Kamrul Hsan, Mahfuza Mubarak, Tareq Rahman, Abu Bakkar Siddique, Mohammad Sohel Rahman, D. Gozal, Md. Marjad Mir Kameli, N. Awal, M. Hossain
{"title":"社区卫生保健提供者护理前和护理后洗手的预测因素:孟加拉国社区诊所的横断面调查","authors":"Kamrul Hsan, Mahfuza Mubarak, Tareq Rahman, Abu Bakkar Siddique, Mohammad Sohel Rahman, D. Gozal, Md. Marjad Mir Kameli, N. Awal, M. Hossain","doi":"10.2166/washdev.2023.192","DOIUrl":null,"url":null,"abstract":"\n Lack of proper handwashing by healthcare providers hands is the major vector for the spread of nosocomial pathogens in healthcare settings. A cross-sectional study was conducted among 128 community healthcare providers (CHCPs) in the Kurigram district of Bangladesh to investigate predictors of handwashing before and after clinical care encounters. Data were collected between November and December 2019 via a paper-and-pen based survey using a semi-structured questionnaire. CHCP's pre-care handwashing with soap/antiseptic hand cleaner was predicted by a higher level of education (COR = 7.16, 95% CI 2.39–21.40, p = 0.000 and COR = 9.58, 95% CI 3.28–27.92, p = 0.000, bachelors and masters, respectively), lengthier service (COR = 6.90, 95% CI 1.40–34.17, p = 0.015 and COR = 7.8, 95% CI 1.49–40.98, p = 0.015, 5–8 and >8 years, respectively), and presence of handwashing facility (COR = 4.48, 95% CI 1.34–14.95, p = 0.015). However, post-care handwashing was also associated with a higher level of education (COR = 13.36, 95% CI 1.54–115.63, p = 0.019, masters) and availability of soap (COR = 17.73, 95% CI 5.03–59.73, p = 0.000), as well as by male sex (COR = 3.14, 95% CI 1.01–9.79, p = 0.049). Implementation of an effective training program on hand hygiene in consort with improved access to handwashing stations and adequate supply of soap or antiseptic hand cleaner is required to improve both pre-and post-care clinical encounter handwashing practices among CHCPs.","PeriodicalId":48893,"journal":{"name":"Journal of Water Sanitation and Hygiene for Development","volume":" ","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Predictors of pre-and post-care handwashing among community healthcare providers: a cross-sectional survey in Bangladeshi community clinics\",\"authors\":\"Kamrul Hsan, Mahfuza Mubarak, Tareq Rahman, Abu Bakkar Siddique, Mohammad Sohel Rahman, D. Gozal, Md. Marjad Mir Kameli, N. Awal, M. Hossain\",\"doi\":\"10.2166/washdev.2023.192\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"\\n Lack of proper handwashing by healthcare providers hands is the major vector for the spread of nosocomial pathogens in healthcare settings. A cross-sectional study was conducted among 128 community healthcare providers (CHCPs) in the Kurigram district of Bangladesh to investigate predictors of handwashing before and after clinical care encounters. Data were collected between November and December 2019 via a paper-and-pen based survey using a semi-structured questionnaire. CHCP's pre-care handwashing with soap/antiseptic hand cleaner was predicted by a higher level of education (COR = 7.16, 95% CI 2.39–21.40, p = 0.000 and COR = 9.58, 95% CI 3.28–27.92, p = 0.000, bachelors and masters, respectively), lengthier service (COR = 6.90, 95% CI 1.40–34.17, p = 0.015 and COR = 7.8, 95% CI 1.49–40.98, p = 0.015, 5–8 and >8 years, respectively), and presence of handwashing facility (COR = 4.48, 95% CI 1.34–14.95, p = 0.015). However, post-care handwashing was also associated with a higher level of education (COR = 13.36, 95% CI 1.54–115.63, p = 0.019, masters) and availability of soap (COR = 17.73, 95% CI 5.03–59.73, p = 0.000), as well as by male sex (COR = 3.14, 95% CI 1.01–9.79, p = 0.049). Implementation of an effective training program on hand hygiene in consort with improved access to handwashing stations and adequate supply of soap or antiseptic hand cleaner is required to improve both pre-and post-care clinical encounter handwashing practices among CHCPs.\",\"PeriodicalId\":48893,\"journal\":{\"name\":\"Journal of Water Sanitation and Hygiene for Development\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2023-06-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Water Sanitation and Hygiene for Development\",\"FirstCategoryId\":\"93\",\"ListUrlMain\":\"https://doi.org/10.2166/washdev.2023.192\",\"RegionNum\":4,\"RegionCategory\":\"环境科学与生态学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"WATER RESOURCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Water Sanitation and Hygiene for Development","FirstCategoryId":"93","ListUrlMain":"https://doi.org/10.2166/washdev.2023.192","RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"WATER RESOURCES","Score":null,"Total":0}
Predictors of pre-and post-care handwashing among community healthcare providers: a cross-sectional survey in Bangladeshi community clinics
Lack of proper handwashing by healthcare providers hands is the major vector for the spread of nosocomial pathogens in healthcare settings. A cross-sectional study was conducted among 128 community healthcare providers (CHCPs) in the Kurigram district of Bangladesh to investigate predictors of handwashing before and after clinical care encounters. Data were collected between November and December 2019 via a paper-and-pen based survey using a semi-structured questionnaire. CHCP's pre-care handwashing with soap/antiseptic hand cleaner was predicted by a higher level of education (COR = 7.16, 95% CI 2.39–21.40, p = 0.000 and COR = 9.58, 95% CI 3.28–27.92, p = 0.000, bachelors and masters, respectively), lengthier service (COR = 6.90, 95% CI 1.40–34.17, p = 0.015 and COR = 7.8, 95% CI 1.49–40.98, p = 0.015, 5–8 and >8 years, respectively), and presence of handwashing facility (COR = 4.48, 95% CI 1.34–14.95, p = 0.015). However, post-care handwashing was also associated with a higher level of education (COR = 13.36, 95% CI 1.54–115.63, p = 0.019, masters) and availability of soap (COR = 17.73, 95% CI 5.03–59.73, p = 0.000), as well as by male sex (COR = 3.14, 95% CI 1.01–9.79, p = 0.049). Implementation of an effective training program on hand hygiene in consort with improved access to handwashing stations and adequate supply of soap or antiseptic hand cleaner is required to improve both pre-and post-care clinical encounter handwashing practices among CHCPs.
期刊介绍:
The Journal of Water, Sanitation and Hygiene for Development is a peer-reviewed journal devoted to the dissemination of high-quality information on the science, policy and practice of drinking-water supply, sanitation and hygiene at local, national and international levels.