Factors influencing healthcare workers’ perceived compliance with infection prevention and control standards, North Bank East region, The Gambia, a cross-sectional study

Abstract Background This study evaluated Health Care Workers’ (HCWs) knowledge, attitude, perceived compliance, and potential influencing factors related to Infection Prevention and Control (IPC) standards in the North Bank East region of The Gambia. Method The study was an analytic cross-sectional...

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Main Authors: Sheriffo M.K. Darboe, Sandra A. Darfour-Oduro, Godsway Edem Kpene, Abou Kebbeh, Nuha Fofana, Manjally Ndow, Kawsu Sanyang, Dwomoh Duah, Alfred Edwin Yawson, Ernest Kenu, Harriet Affran Bonful
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Research Notes
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Online Access:https://doi.org/10.1186/s13104-025-07101-w
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author Sheriffo M.K. Darboe
Sandra A. Darfour-Oduro
Godsway Edem Kpene
Abou Kebbeh
Nuha Fofana
Manjally Ndow
Kawsu Sanyang
Dwomoh Duah
Alfred Edwin Yawson
Ernest Kenu
Harriet Affran Bonful
author_facet Sheriffo M.K. Darboe
Sandra A. Darfour-Oduro
Godsway Edem Kpene
Abou Kebbeh
Nuha Fofana
Manjally Ndow
Kawsu Sanyang
Dwomoh Duah
Alfred Edwin Yawson
Ernest Kenu
Harriet Affran Bonful
author_sort Sheriffo M.K. Darboe
collection DOAJ
description Abstract Background This study evaluated Health Care Workers’ (HCWs) knowledge, attitude, perceived compliance, and potential influencing factors related to Infection Prevention and Control (IPC) standards in the North Bank East region of The Gambia. Method The study was an analytic cross-sectional study, conducted in 2021 using a multistage sampling technique. Thirteen health facilities were sampled from the North Bank East Region of The Gambia. The sample size was calculated using the Cochrane formula, based on a healthcare worker population of 408, with a 95% confidence interval. Adjustments were made for a 10% non-response rate and a compliance level of 50%. A final sample size of 218 was used for the study. Descriptive statistics, chi-square, and logistic regression were done at a 95% confidence limit and an alpha level of 0.05. A p-value of 0.05 was considered statistically significant. Results Among the 218 healthcare workers, the majority demonstrated adequate knowledge (86.24%) and a positive attitude (78.4%) toward Infection Prevention and Control (IPC). About half (50.5%) of the HCWs did not comply with IPC standards. Good attitude of HCWs [aOR = 3.13, 95%CI: 1.17–8.41, p-value = 0.023], accessibility of Personal Protective Equipment [aOR = 2.34, 95%CI: 1.01–5.38; p-value = 0.046], and monitoring of IPC practice [aOR = 3.95, 95%CI: 1.84–8.45; p-value = < 0.001] were independently associated with HCWs perceived compliance with IPC standards. Conclusion Although 188 (86.24%) HCWs displayed adequate knowledge of IPC standards, perceived compliance remains insufficient in Gambian healthcare facilities. To address this, the Ministry of Health should prioritize educational campaigns, and regular training to reinforce HCW knowledge, ensure Personal Protective Equipment (PPE) accessibility, and implement ongoing IPC practice monitoring among healthcare workers.
