Building capacity for point of care alcohol-based handrub (ABHR) and hand hygiene compliance among health care workers in the rural maternity and surgical units of a hospital in Cameroon

Nkwan Jacob Gobte, Lucyna Gozdzielewska*, Deepti KC, Buyiswa L. Sithole, Anna Vorndran, Kareena McAloney-Kocaman, Shaheen Mehtar, Lesley Price

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

Background
Hand hygiene (HH) is challenging in health care, but particularly in resource-limited settings due to a lack of training, resources, and infrastructure. This study aimed to evaluate the implementation of wall-mounted alcohol-based handrub (ABHR) at the point of care (POC) on HH compliance among health care workers in a Cameroon hospital.

Methods
It was a three-stage before and after study. The first stage involved baseline collection of ABHR utilization and HH compliance data. The second stage included the implementation of ABHR at the POC, supported by an implementation strategy involving HH training, monitoring and feedback, and HH champions. The third stage involved postimplementation data collection on ABHR use and HH compliance.

Results
5,214 HH opportunities were evaluated. HH compliance significantly increased from 33.3% (baseline) to 83.1% (implementation stage) (P < .001) and to 87.2% (postimplementation stage) (P < .001). Weekly ABHR usage increased significantly during implementation (5,670 ml), compared to baseline, (1242.5 ml, P = .001), and remained high in postimplementation (7,740 ml).

Conclusions
Continuous availability of ABHR at POC, supported by implementation strategy, significantly increased HH compliance and ABHR use. Learning from this study could be used to implement ABHR at POC in other facilities.
Original languageEnglish
Pages (from-to)274-279
Number of pages6
JournalAmerican Journal of Infection Control
Volume52
Issue number3
Early online date21 Sept 2023
DOIs
Publication statusPublished - Mar 2024

Keywords

  • hand hygiene
  • Alcohol-based handrub
  • Implementation
  • Compliance
  • Cameroon
  • Low resource setting
  • Hand sanitisers
  • Hand antisepsis

ASJC Scopus subject areas

  • Health Professions (miscellaneous)
  • Infectious Diseases
  • Public Health, Environmental and Occupational Health
  • Health Policy
  • Epidemiology

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