Predictors of pre-and post-care handwashing among community healthcare providers: a cross-sectional survey in Bangladeshi community clinics

IF 1.6 4区 环境科学与生态学 Q3 WATER RESOURCES
Kamrul Hsan, Mahfuza Mubarak, Tareq Rahman, Abu Bakkar Siddique, Mohammad Sohel Rahman, D. Gozal, Md. Marjad Mir Kameli, N. Awal, M. Hossain
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Abstract

Lack of proper handwashing by healthcare providers hands is the major vector for the spread of nosocomial pathogens in healthcare settings. A cross-sectional study was conducted among 128 community healthcare providers (CHCPs) in the Kurigram district of Bangladesh to investigate predictors of handwashing before and after clinical care encounters. Data were collected between November and December 2019 via a paper-and-pen based survey using a semi-structured questionnaire. CHCP's pre-care handwashing with soap/antiseptic hand cleaner was predicted by a higher level of education (COR = 7.16, 95% CI 2.39–21.40, p = 0.000 and COR = 9.58, 95% CI 3.28–27.92, p = 0.000, bachelors and masters, respectively), lengthier service (COR = 6.90, 95% CI 1.40–34.17, p = 0.015 and COR = 7.8, 95% CI 1.49–40.98, p = 0.015, 5–8 and >8 years, respectively), and presence of handwashing facility (COR = 4.48, 95% CI 1.34–14.95, p = 0.015). However, post-care handwashing was also associated with a higher level of education (COR = 13.36, 95% CI 1.54–115.63, p = 0.019, masters) and availability of soap (COR = 17.73, 95% CI 5.03–59.73, p = 0.000), as well as by male sex (COR = 3.14, 95% CI 1.01–9.79, p = 0.049). Implementation of an effective training program on hand hygiene in consort with improved access to handwashing stations and adequate supply of soap or antiseptic hand cleaner is required to improve both pre-and post-care clinical encounter handwashing practices among CHCPs.
社区卫生保健提供者护理前和护理后洗手的预测因素:孟加拉国社区诊所的横断面调查
医疗保健提供者缺乏正确的洗手是医院病原体在医疗保健环境中传播的主要媒介。一项横断面研究在孟加拉国库里格拉姆区的128名社区医疗服务提供者(CHCP)中进行,以调查临床护理前后洗手的预测因素。数据是在2019年11月至12月期间通过使用半结构化问卷的纸笔调查收集的。CHCP使用肥皂/消毒洗手液进行护理前洗手的受教育程度较高(COR=7.16,95%CI 2.39–21.40,p=0.000和COR=9.58,95%CI 3.28–27.92,p=0.000,分别为学士和硕士),服务时间较长(COR=6.90,95%CI 1.40–34.17,p=0.015和COR=7.8,95%CI 1.49–40.98,p=0.015,5-8和>8年),以及洗手设施的存在(COR=4.48,95%CI 1.34-14.95,p=0.015)。然而,护理后洗手也与较高的教育水平(COR=13.36,95%CI 1.54-115.63,p=0.019,硕士)和肥皂的可用性有关(COR=17.73,95%CI 5.03-59.73,p=0.000),以及男性(COR=3.14,95%CI 1.01-9.79,p=0.049)。需要实施有效的手部卫生培训计划,改善洗手站的使用情况,并提供足够的肥皂或消毒洗手液,以改善CHCP在护理前和护理后的临床洗手实践。
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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来源期刊
CiteScore
3.10
自引率
11.80%
发文量
58
审稿时长
16 weeks
期刊介绍: The Journal of Water, Sanitation and Hygiene for Development is a peer-reviewed journal devoted to the dissemination of high-quality information on the science, policy and practice of drinking-water supply, sanitation and hygiene at local, national and international levels.
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