Assessment of Knowledge, Attitude And Practice of Health Care Workers on Infection Prevention in Health Institution Bahir Dar City Administration
Science Journal of Public Health
Volume 2, Issue 5, September 2014, Pages: 384-393
Received: Jun. 28, 2014;
Accepted: Jul. 18, 2014;
Published: Aug. 10, 2014
Views 5377 Downloads 1748
Kelemua Gulilat, Nursing Department Head, Bahir Dar health Science College, Bahir Dar city, Ethiopia
Gebeyaw Tiruneh, GAMBY College of Medical Sciences, Bahir Dar, Ethiopia
Infection in healthcare facilities is a major public health problem in most developing countries like Ethiopia. Currently the overall incidence of health care associated infection has been increased and burden of these infections is staggering. Thus, it is important to identify the level of health care workers knowledge, attitude and practice in study area and identifying gaps for better intervention. Objectives: The objective of this study was to assess the level of knowledge, attitude and practice of health care workers on infection prevention and associated factors in the health institution. Methods: Institution based cross sectional study was conducted in April, 2012 in health facilities found in Bahirdar city administration. Data were collected using pre tested questionnaire on 354 health care workers selected by simple random sampling technique. The study was supplemented by observation. Collected data were checked, coded and entered into EPI –Info version 3.5.2 and transferred to SPSS version 16 for analysis. Both bivariate and multiple logistic regression analysis was done. Variables had P-value less than 0.2 in bivariate analysis entered in to multiple logistic regressions to control confounders. Frequency, Mean and other statistics were calculated. P-value less than 0.05 were set as statistically significant. Result: Overall knowledge score of respondents were 84.5% and about 55.6% had positive attitude and 54.2% of respondents’ had safe infection prevention practice. Result of multiple logistic regression analysis showed that working in hospital (AOR= 2.54; 95%CI (1.12, 5.75)), working experience greater than10years (AOR= 3.79 (95% CI=2.33, 6.17)) and availability PPE (AOR= 6.79 (95% CI=2.83, 17.27)) had positive association with infection prevention. Conclusion: Though participants had better knowledge and positive attitude their practice of infection prevention was not optimum as per the national guide line. Therefore improving institutional supplies like hand hygiene material, PPE, water supply and TST may improve safe infection prevention practice.
Assessment of Knowledge, Attitude And Practice of Health Care Workers on Infection Prevention in Health Institution Bahir Dar City Administration, Science Journal of Public Health.
Vol. 2, No. 5,
2014, pp. 384-393.
World health organization. Definition of infection prevention available at http://www.google.com.tr/search.hl=tr&lr
Petal L. Infection prevention guide line. Infection prevention with limited resources: Chicago; 1997.
World Health organization. Infection control available at http/ www. Who.int/tropical / infection control/ en (21, 1- 2012)
World Health Organization. Western pacific region available at http//www.wpro.int-tropics/ infection control /general info .hti.
Federal Ministry of Health. Infection prevention and patient safety reference manual for health providers and managers in health care facilities 2010 p (92- 93)
World Health Organization. collaborating center for patient safety solution 2007, volume 1(9).
Nelson’s, Patrica W. Patient safety climate : variation in perceptions by infection preventionist and quality directors 2011 volume 2011
Sax H. MD Improving hand hygiene to prevent health care associated infections patient safety solutions. World health organization hand hygiene observation method /may .2007, volume 1(9)2-7
Salem T, Khalid U. Knowledge, attitude and practice of medical students regarding needle stick injuries. Health and medical students. 2010, 60(2)151-159..
European Commission. Health and Consumer protection directorate, public consultation on strategies for improving patient safety by prevention and control of health care associated infection patient safety
Najeeb N. Knowledge, attitude and practice of standard and transmission based precaution in tertiary and secondary health care setting of Maldives 2007 ( 41- 46)
An investigation of nurse’s knowledge, attitude and practice regarding disinfection available at http:// www.biomedcentral.com/1471-2334/11/148
. Katowa p, Mukwato, c.m.Ngoma. Compliance with infection prevention guidelines by health care workers. Medical journals of Zamibia.2007, 35(3)7-12
Pittet D. Improving adherence to hand hygiene practices. Emerging infectious diseases Geneva Switzerland 2001, 7(2)2-18
. Yuan L M, Dembry, B Higa. Perceptions of hand hygiene in china journal of Hospital infection 2009 volume 71 (2) 157-162.
Infection Control and Hospital Epidemiology 2008, volume 29 (1)
Azazh A, Diprete L, et al. Improvement of infection prevention compliance at Tikur ambesa hospital 2010 http://www.nichq.org/patient-safety-infection.htm/
Alikhawaja, Dr.R. Knowledge, attitude and practice towards routine skin preparation before an injection. World family medicine journal. 2010, 8(2)8-17
Wicker S, Jung J. Prevalence and prevention of needle stick injures among health care worker. German, 2007
.Nsebuga FM, Akola MS. Needle stick injuries among nurses.trop medinthealth.2005, 10(8)773-781
Naveen A, Na sheen N, Riffant m. Knowledge, attitude and practice of HCW regarding needle stick injury AGAKHAN University, journal of Pakistan medical association
Needle stick injury among nurses in sub-Saharan Africa journal of tropical medicine international health 2005, volume 10 (8), 773-82
Tadesse M, Tadesse T. Epidemiology of needle sticks injuries. Directory of continuing medical education courses.2007, 40(2)111-113
W/ geriale Y. Assessment of injection safety and associated factors in SNNP IN 2003
An investigation of nurse’s knowledge, attitude and practice regarding disinfection procedure in Italian hospital.
Damte M. Assessment of knowledge, attitude and practice of HCW on universal precaution in 2006
Surveys of Injection Safety and Safety of Phlebotomies, Lancet Procedures, Intravenous Injections and Infusions in Government Health Facilities in the Philippines. Available at http /wwwwpro.who.int/health topics in injection safety
Abash s, Ohimain E. Healthcare waste management in Nigeria: A case study. Journal of Public Health and Epidemiology March 2011, Vol. 3(3), pp. 99-110
Azage M, Kumie A. Healthcare waste generation and its management system: the Case of health centers in West Gojjam Zone, Amhara Region, Ethiopia. Ethiop. J. Health Dev. 2010; 24(2e at http://www.academicjournals.org/jphe