Assessment of The Knowledge and Practice of Infection Control Among Health Workers at St. Daniel's Comboni Hospital

TABLE OF CONTENTS

Declaration .................................................................................................................................................... ii

Approval ....................................................................................................................................................... iii

Dedication .................................................................................................................................................... iv

Acknowledgement. ........................................................................................................................................ v

LIST OF ABBREVIATIONS ...................................................................................................................... IX

DEFINITIONS .............................................................................................................................................. x

ABSTRACT ................................................................................................................................................. xi

CHAPTER ONE ........................................................................................................................................... 1

1.0 INTRODUCTION ................................................................................................................................. 1

1.1 Background of the study ....................................................................................................................... 1

1.2 Problem statement ................................................................................................................................ 3

l.3Aim of the study: .................................................................................................................................... 4

1.4 Spccilic Objectives ................................................................................................................................ 4

1.5 Research Questions ............................................................................................................................... 4

1.6 Study justilication ................................................................................................................................. 5

CHAPTER TWO .......................................................................................................................................... 6

LITERATURE REVIEW .............................................................................................................................. 6

2.0 Introduction ........................................................................................................................................... 6

2.1 Knowledge of health workers about infection control ....................................................................... 6

2.3 Infection control Practices among Health Workers ........................................................................... 7

CHAPTER THREE ..................................................................................................................................... 10

METHODOLOGY ...................................................................................................................................... 10

3.0 Introduction ........................................................................................................................................ 10

3.1 Study design and rationale ................................................................................................................. 10

3.2. Study Area .......................................................................................................................................... 10

3.3 Study population ................................................................................................................................. 10

3.4 Sample size determination .................................................................................................................. 10

3.5 Sampling procedure ............................................................................................................................. 11

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3.6 Inclusion criteria ................................................................................................................................. 12

3.7 Exclusion criteria ................................................................................................................................ 12

3.8 Definition of variables ......................................................................................................................... 12

3.9 Resea1·ch instruments .......................................................................................................................... 12

3.10 Data collection procedures ............................................................................................................... 13

3.11 Data management.. ............................................................................................................................ 13

3.12 Data Analysis ..................................................................................................................................... 13

3.13 Ethical consideration ........................................................................................................................ 13

3.14 Limitations for the study .................................................................................................................. 13

3.15 Dissemination of results .................................................................................................................... 14

CHAPTER FOUR ....................................................................................................................................... 15

RESULTS ................................................................................................................................................... 15

4.0 Introduction ......................................................................................................................................... 15

4.1 Demographic characteristics of the respondents .............................................................................. 15

4.2 Knowledge about infection prevention practices ............................................................................. 16

4.3 Infection control practices in use among health worke•·s ................................................................ 17

4.4 Limitations to successful infection control practices ....................................................................... 21

CHAPTER Fl V E ......................................................................................................................................... 22

DISCUSSIONS, CONCLUSIONS AND RECOMMENDATIONS .......................................................... 22

5.0 Introduction ......................................................................................................................................... 22

5.1 Discussion ............................................................................................................................................. 22

5.1. I Knowledge about infection prevention practices ............................................................................... 22

5. I .2 Practice about infection prevention practices ..................................................................................... 23

5.2 Conclusions .......................................................................................................................................... 23

5.2. I Knowledge about Infection prevention ............................................................................................... 23

5 .2.2 Infection prevention practices ............................................................................................................ 23

5.2.3 Challenges to standard infection prevention practices ....................................................................... 24

5.3 Recommendations ............................................................................................................................... 24

References ................................................................................................................................................... 2 5

APPENDIX I: CONSENT FORM .............................................................................................................. 28

APPENDIX II: QUESTIONNAIRE .......................................................................................................... 29

APPENDIX III: MAP OF UGANDA SHOWING BUSHENYI DISTRICT.. ........................................... 34

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ABSTRACT Background Compliance on the part of healthcare workers with standard precautions has been recognized as being an efficient means to prevent and control healthcare-associated infections. Such measures not only protect the patient, but also the HCWs and environment. Objective To assess knowledge, attitude and practice towards infection control measures among Heath workers at Comboni hospital Methods The study was conducted at Comboni Hospital, Southwest Uganda. Cross-sectional study design was employed. Self-administered questionnaire was used to collect data from 36 health workers that were available at the time of the study. Data was analyzed using Microsoft excel programmed. Results Health workers were fairly knowledgeable about infection prevention but actual practices "'ere far from acceptable. Conclusions/Recommendations Majority of health care workers' knowledge, attitude and practice toward standard precaution were not sufficient, favorable and safe enough to the expected standard. Strengthening and integrating universal precaution with routine services through provision of training and introducing health care workers infection prevention standard of practice. protocol. rules. and regulation are recommended.