Assessment of hand hygiene practices among nurses at a regional hospital in Kandahar, Afghanistan: A cross-sectional study based on the World Health Organization (WHO) ‘Your 5 Moments for Hand Hygiene’ guidelines
Background: Hand hygiene is a critical component of infection prevention and control (IPC) in healthcare settings, as emphasized by the World Health Organization (WHO). However, compliance with recommended hand hygiene practices remains suboptimal in many resource-limited settings, including Afghani...
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| Format: | Article |
| Language: | English |
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Belitung Raya Foundation
2025-01-01
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| Series: | Belitung Nursing Journal |
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| Online Access: | https://www.belitungraya.org/BRP/index.php/bnj/article/view/3460 |
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| author | Abdul Qadeer Baseer Asmatullah Usmani Shafiqullah Mushfiq Mohammad Hassan Hassand Bilal Ahmad Rahimi Abdul Wahid Monib Mohammad Salim Daqiq Parwiz Niazi |
| author_facet | Abdul Qadeer Baseer Asmatullah Usmani Shafiqullah Mushfiq Mohammad Hassan Hassand Bilal Ahmad Rahimi Abdul Wahid Monib Mohammad Salim Daqiq Parwiz Niazi |
| author_sort | Abdul Qadeer Baseer |
| collection | DOAJ |
| description | Background: Hand hygiene is a critical component of infection prevention and control (IPC) in healthcare settings, as emphasized by the World Health Organization (WHO). However, compliance with recommended hand hygiene practices remains suboptimal in many resource-limited settings, including Afghanistan. Despite its importance, limited research has been conducted on hand hygiene practices in Afghan healthcare facilities, highlighting the need for further investigation.
Objective: This study aimed to evaluate the self-reported hand hygiene practices of nurses at Mirwais Regional Hospital in Kandahar, Afghanistan.
Methods: A cross-sectional study was conducted among 141 nurses between August and October 2023. Self-reported hand hygiene compliance was assessed using WHO’s “Your 5 Moments for Hand Hygiene” framework. Data on demographic characteristics, training, and compliance rates were collected. Descriptive statistics and logistic regressions were applied to analyze the data using SPSS version 26.0.
Results: The study found that 73.1% of nurses demonstrated good hand hygiene practices, while 26.9% had non-good compliance. Female nurses showed significantly higher compliance (87.5%) than their male counterparts (68.8%) with a p-value of 0.044, AOR = 1.15 (95% CI: 1.03–9.75). Nurses with a bachelor’s degree had higher compliance (92.3%) compared to those with a diploma (59.4%) (p = 0.046, AOR = 2.1, 95% CI: 0.15–0.96). Nurses aged ≥30 years showed better compliance (96%) than those aged 20–29 years (75.3%) (p = 0.006, AOR = 2.1, 95% CI: 1.84–36.53). Hand hygiene training was positively associated with better compliance (88.3% vs. 61.9%, p = 0.004, AOR = 1.5, 95% CI: 0.07–0.6).
Conclusion: While overall compliance was relatively high, significant gaps persist, particularly among younger, less educated, and male nurses, as well as those in high-burden wards. Enhanced training programs, tailored strategies, and regular audits are essential for improving hand hygiene practices and strengthening infection prevention and control efforts, ultimately enhancing patient safety in resource-limited settings.
