An Intra-COVID-19 Assessment of Hand Hygiene Facility, Policy and Staff Compliance in Two Hospitals in Sierra Leone: Is There a Difference between Regional and Capital City Hospitals?

文献类型： 外文期刊

第一作者： Lakoh, Sulaiman

作者： Lakoh, Sulaiman;Jalloh, Mohamed Boie;Sevalie, Stephen;Kamara, Matilda N.;Kanu, Joseph Sam;Deen, Gibrilla F.;Samai, Mohamed;Okeibunor, Joseph Chukwudi;Russell, James B. W.;Lakoh, Sulaiman;Williams, Christine Ellen Elleanor;Conteh, Sarah K.;Sheku, Mohamed Gbeshay;Haffner, Chukwuemeka;Jiba, Darlinda F.;Namanaga, Enanga Sonia;Kallon, Christiana;Kanu, Joseph Sam;Deen, Gibrilla F.;Samai, Mohamed;Russell, James B. W.;Firima, Emmanuel;Firima, Emmanuel;Firima, Emmanuel;Jalloh, Mohamed Boie;Sevalie, Stephen;Kamara, Sylvia Adama;Kamara, Mohamed Akmed Salim;Kamara, Gladys Nanilla;Adekanmbi, Olukemi;Adekanmbi, Olukemi;Barrie, Umu;Yi, Le;Guo, Xuejun;Maruta, Anna;Okeibunor, Joseph Chukwudi

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关键词： hand hygiene; hand washing; alcohol-based hand rub; compliance; Sierra Leone

期刊名称：TROPICAL MEDICINE AND INFECTIOUS DISEASE （ 影响因子：3.711； 五年影响因子：3.659 ）

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年卷期： 2021 年 6 卷 4 期

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收录情况： SCI

摘要： Although hand hygiene (HH) is the most effective intervention to reduce the spread of infections, there are limited data on HH facilities, policy, and compliance in sub-Saharan Africa. This cross-sectional study is aimed at assessing HH using the WHO HH self-assessment framework, HH technical reference manual, and a modified infection control self-assessment tool in two hospitals in Sierra Leone. Only 10% and 9% of regional and capital city hospitals had running tap water, respectively. Veronica buckets were the resources for HH in 89% of units in the regional hospital and 92% of units in capital city hospital. Constant supply of soap and alcohol-based hand rub was available in 82% and 68%; and 74% and 79% of units in the capital city and regional hospitals, respectively. Only 10% of the units in both hospitals had hand-drying facilities and functional sinks. Overall HH compliance for the two hospitals was 18.6% and was higher in the regional (20.8%) than the capital city (17.0%) hospitals. The HH levels for the capital city and regional hospitals were 277.5 and 262.5 respectively. Despite the COVID-19 pandemic, there are still challenges with HH compliance in Sierra Leone. It is, therefore, necessary to strengthen the HH multi-modal strategy.

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