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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?

Lakoh, S. and Firima, E. and Williams, C. E. E. and Conteh, S. K. and Jalloh, M. B. and Sheku, M. G. and Adekanmbi, O. and Sevalie, S. and Kamara, S. A. and Kamara, M. A. S. and Barrie, U. and Kamara, G. N. and Yi, L. and Guo, X. and Haffner, C. and Kamara, M. N. and Jiba, D. F. and Namanaga, E. S. and Maruta, A. and Kallon, C. and Kanu, J. S. and Deen, G. F. and Samai, M. and Okeibunor, J. C. and Russell, J. B. W.. (2021) 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? Trop Med Infect Dis, 6 (4). p. 204.

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Abstract

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.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Medicine (MED) > Clinical Research (Reither)
UniBasel Contributors:Firima, Emmanuel
Item Type:Article, refereed
Article Subtype:Research Article
ISSN:2414-6366 (Electronic)2414-6366 (Linking)
Note:Publication type according to Uni Basel Research Database: Journal article
Language:English
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Last Modified:20 Dec 2022 12:25
Deposited On:20 Dec 2022 12:25

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