Predictors of compliance with the ‘five key moments' for hand hygiene among healthcare providers in public healthcare settings in south-south Nigeria | ||||
| The Egyptian Journal of Community Medicine | ||||
| Article 8, Volume 40, Issue 2, April 2022, Page 148-155 PDF (371.45 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejcm.2021.72724.1165 | ||||
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| Author | ||||
Patrick Gold Oyibo  
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| Department of Community Medicine, Delta State University, Abraka, Nigeria | ||||
| Abstract | ||||
| Background: Despite the well-recognized role of hand hygiene in the prevention of healthcare associated infections, the rate of compliance with hand hygiene among healthcare providers remains poor in Nigeria. Objective: To assess the predictors of compliance with hand hygiene among healthcare providers in south-south Nigeria. Methods: A cross-sectional study design with prospective covert observation of compliance with hand hygiene was employed to assess the hand hygiene compliance among 565 healthcare providers. Data was collected using a self-administered semi-structured questionnaire and an observation checklist. Descriptive and inferential analyses of data collected were carried out using the IBM SPSS version 22 software. Results: The covertly observed and self-reported compliance rates were 18.6% and 16.9% respectively. The rates of compliance with hand hygiene observed for ‘after blood and body fluids exposure’ (50.7 %) and ‘before aseptic procedures’ (30.7%) were relatively higher than compliance rates observed for the other moments for hand hygiene. Adequate knowledge of hand hygiene (AOR = 2.70; 95% CI: 1.60 – 4.58), in-service training on IPC (AOR = 2.31; 95% CI: 1.45 – 3.67) and good perception of the risk of acquiring HCAIs (AOR = 1.69; 95% CI: 1.04 - 2.77) were predictors of compliance with hand hygiene. Conclusion: The study brings to the fore the low rates of covertly observed and self-reported compliance with hand hygiene among the study participants. There is a need for the management of the selected health facilities to stimulate and motivate healthcare providers to improve their compliance with hand hygiene. | ||||
| Keywords | ||||
| Keywords: Compliance; moments for hand hygiene; predictors; healthcare providers; south-south Nigeria | ||||
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