Cargando…
Barriers and Opportunities for Sustainable Hand Hygiene Interventions in Rural Liberian Hospitals
Hand hygiene is central to hospital infection control. During the 2014–2016 West Africa Ebola virus disease epidemic in Liberia, gaps in hand hygiene infrastructure and health worker training contributed to hospital-based Ebola transmission. Hand hygiene interventions were undertaken post-Ebola, but...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8391939/ https://www.ncbi.nlm.nih.gov/pubmed/34444337 http://dx.doi.org/10.3390/ijerph18168588 |
_version_ | 1783743389839130624 |
---|---|
author | Tantum, Lucy K. Gilstad, John R. Bolay, Fatorma K. Horng, Lily M. Simpson, Alpha D. Letizia, Andrew G. Styczynski, Ashley R. Luby, Stephen P. Arthur, Ronan F. |
author_facet | Tantum, Lucy K. Gilstad, John R. Bolay, Fatorma K. Horng, Lily M. Simpson, Alpha D. Letizia, Andrew G. Styczynski, Ashley R. Luby, Stephen P. Arthur, Ronan F. |
author_sort | Tantum, Lucy K. |
collection | PubMed |
description | Hand hygiene is central to hospital infection control. During the 2014–2016 West Africa Ebola virus disease epidemic in Liberia, gaps in hand hygiene infrastructure and health worker training contributed to hospital-based Ebola transmission. Hand hygiene interventions were undertaken post-Ebola, but many improvements were not sustainable. This study characterizes barriers to, and facilitators of, hand hygiene in rural Liberian hospitals and evaluates readiness for sustainable, locally derived interventions to improve hand hygiene. Research enumerators collected data at all hospitals in Bong and Lofa counties, Liberia, in the period March–May 2020. Enumerators performed standardized spot checks of hand hygiene infrastructure and supplies, structured observations of hand hygiene behavior, and semi-structured key informant interviews for thematic analysis. During spot checks, hospital staff reported that handwashing container water was always available in 89% (n = 42) of hospital wards, piped running water in 23% (n = 11), and soap in 62% (n = 29). Enumerators observed 5% of wall-mounted hand sanitizer dispensers (n = 8) and 95% of pocket-size dispensers (n = 53) to be working. In interviews, hospital staff described willingness to purchase personal hand sanitizer dispensers when hospital-provided supplies were unavailable. Low-cost, sustainable interventions should address supply and infrastructure-related obstacles to hospital hand hygiene improvement. |
format | Online Article Text |
id | pubmed-8391939 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-83919392021-08-28 Barriers and Opportunities for Sustainable Hand Hygiene Interventions in Rural Liberian Hospitals Tantum, Lucy K. Gilstad, John R. Bolay, Fatorma K. Horng, Lily M. Simpson, Alpha D. Letizia, Andrew G. Styczynski, Ashley R. Luby, Stephen P. Arthur, Ronan F. Int J Environ Res Public Health Article Hand hygiene is central to hospital infection control. During the 2014–2016 West Africa Ebola virus disease epidemic in Liberia, gaps in hand hygiene infrastructure and health worker training contributed to hospital-based Ebola transmission. Hand hygiene interventions were undertaken post-Ebola, but many improvements were not sustainable. This study characterizes barriers to, and facilitators of, hand hygiene in rural Liberian hospitals and evaluates readiness for sustainable, locally derived interventions to improve hand hygiene. Research enumerators collected data at all hospitals in Bong and Lofa counties, Liberia, in the period March–May 2020. Enumerators performed standardized spot checks of hand hygiene infrastructure and supplies, structured observations of hand hygiene behavior, and semi-structured key informant interviews for thematic analysis. During spot checks, hospital staff reported that handwashing container water was always available in 89% (n = 42) of hospital wards, piped running water in 23% (n = 11), and soap in 62% (n = 29). Enumerators observed 5% of wall-mounted hand sanitizer dispensers (n = 8) and 95% of pocket-size dispensers (n = 53) to be working. In interviews, hospital staff described willingness to purchase personal hand sanitizer dispensers when hospital-provided supplies were unavailable. Low-cost, sustainable interventions should address supply and infrastructure-related obstacles to hospital hand hygiene improvement. MDPI 2021-08-14 /pmc/articles/PMC8391939/ /pubmed/34444337 http://dx.doi.org/10.3390/ijerph18168588 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Tantum, Lucy K. Gilstad, John R. Bolay, Fatorma K. Horng, Lily M. Simpson, Alpha D. Letizia, Andrew G. Styczynski, Ashley R. Luby, Stephen P. Arthur, Ronan F. Barriers and Opportunities for Sustainable Hand Hygiene Interventions in Rural Liberian Hospitals |
title | Barriers and Opportunities for Sustainable Hand Hygiene Interventions in Rural Liberian Hospitals |
title_full | Barriers and Opportunities for Sustainable Hand Hygiene Interventions in Rural Liberian Hospitals |
title_fullStr | Barriers and Opportunities for Sustainable Hand Hygiene Interventions in Rural Liberian Hospitals |
title_full_unstemmed | Barriers and Opportunities for Sustainable Hand Hygiene Interventions in Rural Liberian Hospitals |
title_short | Barriers and Opportunities for Sustainable Hand Hygiene Interventions in Rural Liberian Hospitals |
title_sort | barriers and opportunities for sustainable hand hygiene interventions in rural liberian hospitals |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8391939/ https://www.ncbi.nlm.nih.gov/pubmed/34444337 http://dx.doi.org/10.3390/ijerph18168588 |
work_keys_str_mv | AT tantumlucyk barriersandopportunitiesforsustainablehandhygieneinterventionsinruralliberianhospitals AT gilstadjohnr barriersandopportunitiesforsustainablehandhygieneinterventionsinruralliberianhospitals AT bolayfatormak barriersandopportunitiesforsustainablehandhygieneinterventionsinruralliberianhospitals AT hornglilym barriersandopportunitiesforsustainablehandhygieneinterventionsinruralliberianhospitals AT simpsonalphad barriersandopportunitiesforsustainablehandhygieneinterventionsinruralliberianhospitals AT letiziaandrewg barriersandopportunitiesforsustainablehandhygieneinterventionsinruralliberianhospitals AT styczynskiashleyr barriersandopportunitiesforsustainablehandhygieneinterventionsinruralliberianhospitals AT lubystephenp barriersandopportunitiesforsustainablehandhygieneinterventionsinruralliberianhospitals AT arthurronanf barriersandopportunitiesforsustainablehandhygieneinterventionsinruralliberianhospitals |