Статья

Measuring the effectiveness of an integrated intervention package to improve the level of infection prevention and control: a multi-centre study in Bangladesh

ASM Nawshad Uddin AhmedDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden; Maternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh. Electronic address: [email protected]L. HossainMaternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, BangladeshGobinda BanikHealth and Nutrition Sector, Save the Children, Dhaka, BangladeshAbu SayeedMaternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, BangladeshMd Refat Uz Zaman SajibDepartment of Kinesiology and Community Health, College of Applied Health Science, University of Illinois Urbana-Champaign, USAM.M. HasanMaternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, BangladeshDME HoqueA. S. M. Mainul HasanVibhavendra S. RaghuyamshiShamsuz ZamanEma AkterMaternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, BangladeshNayeema NusratDepartment of Statistics, North Carolina State University, Raleigh, NC, USAFazlur RahmanMaternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, BangladeshShahid RazaMaternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, BangladeshMehedi HasanMaternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, BangladeshJamal UddinProjahnmo Research Foundation, Dhaka, BangladeshSatyajit SarkarHospital Service Management, Directorate General of Health Services, Government of Bangladesh, BangladeshSheikh Daud AdnanHospital and Clinics, Directorate General of Health Services, Government of Bangladesh, BangladeshAninda RahmanCommunicable Disease Control, Directorate General of Health Services, Government of Bangladesh, BangladeshShafiqul AmeenMaternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, BangladeshSabrina JabeenMaternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, BangladeshShams El ArifeenMaternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, BangladeshAhmed Ehsanur RahmanCommunicable Disease Control, Directorate General of Health Services, Government of Bangladesh, Bangladesh

2023en

ABI

Аннотация

BACKGROUND: Infection prevention and control (IPC) is a critical component of delivering safe, effective and high-quality healthcare services, and eliminating avoidable healthcare-associated infections (HAIs) in health facilities, predominantly in population-dense settings such as Bangladesh. AIM: Our study aimed to assess the effect of an integrated intervention package in improving the IPC level of the health facilities in Bangladesh. METHODS: We conducted a pre-post intervention study in six district hospitals (DHs) and 13 Upazila Health Complexes (UHCs) in the six districts of Bangladesh. Baseline and endline assessments were conducted between March and December 2021 using the adapted World Health Organization Infection Prevention and Control Assessment Framework (WHO-IPCAF) tool. The IPCAF score, ranging from 0-800, was calculated by adding the scores of eight components, and the IPC promotion and practice level was categorized as Inadequate (0-200), Basic (201-400), Intermediate (401-600) and Advanced (601-800). The integrated intervention package including IPC committee formation, healthcare provider training, logistics provision, necessary guidelines distribution, triage/flu corners establishment, and infrastructure development was implemented in all facilities. RESULTS: The average IPCAF score across all the facilities showed a significant increase from 16% (95% CI: 11.5-20.65%) to 54% (95% CI: 51.4-57.1%). Overall, the IPCAF score increased by 34 percentage points (P<0.001) in DHs and 40 percentage points (P<0.001) in UHCs. Following the intervention, 12 (three DHs, nine UHCs) of 19 facilities progressed from inadequate to intermediate, and another three DHs upgraded from basic to intermediate in terms of IPC level. CONCLUSION: The integrated intervention package improved IPCAF score in all facilities.

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Идентификаторы

DOI: 10.1016/j.jhin.2023.11.023

Цитирования и источники

Цитирований: 2Использованных источников: 0

Показатели — AkademScholar