Multimodal strategies to hand hygiene in Ghanaian hospitals: a cross-sectional study in the Eastern Region of Ghana
Background Hand hygiene (HH) is one of the core components of infection prevention and control and is critical for a high quality of care. Multimodal approaches are recommended to strengthen and drive HH systems in healthcare facilities (HCFs). We aimed to assess the extent of implementation of the...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-04-01
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| Series: | BMJ Public Health |
| Online Access: | https://bmjpublichealth.bmj.com/content/2/1/e000606.full |
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| author | Angela Ackon Sofonias Asrat Stephen Dajaan Dubik Winfred Ofosu Sally-Ann Ohene Kingsly E Amegah Ama Akyampomaa Owusu-Asare Akosua Takyiwa Kwakye Christiana Akufo Joyce Amponsah Hectoria Awekeya Leslie Vander Puije Jocelyn Asibey Seth Twum Francis Mensa Akwetey Portia Sam Hedidor George Kwesi |
| author_facet | Angela Ackon Sofonias Asrat Stephen Dajaan Dubik Winfred Ofosu Sally-Ann Ohene Kingsly E Amegah Ama Akyampomaa Owusu-Asare Akosua Takyiwa Kwakye Christiana Akufo Joyce Amponsah Hectoria Awekeya Leslie Vander Puije Jocelyn Asibey Seth Twum Francis Mensa Akwetey Portia Sam Hedidor George Kwesi |
| author_sort | Angela Ackon |
| collection | DOAJ |
| description | Background Hand hygiene (HH) is one of the core components of infection prevention and control and is critical for a high quality of care. Multimodal approaches are recommended to strengthen and drive HH systems in healthcare facilities (HCFs). We aimed to assess the extent of implementation of the WHO HH multimodal improvement strategy in HCFs in the Eastern Region of Ghana.Methods This study was a descriptive cross-sectional study involving 22 HCFs from 17 districts in the Eastern Region of Ghana. We collected data from 22 hospitals using the WHO Hand Hygiene Self-Assessment Framework (HHSAF). Data were analysed through descriptive statistics.Results The HHSAF median score denotes an intermediate HH implementation level (53.5%, IQR 48.8%–58.3%). Fourteen HCFs attained an intermediate level, five attained basic level, one attained advanced level and no facility exhibited inadequate HH implementation level. Evaluation and feedback had the highest score (64.3%, IQR 50%–71.4%), as ward-based audits for the availability of HH resources have become standard practice in many of the HCFs. Reminders in the workplace had the lowest score (33.3%, IQR 25.9%–37.0%), whereby less than half (46%) of the HCFs had posters explaining the indications for HH and the correct use of alcohol-based hand rubs. HH implementation level did not differ significantly among government (M=49.97, SD=12.30) and non-government (M=53.32, SD=18.73) facilities, (t (20)=−0.503, p=0.621).Conclusion Most HCFs had an intermediate HH implementation level. The provision of HH resources, including posters, HH rounds in patient care areas, introduction of HH corners, leadership, financial and organisational support are key elements for increased compliance with the WHO HH multimodal improvement strategy. |
| format | Article |
| id | doaj-art-31f17b3bc1b943c4880eef3ef2fccc3d |
| institution | Kabale University |
| issn | 2753-4294 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Public Health |
| spelling | doaj-art-31f17b3bc1b943c4880eef3ef2fccc3d2025-01-28T20:00:09ZengBMJ Publishing GroupBMJ Public Health2753-42942024-04-012110.1136/bmjph-2023-000606Multimodal strategies to hand hygiene in Ghanaian hospitals: a cross-sectional study in the Eastern Region of GhanaAngela Ackon0Sofonias Asrat1Stephen Dajaan Dubik2Winfred Ofosu3Sally-Ann Ohene4Kingsly E Amegah5Ama Akyampomaa Owusu-Asare6Akosua Takyiwa Kwakye7Christiana Akufo8Joyce Amponsah9Hectoria Awekeya10Leslie Vander Puije11Jocelyn Asibey12Seth Twum13Francis Mensa Akwetey14Portia Sam15Hedidor George Kwesi16World Health Organization Country Office Ghana, Accra, GhanaWorld Health Organization Country Office Ghana, Accra, GhanaSchool of Allied Health Sciences, University for Development Studies, Tamale, GhanaEastern