Hand hygiene compliance among healthcare workers in Ghana’s health care institutions: An observational study

Objective To assess hand hygiene compliance in selected primary hospitals in Ghana. Design A cross-sectional health facility-based observational study was conducted in primary health care facilities in five regions in Ghana. A total of 546 healthcare workers including doctors, nurses, midwives and l...

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Bibliographic Details
Published in:Journal of patient safety and risk management 2020-10, Vol.25 (5), p.177-186
Main Authors: Abuosi, Aaron Asibi, Akoriyea, Samuel Kaba, Ntow-Kummi, Gloria, Akanuwe, Joseph, Abor, Patience Aseweh, Daniels, Anita Anima, Alhassan, Robert Kaba
Format: Article
Language:English
Subjects:
Alcohol
Availability
Competence
Compliance
Health care
Hospitals
Hygiene
Medical personnel
Midwives
Nurses
Observational studies
Primary care
Washing
Workers
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Summary:Objective To assess hand hygiene compliance in selected primary hospitals in Ghana. Design A cross-sectional health facility-based observational study was conducted in primary health care facilities in five regions in Ghana. A total of 546 healthcare workers including doctors, nurses, midwives and laboratory personnel from 106 health facilities participated in the study. Main outcome measures The main outcome measures included availability of hand hygiene materials and alcohol job aids; compliance with moments of hand hygiene; and compliance with steps in hygienic hand washing. These were assessed using descriptive statistics. Results The mean availability of hand hygiene material and alcohol job aids was 75% and 71% respectively. This was described as moderately high, but less desirable. The mean hand hygiene compliance with moments of hand hygiene was 51%, which was also described asmoderately high, but less desirable. It was observed that, generally, hand hygiene was performed after procedures than before. However, the mean compliance with steps in hygienic hand washing was 86%, which was described as high and desirable. Conclusion Healthcare workers are generally competent in performance of hygienic hand washing. However, this does not seem to influence compliance with moments of hand hygiene. Efforts must therefore be made to translate the competence of healthcare workers in hygienic hand washing into willingness to comply with moments of hand hygiene, especially contact with patients.
ISSN:2516-0435
2516-0443
DOI:10.1177/2516043520958579