Health care workers compliance with infection prevention standards in Morogoro municipal urban health facilities

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University of Dar es Salaam
Infection prevention deals primarily with preventing the spread of infectious diseases through the air, blood, or body fluids, and contact; include faecal oral and blood borne. Compliance with infection prevention standards has been obligatory to prevent and control nosocomial and other infections in health care facilities and settings as well as the community. Healthcare workers are at risk of infections with blood borne viruses including HIV, HBV and HCV. Objective: The main objective was to determine the level of and the factors that contribute to low- compliance with infection prevention and control precautions by Health care workers in order to avoid infection from health care wastes at hospital settings Methodology: We conducted an analytical cross-section study in Morogoro Urban Municipality, during June - July 2006. Information on factors associated with non - compliance was obtained using a structured questionnaire with closed and open-ended - questions. A total of 286 healthcare workers aged 19-65 years were interviewed. Data obtained was categorized and analysed using Epi-info software 3.3.2. The results were summarized in tables and relationship between groups were assessed whether they were significant by using %2 test. Results: The results show that respondents were aware about the risks concerning health care environment (45%) but knowledge on the infection prevention precaution was low (11.3%) among Males and females (5.8%). Majority had low (48.6%) to moderate knowledge (30.1%) and few had high knowledge on IPC (13.6%). It was noted that compliance with infection prevention and control precautions was 51.4%. However, knowledge on infection prevention precautions and accessibility to information about risks at health care settings influenced compliance on IPC measures by healthcare workers. Intellectual support in preventive health education, prevention of infection practices and services to healthcare workers was one of the factors influencing compliance on IPC. Nearly 43.0% of the respondents perceived that capacity building of human resources for health on infection prevention standards could improve commitment to compliance Recommendations: In study recommends dual approach to merge knowledge on IPC and correct preventive practices among health care in order to improve compliance on IPC. The study recommends vaccination of Hepatitis B to all health care workers. However further studies have to be made to document healthcare workers behavior change and working climate satisfaction with infection prevention standards in building capacity for human resources for health and test their relationship with compliance.
Available in print form, East Africana Collection, Dr. Wilbert Chagula Library, Class mark ( THS EAF RA427.T43.M34)
Medical care, Infection, Prevention, Safety measures, Morogoro municipal
Mallya, C D (2006), Health care workers compliance with infection prevention standards in Morogoro municipal urban health facilities, Master dissertation, University of Dar es Salaam