Regional Health Directorate, Ghana Health Service, Accra, GhanaWorld Health Organization Country Office, Accra, GhanaDepartment of Data Science and Economic Policy, University of Cape Coast, Cape Coast, GhanaWorld Health Organization Country Office, Accra, GhanaWorld Health Organization Country Office, Accra, GhanaDepartment of Quality Assurance, Ghana Health Service, Accra, GhanaDepartment of Quality Assurance, Ghana Health Service, Accra, GhanaEastern Regional Health Directorate, Ghana Health Service, Accra, GhanaEastern Regional Health Directorate, Ghana Health Service, Accra, GhanaEastern Regional Health Directorate, Ghana Health Service, Accra, GhanaEastern Regional Health Directorate, Ghana Health Service, Accra, GhanaEastern Regional Health Directorate, Ghana Health Service, Accra, GhanaEastern Regional Health Directorate, Ghana Health Service, Accra, GhanaWorld Health Organization Country Office, Accra, GhanaBackground Hand hygiene (HH) is one of the core components of infection prevention and control and is critical for a high quality of care. Multimodal approaches are recommended to strengthen and drive HH systems in healthcare facilities (HCFs). We aimed to assess the extent of implementation of the WHO HH multimodal improvement strategy in HCFs in the Eastern Region of Ghana.Methods This study was a descriptive cross-sectional study involving 22 HCFs from 17 districts in the Eastern Region of Ghana. We collected data from 22 hospitals using the WHO Hand Hygiene Self-Assessment Framework (HHSAF). Data were analysed through descriptive statistics.Results The HHSAF median score denotes an intermediate HH implementation level (53.5%, IQR 48.8%–58.3%). Fourteen HCFs attained an intermediate level, five attained basic level, one attained advanced level and no facility exhibited inadequate HH implementation level. Evaluation and feedback had the highest score (64.3%, IQR 50%–71.4%), as ward-based audits for the availability of HH resources have become standard practice in many of the HCFs. Reminders in the workplace had the lowest score (33.3%, IQR 25.9%–37.0%), whereby less than half (46%) of the HCFs had posters explaining the indications for HH and the correct use of alcohol-based hand rubs. HH implementation level did not differ significantly among government (M=49.97, SD=12.30) and non-government (M=53.32, SD=18.73) facilities, (t (20)=−0.503, p=0.621).Conclusion Most HCFs had an intermediate HH implementation level. The provision of HH resources, including posters, HH rounds in patient care areas, introduction of HH corners, leadership, financial and organisational support are key elements for increased compliance with the WHO HH multimodal improvement strategy.https://bmjpublichealth.bmj.com/content/2/1/e000606.full |
| spellingShingle | Angela Ackon Sofonias Asrat Stephen Dajaan Dubik Winfred Ofosu Sally-Ann Ohene Kingsly E Amegah Ama Akyampomaa Owusu-Asare Akosua Takyiwa Kwakye Christiana Akufo Joyce Amponsah Hectoria Awekeya Leslie Vander Puije Jocelyn Asibey Seth Twum Francis Mensa Akwetey Portia Sam Hedidor George Kwesi Multimodal strategies to hand hygiene in Ghanaian hospitals: a cross-sectional study in the Eastern Region of Ghana BMJ Public Health |
| title | Multimodal strategies to hand hygiene in Ghanaian hospitals: a cross-sectional study in the Eastern Region of Ghana |
| title_full | Multimodal strategies to hand hygiene in Ghanaian hospitals: a cross-sectional study in the Eastern Region of Ghana |
| title_fullStr | Multimodal strategies to hand hygiene in Ghanaian hospitals: a cross-sectional study in the Eastern Region of Ghana |
| title_full_unstemmed | Multimodal strategies to hand hygiene in Ghanaian hospitals: a cross-sectional study in the Eastern Region of Ghana |
| title_short | Multimodal strategies to hand hygiene in Ghanaian hospitals: a cross-sectional study in the Eastern Region of Ghana |
| title_sort | multimodal strategies to hand hygiene in ghanaian hospitals a cross sectional study in the eastern region of ghana |
| url | https://bmjpublichealth.bmj.com/content/2/1/e000606.full |
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