Knowledge Gap and Poor Satisfaction as Barriers to Hand Hygiene in a Teaching Hospital in South-South Nigeria
Central African Journal of Public Health
Volume 5, Issue 3, June 2019, Pages: 109-112
Received: Feb. 7, 2019; Accepted: Mar. 12, 2019; Published: Apr. 2, 2019
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Agantem Emmanuel Ekuma, Department of Medical Microbiology and Parasitology, University of Uyo, Uyo, Nigeria; Department of Medical Microbiology and Parasitology, University of Uyo Teaching Hospital, Uyo, Nigeria
Olugbemi Oluseyi Motilewa, Department of Community Health, University of Uyo and University of Uyo Teaching Hospital, Uyo, Nigeria
Nsini Faith Isong, Department of Medical Microbiology and Parasitology, University of Uyo Teaching Hospital, Uyo, Nigeria
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Health care associated infection remains a global problem and hand hygiene has been identified as an effective strategy for its control. Adherence to hand hygiene among healthcare workers, however, is low across the world. The aim of this study was to determine the level of knowledge of hand hygiene among healthcare workers and identify reasons for poor hand hygiene practice in our hospital. A 19-point questionnaire was administered to available health workers in February 2018 to assess availability of hand hygiene materials, frequency of performing hand hygiene, satisfaction with hand hygiene materials, and knowledge of infection transmission dynamics, efficacy and proper use of hand hygiene methods. Eighty-five healthcare workers participated in this study. Mean knowledge score of participants was 37.87 ± 13.45. Most participants reported performing hand hygiene up to 90% of the time and there were high rates of dissatisfaction among participants with hand hygiene products and their availability. This study shows that there is poor knowledge of some aspects of hand hygiene among healthcare workers in our hospital and there is general dissatisfaction with current hand hygiene products.
Hand Hygiene, Knowledge, Satisfaction, Nigeria
To cite this article
Agantem Emmanuel Ekuma, Olugbemi Oluseyi Motilewa, Nsini Faith Isong, Knowledge Gap and Poor Satisfaction as Barriers to Hand Hygiene in a Teaching Hospital in South-South Nigeria, Central African Journal of Public Health. Vol. 5, No. 3, 2019, pp. 109-112. doi: 10.11648/j.cajph.20190503.12
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This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Shimazaki Y. Hand hygiene. In: Infection preventive on facility for the elderly. Aichi: Nissokenz; 2005. p. 16–21.
Centers for Disease Control and Prevention. Guideline for Hand Hygiene in Health-Care Settings: Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Morb Mortal Wkly Rep. 2002; 51(RR-16):1.
Trampuz A, Widmer AF. Hand Hygiene: A frequently missed lifesaving opportunity during patient care. Mayo Clin Proc. 2004; 79:109–16.
Daniels IR, Rees BI. Handwashing: simple, but effective. Ann R Coll Surg Engl. 1999; 81:117–8.
Nejad SB, Allegranzi B, Syed SB, Ellis B, Pittet D. Health-care-associated infection in Africa: a systematic review. Bull World Health Organ. 2011; 89:757–65.
World Health Organization. Report on the Burden of Endemic Health Care-Associated Infection Worldwide. 2011.
Nabavi M, Alavi-Moghaddam M, Gachkar L, Moeinian M. Knowledge, Attitudes, and Practices Study on Hand Hygiene Among Imam Hossein Hospital’s Residents in 2013. Iran Red Crescent Med J. 2015; 17(10): e19606.
Pittet D, Mourouga P, Pemeger T V. Compliance with hand washing in a teaching hospital infection control programme. Ann Intern Med. 1999; 130:126–30.
Tobin EA, Asogun D, Odia I, Ehidiamen G. Knowledge and practice of infection control among health workers in a tertiary hospital in Edo state, Nigeria. Direct Res J Heal Pharmacol. 2013; 1(2):20–7.
Ekwere TA, Okafor IP. Hand hygiene knowledge and practices among healthcare providers in a tertiary hospital, South West Nigeria. Int J Infect Control. 2003; 9(i14):1–10.
Zakeri H, Ahmadi F, Rafeemanesh E, Saleh LA. The knowledge of hand hygiene among the healthcare workers of two teaching hospitals in Mashhad. Electron Physician. 2017; 9(8):5159–65.
Siegel JD, Rhinehart E, Jackson M, Chiarello L, The Healthcare Infection Control Practices Advisory Committee. 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. 2007.
Lee SS, Park SJ, Chung MJ, Lee JH, Kang HJ, Lee J, et al. Improved Hand Hygiene Compliance is Associated with the Change of Perception toward Hand Hygiene among Medical Personnel. Infect Chemother. 2014; 46(3):165–71.
Anderson MEC, Weese JS. Self-reported hand hygiene perceptions and barriers among companion animal veterinary clinic personnel in Ontario, Canada. Can Vet J. 2016; 57:282–8.
Moro ML, Morsillo F, Nascetti S, Parenti M, Allegranzi B, Pompa MG, et al. Determinants of success and sustainability of the WHO multimodal hand hygiene promotion campaign, Italy, 2007–2008 and 2014. Euro Surveill. 2017; 22(23):30546.
Pittet D. Improving compliance with hand hygiene in hospitals. Infect Control Hosp Epidemiol. 2000; 21:381–6.
Scheithauer S, Kamerseder V, Petersen P, Brokmann JC, Mach C, Schulze-röbbecke R, et al. Improving hand hygiene compliance in the emergency department: getting to the point. BMC Infect Dis. 2013; 13:367.
Teker B, Ogutlu A, Gozdas HT, Ruayercan S, Hacialioglu G, Karabay O. Factors Affecting Hand Hygiene Adherence at a Private Hospital in Turkey. Eurasian J Med. 2015; 47:208–12.
Fitzpatrick KR, Pantle AC, Mclaws M, Hughes CF, Medical T. Culture change for hand hygiene: Clean hands save lives, Part II. Med J Aust. 2009; 191(8): s13-17.
Squires JE, Suh KN, Linklater S, Bruce N, Gartke K, Graham ID, et al. Improving physician hand hygiene compliance using behavioural theories: a study protocol. Implement Sci [Internet]. Implementation Science; 2013; 8(1):16. Available from: Implementation Science.
Kama-Kieghe S. Local Production of Alcohol Based Hand Rubs (ABHR) in Nigeria – The Way of the Future? [Internet]. Infection 2018 [cited 2018 Nov 19]. p. 1–5. Available from:
McInnes E, Phillips R, Middleton S, Gould D. A qualitative study of senior hospital managers’ views on current and innovative strategies to improve hand hygiene. BMC Infect Dis. 2014; 14:611.
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