Has Hand Hygiene Compliance in Two Tertiary Care Hospitals, Freetown, Sierra Leone, Improved in 2023 Following Operational Research in 2021?

Matilda Mattu Moiwo; Gladys Nanilla Kamara; Dauda Kamara; Ibrahim Franklyn Kamara; Stephen Sevalie; Zikan Koroma; Kadijatu Nabie Kamara; Matilda N. Kamara; Rugiatu Z. Kamara; Satta Sylvia T.K Kpagoi; Samuel Alie Konteh; Senesie Margao; Bobson Derrick Fofanah; Fawzi Thomas; Joseph Sam Kanu; Hannock M. Tweya; Hemant Deepak Shewade; Anthony David Harries

doi:10.20944/preprints202307.0082.v1

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preprints.org > public health and healthcare > public health and health services > doi: 10.20944/preprints202307.0082.v1

Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Has Hand Hygiene Compliance in Two Tertiary Care Hospitals, Freetown, Sierra Leone, Improved in 2023 Following Operational Research in 2021?

Matilda Mattu Moiwo

^* ,

Gladys Nanilla Kamara

Dauda Kamara

Ibrahim Franklyn Kamara

Stephen Sevalie

Zikan Koroma

Kadijatu Nabie Kamara

Matilda N. Kamara

Rugiatu Z. Kamara

Satta Sylvia T.K Kpagoi

Samuel Alie Konteh

Senesie Margao

Bobson Derrick Fofanah

Fawzi Thomas

Joseph Sam Kanu

Hannock M. Tweya

Hemant Deepak Shewade

Anthony David Harries

Version 1 : Received: 2 July 2023 / Approved: 3 July 2023 / Online: 4 July 2023 (03:21:35 CEST)

How to cite: Moiwo, M.M.; Kamara, G.N.; Kamara, D.; Kamara, I.F.; Sevalie, S.; Koroma, Z.; Kamara, K.N.; Kamara, M.N.; Kamara, R.Z.; Kpagoi, S.S.T.; Konteh, S.A.; Margao, S.; Fofanah, B.D.; Thomas, F.; Kanu, J.S.; Tweya, H.M.; Shewade, H.D.; Harries, A.D. Has Hand Hygiene Compliance in Two Tertiary Care Hospitals, Freetown, Sierra Leone, Improved in 2023 Following Operational Research in 2021?. Preprints 2023, 2023070082. https://doi.org/10.20944/preprints202307.0082.v1 Moiwo, M.M.; Kamara, G.N.; Kamara, D.; Kamara, I.F.; Sevalie, S.; Koroma, Z.; Kamara, K.N.; Kamara, M.N.; Kamara, R.Z.; Kpagoi, S.S.T.; Konteh, S.A.; Margao, S.; Fofanah, B.D.; Thomas, F.; Kanu, J.S.; Tweya, H.M.; Shewade, H.D.; Harries, A.D. Has Hand Hygiene Compliance in Two Tertiary Care Hospitals, Freetown, Sierra Leone, Improved in 2023 Following Operational Research in 2021?. Preprints 2023, 2023070082. https://doi.org/10.20944/preprints202307.0082.v1

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MDPI and ACS Style

Moiwo, M.M.; Kamara, G.N.; Kamara, D.; Kamara, I.F.; Sevalie, S.; Koroma, Z.; Kamara, K.N.; Kamara, M.N.; Kamara, R.Z.; Kpagoi, S.S.T.; Konteh, S.A.; Margao, S.; Fofanah, B.D.; Thomas, F.; Kanu, J.S.; Tweya, H.M.; Shewade, H.D.; Harries, A.D. Has Hand Hygiene Compliance in Two Tertiary Care Hospitals, Freetown, Sierra Leone, Improved in 2023 Following Operational Research in 2021?. Preprints 2023, 2023070082. https://doi.org/10.20944/preprints202307.0082.v1

APA Style

Moiwo, M.M., Kamara, G.N., Kamara, D., Kamara, I.F., Sevalie, S., Koroma, Z., Kamara, K.N., Kamara, M.N., Kamara, R.Z., Kpagoi, S.S.T., Konteh, S.A., Margao, S., Fofanah, B.D., Thomas, F., Kanu, J.S., Tweya, H.M., Shewade, H.D., & Harries, A.D. (2023). Has Hand Hygiene Compliance in Two Tertiary Care Hospitals, Freetown, Sierra Leone, Improved in 2023 Following Operational Research in 2021?. Preprints. https://doi.org/10.20944/preprints202307.0082.v1

Chicago/Turabian Style

Moiwo, M.M., Hemant Deepak Shewade and Anthony David Harries. 2023 "Has Hand Hygiene Compliance in Two Tertiary Care Hospitals, Freetown, Sierra Leone, Improved in 2023 Following Operational Research in 2021?" Preprints. https://doi.org/10.20944/preprints202307.0082.v1

Abstract

In 2021, an operational research study in two tertiary hospitals, Freetown, showed poor hand hygiene compliance. Recommended actions were taken to improve the situation. Between February-April 2023, a cross-sectional study was conducted in the same two hospitals using the WHO Hand Hygiene tool to assess hand hygiene practices and compare hand hygiene compliance with that observed between June-August 2021. In Connaught hospital, overall hand hygiene compliance improved from 51% to 60% (P<0.001), and this applied to both handwash actions with soap and water and alcohol-based-hand-rub: significant improvements were found in all hospital departments and amongst all healthcare worker cadres. In 34 Military Hospital (34MH), overall hand hygiene compliance decreased from 40% to 32% (P<0.001), with significant decreases observed in all departments and amongst nurses and nursing students. The improvements in Connaught Hospital were attributed to more hand hygiene reminders, better handwash infrastructure and more frequent supervision assessments compared with 34MH where interventions were less well applied, possibly due to extensive hospital reconstruction at the time. In conclusion, improved distribution of hand hygiene reminders, better handwash infrastructure and frequent supervision assessments are effective, and need to be strengthened, scaled-up and combined with other innovative ways to promote good hand hygiene practices.

Keywords

hand hygiene opportunities; alcohol-based hand rub; hand wash with soap and water; WHO hand hygiene observation tool; SORT IT; operational research; antimicrobial resistance; infection prevention and control (IPC); hospital acquired infections; gloves

Subject

Public Health and Healthcare, Public Health and Health Services

Copyright: This 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.

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