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2022-06Zeitschriftenartikel
Is the World Health Organization Multimodal Hand Hygiene Improvement Strategy applicable and effective at the primary care level in resource-limited settings? A quantitative assessment in healthcare centers of Faranah, Guinea
dc.contributor.authorMüller, Sophie Alice
dc.contributor.authorLandsmann, Lena
dc.contributor.authorDiallo, Alpha Oumar Karim
dc.contributor.authorWood, Rebekah
dc.contributor.authorRocha, Carlos
dc.contributor.authorTounkara, Ousmane
dc.contributor.authorArvand, Mardjan
dc.contributor.authorDiallo, Mamadou
dc.contributor.authorBorchert, Matthias
dc.date.accessioned2024-09-10T09:06:34Z
dc.date.available2024-09-10T09:06:34Z
dc.date.issued2022-06none
dc.identifier.other10.1016/j.ijregi.2022.03.002
dc.identifier.urihttp://edoc.rki.de/176904/12123
dc.description.abstractBackground The World Health Organization Multimodal Hand Hygiene Improvement Strategy aims at reducing healthcare-associated infections; however, evidence of applicability and effectiveness at the primary care level is scarce, especially in healthcare centers in resource-limited settings. The objectives of this study were to improve hand hygiene knowledge and compliance at two healthcare centers in the region of Faranah, Guinea, to increase the availability of alcohol-based hand rub (ABHR), and to assess the effectiveness of the strategy at the primary care level. Methods Knowledge, perceptions, and compliance were assessed prior to the intervention and compared to those of two follow-up assessments, immediately and 6 months after the intervention. The intervention consisted of training and the supply of ABHR. The monthly consumption of ABHR was monitored. Results Baseline knowledge increased from a score of 11/25 at baseline to 16/25 at first follow-up; it then decreased to 15/25 at the second follow-up. Compliance showed an increase from 15.6% to 84.4% (P < 0.001) at the first follow-up. At the second follow-up, compliance was lower than at the first follow-up (53.2%, P < 0.001), but still more than two times higher than at baseline (P < 0.001). ABHR consumption averaged 0.77 ml per consultation. Conclusions The World Health Organization hand hygiene strategy is an appropriate method to improve compliance and knowledge at the primary care level, but needs some adjustment: the inclusion of observation of the correctness of hand hygiene action, as well as training emphasizing the amount of ABHR to useeng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY-NC-ND 3.0 DE) Namensnennung - Nicht-kommerziell - Keine Bearbeitung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/de/
dc.subjecthand hygieneeng
dc.subject5 moments of hand hygieneeng
dc.subjecthealthcare- associated infectionseng
dc.subjectlocal disinfectant productioneng
dc.subjectalcohol-based hand rubeng
dc.subjecthealthcare centerseng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleIs the World Health Organization Multimodal Hand Hygiene Improvement Strategy applicable and effective at the primary care level in resource-limited settings? A quantitative assessment in healthcare centers of Faranah, Guineanone
dc.typearticle
dc.identifier.urnurn:nbn:de:0257-176904/12123-2
dc.type.versionpublishedVersionnone
local.edoc.container-titleIJID Regionsnone
local.edoc.container-issn2772-7076none
local.edoc.pages7none
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://www.sciencedirect.com/journal/ijid-regionsnone
local.edoc.container-publisher-nameElseviernone
local.edoc.container-volume3none
local.edoc.container-reportyear2022none
local.edoc.container-firstpage27none
local.edoc.container-lastpage33none
dc.description.versionPeer Reviewednone

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