Barriers to infection prevention and control implementation in selected healthcare facilities in Nigeria

IF 2.9 4区 医学 Q2 INFECTIOUS DISEASES Infectious diseases now Pub Date : 2024-02-22 DOI:10.1016/j.idnow.2024.104877
Rachael O.A. Falana , Oluwakemi C. Ogidan , Boluwaji R. Fajemilehin
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Abstract

Objective

While infection prevention and control are of paramount importance, up until recently an assessment of implementation challenges and performance gaps was lacking. This study explored the barriers to infection prevention and control implementation at selected healthcare facilities, the objective being to find ways to improve their programs.

Material and Method

A qualitative approach was applied. Purposive sampling was used to select thirty-three healthcare facilities in Ekiti State, Nigeria. They were globally assessed, and an Infection Prevention and Control team, represented by the Infection Prevention and Control referent in each of the selected facilities trained the participants. Data were collected using the Key Informant Interview Guide and analyzed by means of content and thematic analyses using Atlas.ti software.

Results

Inadequate infection prevention and control materials, poor waste management, non-compliance of patients with infection prevention and control protocols, and poor infrastructure were identified as major barriers to infection prevention and control implementation.

Conclusion

The study concluded that a number of identified factors hindering infection prevention and control implementation in healthcare facilities in Ekiti State needed to be addressed.

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尼日利亚部分医疗机构实施感染预防与控制的障碍。
目的:虽然感染预防和控制至关重要,但直到最近,仍缺乏对实施挑战和绩效差距的评估。本研究探讨了部分医疗机构在实施感染预防与控制时遇到的障碍,目的是找到改进其计划的方法:采用定性方法。研究采用了定性方法,在尼日利亚埃基蒂州选择了 33 家医疗机构进行有目的的抽样调查。对这些医疗机构进行了全面评估,并由每个选定医疗机构的感染预防与控制参考人员代表感染预防与控制小组对参与者进行了培训。使用《关键信息提供者访谈指南》收集数据,并使用 Atlas.ti 软件进行内容和主题分析:结果:感染预防和控制材料不足、废物管理不善、患者不遵守感染预防和控制规程以及基础设施落后被认为是实施感染预防和控制的主要障碍:研究得出结论,在埃基蒂州的医疗机构中,一些已确定的阻碍实施感染预防和控制的因素需要加以解决。
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来源期刊
Infectious diseases now
Infectious diseases now Medicine-Infectious Diseases
CiteScore
7.10
自引率
2.90%
发文量
116
审稿时长
40 days
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