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| format | Article |
| id | doaj-art-fd0ee38a661445289e5c3866779812bc |
| institution | Kabale University |
| issn | 2477-4073 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Belitung Raya Foundation |
| record_format | Article |
| series | Belitung Nursing Journal |
| spelling | doaj-art-fd0ee38a661445289e5c3866779812bc2025-01-26T04:41:00ZengBelitung Raya FoundationBelitung Nursing Journal2477-40732025-01-0111110.33546/bnj.3460Assessment of hand hygiene practices among nurses at a regional hospital in Kandahar, Afghanistan: A cross-sectional study based on the World Health Organization (WHO) ‘Your 5 Moments for Hand Hygiene’ guidelinesAbdul Qadeer Baseer0Asmatullah Usmani1Shafiqullah Mushfiq2Mohammad Hassan Hassand3Bilal Ahmad Rahimi4Abdul Wahid Monib5Mohammad Salim Daqiq6Parwiz Niazi7Department of Biology, Faculty of Education, Kandahar University, Kandahar, AfghanistanDepartment of Biology, Faculty of Education, Kandahar University, Kandahar, AfghanistanDepartment of Biology, Faculty of Education, Kandahar University, Kandahar, AfghanistanDepartment of Biology, Faculty of Education, Kandahar University, Kandahar, AfghanistanDepartment of Pediatrics, Faculty of Medicine, Kandahar University, Kandahar, AfghanistanDepartment of Biology, Faculty of Education, Kandahar University, Kandahar, AfghanistanDepartment of Biology, Faculty of Education, Kandahar University, Kandahar, AfghanistanDepartment of Biology, Faculty of Education, Kandahar University, Kandahar, AfghanistanBackground: Hand hygiene is a critical component of infection prevention and control (IPC) in healthcare settings, as emphasized by the World Health Organization (WHO). However, compliance with recommended hand hygiene practices remains suboptimal in many resource-limited settings, including Afghanistan. Despite its importance, limited research has been conducted on hand hygiene practices in Afghan healthcare facilities, highlighting the need for further investigation. Objective: This study aimed to evaluate the self-reported hand hygiene practices of nurses at Mirwais Regional Hospital in Kandahar, Afghanistan. Methods: A cross-sectional study was conducted among 141 nurses between August and October 2023. Self-reported hand hygiene compliance was assessed using WHO’s “Your 5 Moments for Hand Hygiene” framework. Data on demographic characteristics, training, and compliance rates were collected. Descriptive statistics and logistic regressions were applied to analyze the data using SPSS version 26.0. Results: The study found that 73.1% of nurses demonstrated good hand hygiene practices, while 26.9% had non-good compliance. Female nurses showed significantly higher compliance (87.5%) than their male counterparts (68.8%) with a p-value of 0.044, AOR = 1.15 (95% CI: 1.03–9.75). Nurses with a bachelor’s degree had higher compliance (92.3%) compared to those with a diploma (59.4%) (p = 0.046, AOR = 2.1, 95% CI: 0.15–0.96). Nurses aged ≥30 years showed better compliance (96%) than those aged 20–29 years (75.3%) (p = 0.006, AOR = 2.1, 95% CI: 1.84–36.53). Hand hygiene training was positively associated with better compliance (88.3% vs. 61.9%, p = 0.004, AOR = 1.5, 95% CI: 0.07–0.6). Conclusion: While overall compliance was relatively high, significant gaps persist, particularly among younger, less educated, and male nurses, as well as those in high-burden wards. Enhanced training programs, tailored strategies, and regular audits are essential for improving hand hygiene practices and strengthening infection prevention and control efforts, ultimately enhancing patient safety in resource-limited settings. https://www.belitungraya.org/BRP/index.php/bnj/article/view/3460Afghanistanhand hygienenursesresource-limited settingshospitalsWorld Health Organization |
| spellingShingle | Abdul Qadeer Baseer Asmatullah Usmani Shafiqullah Mushfiq Mohammad Hassan Hassand Bilal Ahmad Rahimi Abdul Wahid Monib Mohammad Salim Daqiq Parwiz Niazi Assessment of hand hygiene practices among nurses at a regional hospital in Kandahar, Afghanistan: A cross-sectional study based on the World Health Organization (WHO) ‘Your 5 Moments for Hand Hygiene’ guidelines Belitung Nursing Journal Afghanistan hand hygiene nurses resource-limited settings hospitals World Health Organization |
| title | Assessment of hand hygiene practices among nurses at a regional hospital in Kandahar, Afghanistan: A cross-sectional study based on the World Health Organization (WHO) ‘Your 5 Moments for Hand Hygiene’ guidelines |
| title_full | Assessment of hand hygiene practices among nurses at a regional hospital in Kandahar, Afghanistan: A cross-sectional study based on the World Health Organization (WHO) ‘Your 5 Moments for Hand Hygiene’ guidelines |
| title_fullStr | Assessment of hand hygiene practices among nurses at a regional hospital in Kandahar, Afghanistan: A cross-sectional study based on the World Health Organization (WHO) ‘Your 5 Moments for Hand Hygiene’ guidelines |
| title_full_unstemmed | Assessment of hand hygiene practices among nurses at a regional hospital in Kandahar, Afghanistan: A cross-sectional study based on the World Health Organization (WHO) ‘Your 5 Moments for Hand Hygiene’ guidelines |
| title_short | Assessment of hand hygiene practices among nurses at a regional hospital in Kandahar, Afghanistan: A cross-sectional study based on the World Health Organization (WHO) ‘Your 5 Moments for Hand Hygiene’ guidelines |
| title_sort | assessment of hand hygiene practices among nurses at a regional hospital in kandahar afghanistan a cross sectional study based on the world health organization who your 5 moments for hand hygiene guidelines |
| topic | Afghanistan hand hygiene nurses resource-limited settings hospitals World Health Organization |
| url | https://www.belitungraya.org/BRP/index.php/bnj/article/view/3460 |
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