The evaluation of a multimodal hand hygiene improvement strategy in Cambodian hospitals

  • Bomi An College of Nursing, Ewha Womans University, Seoul, Republic of Korea
  • Sook Ja Yang College of Nursing, Ewha Womans University, Seoul, Republic of Korea
Keywords: hand hygiene, hand washing, healthcare-associated infection, infection control

Abstract

Introduction: Hand hygiene is the most effective method of preventing healthcare-associated infections. Healthcare-associated infections are considered serious in developing countries, and there are few reports on the hand-hygiene status of these countries. Thus, we evaluated hand-hygiene status in eight hospitals in Cambodia to understand and identify factors hindering effective infection control.

Methodology: Eight infection-management instructors working in one of the eight Cambodian government hospitals in a large city were interviewed with the WHO Hand Hygiene Self-Assessment Framework.

Results: The mean Hand Hygiene Self-Assessment Framework score across the eight hospitals was 177.81 ± 56.73. The overall level of compliance with the multimodal hand hygiene improvement strategy across these eight hospitals was basic-two hospitals scored inadequate and six hospitals scored basic. The scores for the 5 factors of the Hand Hygiene Self-Assessment Framework were as follows: 45.63 ± 15.45 for system change, 33.13 ± 16.89 for education and training, 27.81 ± 21.65 for evaluation and feedback, 58.13 ± 5.30 for reminders in the workplace, and 13.13 ± 11.00 for institutional safety climate for hand hygiene

Conclusions: The promotion of hand hygiene compliance requires the establishment of a basic infrastructure, reinforcement of the hand hygiene education system, and provision of diverse educational materials, as well as the fostering of a professional workforce for education. Hospitals should also bolster their management systems for hand hygiene compliance.

Published
2020-09-30
How to Cite
1.
An B, Yang SJ (2020) The evaluation of a multimodal hand hygiene improvement strategy in Cambodian hospitals. J Infect Dev Ctries 14:1047-1053. doi: 10.3855/jidc.13090
Section
Original Articles