关（P <0.01）。结论FDMN营区医护人员对IPC有较好的认识和实践，但态度各不相同。培训显著改善了所有KAP领域。加强非政府组织主导的培训、初级保健中心的监督和例行的KAP监测对于难民环境中的可持续感染控制至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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