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spelling doaj-art-c35447ea71f944ddaf233e48ba67374f2025-02-02T12:07:05ZengBMCBMC Research Notes1756-05002025-01-011811910.1186/s13104-025-07101-wFactors influencing healthcare workers’ perceived compliance with infection prevention and control standards, North Bank East region, The Gambia, a cross-sectional studySheriffo M.K. Darboe0Sandra A. Darfour-Oduro1Godsway Edem Kpene2Abou Kebbeh3Nuha Fofana4Manjally Ndow5Kawsu Sanyang6Dwomoh Duah7Alfred Edwin Yawson8Ernest Kenu9Harriet Affran Bonful10Field Epidemiology and Laboratory Training Program, University of GhanaDepartment of Public Health Studies, Elon UniversityDepartment of Epidemiology and Disease Control, School of Public Health, University of GhanaField Epidemiology and Laboratory Training Program, University of GhanaField Epidemiology and Laboratory Training Program, University of GhanaDepartment of Public and Environmental Health, School of Medicine and Allied Health Sciences, University of The GambiaField Epidemiology and Laboratory Training Program, University of GhanaDepartment of Biostatistics, School of Public Health, University of GhanaDepartment of Community Health, University of Ghana Medical SchoolField Epidemiology and Laboratory Training Program, University of GhanaDepartment of Epidemiology and Disease Control, School of Public Health, University of GhanaAbstract Background This study evaluated Health Care Workers’ (HCWs) knowledge, attitude, perceived compliance, and potential influencing factors related to Infection Prevention and Control (IPC) standards in the North Bank East region of The Gambia. Method The study was an analytic cross-sectional study, conducted in 2021 using a multistage sampling technique. Thirteen health facilities were sampled from the North Bank East Region of The Gambia. The sample size was calculated using the Cochrane formula, based on a healthcare worker population of 408, with a 95% confidence interval. Adjustments were made for a 10% non-response rate and a compliance level of 50%. A final sample size of 218 was used for the study. Descriptive statistics, chi-square, and logistic regression were done at a 95% confidence limit and an alpha level of 0.05. A p-value of 0.05 was considered statistically significant. Results Among the 218 healthcare workers, the majority demonstrated adequate knowledge (86.24%) and a positive attitude (78.4%) toward Infection Prevention and Control (IPC). About half (50.5%) of the HCWs did not comply with IPC standards. Good attitude of HCWs [aOR = 3.13, 95%CI: 1.17–8.41, p-value = 0.023], accessibility of Personal Protective Equipment [aOR = 2.34, 95%CI: 1.01–5.38; p-value = 0.046], and monitoring of IPC practice [aOR = 3.95, 95%CI: 1.84–8.45; p-value = < 0.001] were independently associated with HCWs perceived compliance with IPC standards. Conclusion Although 188 (86.24%) HCWs displayed adequate knowledge of IPC standards, perceived compliance remains insufficient in Gambian healthcare facilities. To address this, the Ministry of Health should prioritize educational campaigns, and regular training to reinforce HCW knowledge, ensure Personal Protective Equipment (PPE) accessibility, and implement ongoing IPC practice monitoring among healthcare workers.https://doi.org/10.1186/s13104-025-07101-wHealthcare workerKnowledgeComplianceHealthcare-associated infectionInfection prevention and control standardsThe Gambia
spellingShingle Sheriffo M.K. Darboe
Sandra A. Darfour-Oduro
Godsway Edem Kpene
Abou Kebbeh
Nuha Fofana
Manjally Ndow
Kawsu Sanyang
Dwomoh Duah
Alfred Edwin Yawson
Ernest Kenu
Harriet Affran Bonful
Factors influencing healthcare workers’ perceived compliance with infection prevention and control standards, North Bank East region, The Gambia, a cross-sectional study
BMC Research Notes
Healthcare worker
Knowledge
Compliance
Healthcare-associated infection
Infection prevention and control standards
The Gambia
title Factors influencing healthcare workers’ perceived compliance with infection prevention and control standards, North Bank East region, The Gambia, a cross-sectional study
title_full Factors influencing healthcare workers’ perceived compliance with infection prevention and control standards, North Bank East region, The Gambia, a cross-sectional study
title_fullStr Factors influencing healthcare workers’ perceived compliance with infection prevention and control standards, North Bank East region, The Gambia, a cross-sectional study
title_full_unstemmed Factors influencing healthcare workers’ perceived compliance with infection prevention and control standards, North Bank East region, The Gambia, a cross-sectional study
title_short Factors influencing healthcare workers’ perceived compliance with infection prevention and control standards, North Bank East region, The Gambia, a cross-sectional study
title_sort factors influencing healthcare workers perceived compliance with infection prevention and control standards north bank east region the gambia a cross sectional study
topic Healthcare worker
Knowledge
Compliance
Healthcare-associated infection
Infection prevention and control standards
The Gambia
url https://doi.org/10.1186/s13104-025-07101-w
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