Adherence to standard infection prevention and control practices and factors associated among healthcare workers at Juba Teaching Hospital, Juba-South Sudan: a cross-sectional study
Abstract Background Hospital-acquired infections, including COVID-19 and sepsis, pose a significant threat to healthcare workers’ productivity and patients’ safety globally. Adhering to standard infection prevention and control (IPC) practices is crucial. This study assessed adherence levels, explor...
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| Format: | Article |
| Language: | English |
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BMC
2025-03-01
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| Series: | Journal of Health, Population and Nutrition |
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| Online Access: | https://doi.org/10.1186/s41043-025-00807-4 |
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| author | Chubang Augustine Khamsa John Bosco Isunju Harriet M. Babibako Fred Nuwaha Ntoni |
| author_facet | Chubang Augustine Khamsa John Bosco Isunju Harriet M. Babibako Fred Nuwaha Ntoni |
| author_sort | Chubang Augustine Khamsa |
| collection | DOAJ |
| description | Abstract Background Hospital-acquired infections, including COVID-19 and sepsis, pose a significant threat to healthcare workers’ productivity and patients’ safety globally. Adhering to standard infection prevention and control (IPC) practices is crucial. This study assessed adherence levels, explored the availability of IPC supplies, and determined factors associated with adherence to IPC practices among healthcare workers at Juba Teaching Hospital. Methods This facility-based cross-sectional study involved 168 healthcare workers (HCWs) selected through a stratified sampling technique at Juba Teaching Hospital. HCWs were stratified by profession. The dependent variable was adherence to standard IPC practices, while the independent variables included education levels, working experience, availability of IPC supplies, IPC policies/guidelines, IPC committees, and in-service training. Data collection tools included structured questionnaires, key informants, and in-depth interview guides. Data were analyzed using Stata and presented in tables, graphs, and logistic regression tables. Results Overall adherence to standard IPC practices was moderate at 62.7%. The most commonly available IPC supplies were sharp disposal containers/safety boxes (90%), hand washing facilities (90%), and waste disposal containers (90%). However, some IPC supplies were unavailable, including disinfectants, color-coded bins, placenta pits, waste pits with sharps, and waste pits for noninfectious waste. Factors significantly associated with adherence to IPC practices included sufficient IPC supplies (AOR 2.35 [1.11–4.96]), presence of an IPC committee (AOR 2.07 [1.03–3.87]). IPC in-service training (AOR 1.57 [0.76–3.25]), and IPC policies/guidelines (AOR 1.54 [0.73–3.22]) were also found to be associated. Conclusion Healthcare workers were more likely to adhere to standard IPC practices if they had sufficient IPC supplies and an IPC committee. Additionally, receiving in-service training on IPC and having IPC policies/guidelines were associated with better adherence. To increase adherence levels, the South Sudan Ministry of Health should ensure adequate IPC supplies, strengthen IPC committees, and offer IPC in-service training and policies/guidelines to healthcare workers at Juba Teaching Hospital. |
| format | Article |
| id | doaj-art-3e7bbe20cc8346b8a5ee4e909db8be77 |
| institution | OA Journals |
| issn | 2072-1315 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Health, Population and Nutrition |
| spelling | doaj-art-3e7bbe20cc8346b8a5ee4e909db8be772025-08-20T02:17:56ZengBMCJournal of Health, Population and Nutrition2072-13152025-03-0144111510.1186/s41043-025-00807-4Adherence to standard infection prevention and control practices and factors associated among healthcare workers at Juba Teaching Hospital, Juba-South Sudan: a cross-sectional studyChubang Augustine Khamsa0John Bosco Isunju1Harriet M. Babibako2Fred Nuwaha Ntoni3College of Health Science, School of Public Health, Makerere UniversityCollege of Health Science, School of Public Health, Makerere UniversityCollege of Health Science, School of Public Health, Makerere UniversityCollege of Health Science, School of Public Health, Makerere UniversityAbstract Background Hospital-acquired infections, including COVID-19 and sepsis, pose a significant threat to healthcare workers’ productivity and patients’ safety globally. Adhering to standard infection prevention and control (IPC) practices is crucial. This study assessed adherence levels, explored the availability of IPC supplies, and determined factors associated with adherence to IPC practices among healthcare workers at Juba Teaching Hospital. Methods This facility-based cross-sectional study involved 168 healthcare workers (HCWs) selected through a stratified sampling technique at Juba Teaching Hospital. HCWs were stratified by profession. The dependent variable was adherence to standard IPC practices, while the independent variables included education levels, working experience, availability of IPC supplies, IPC policies/guidelines, IPC committees, and in-service training. Data collection tools included structured questionnaires, key informants, and in-depth interview guides. Data were analyzed using Stata and presented in tables, graphs, and logistic regression tables. Results Overall adherence to standard IPC practices was moderate at 62.7%. The most commonly available IPC supplies were sharp disposal containers/safety boxes (90%), hand washing facilities (90%), and waste disposal containers (90%). However, some IPC supplies were unavailable, including disinfectants, color-coded bins, placenta pits, waste pits with sharps, and waste pits for noninfectious waste. Factors significantly associated with adherence to IPC practices included sufficient IPC supplies (AOR 2.35 [1.11–4.96]), presence of an IPC committee (AOR 2.07 [1.03–3.87]). IPC in-service training (AOR 1.57 [0.76–3.25]), and IPC policies/guidelines (AOR 1.54 [0.73–3.22]) were also found to be associated. Conclusion Healthcare workers were more likely to adhere to standard IPC practices if they had sufficient IPC supplies and an IPC committee. Additionally, receiving in-service training on IPC and having IPC policies/guidelines were associated with better adherence. To increase adherence levels, the South Sudan Ministry of Health should ensure adequate IPC supplies, strengthen IPC committees, and offer IPC in-service training and policies/guidelines to healthcare workers at Juba Teaching Hospital.https://doi.org/10.1186/s41043-025-00807-4AdherenceHealthcare workers (HCWs)IPC practicesHospital-acquired infection |
| spellingShingle | Chubang Augustine Khamsa John Bosco Isunju Harriet M. Babibako Fred Nuwaha Ntoni Adherence to standard infection prevention and control practices and factors associated among healthcare workers at Juba Teaching Hospital, Juba-South Sudan: a cross-sectional study Journal of Health, Population and Nutrition Adherence Healthcare workers (HCWs) IPC practices Hospital-acquired infection |
| title | Adherence to standard infection prevention and control practices and factors associated among healthcare workers at Juba Teaching Hospital, Juba-South Sudan: a cross-sectional study |
| title_full | Adherence to standard infection prevention and control practices and factors associated among healthcare workers at Juba Teaching Hospital, Juba-South Sudan: a cross-sectional study |
| title_fullStr | Adherence to standard infection prevention and control practices and factors associated among healthcare workers at Juba Teaching Hospital, Juba-South Sudan: a cross-sectional study |
| title_full_unstemmed | Adherence to standard infection prevention and control practices and factors associated among healthcare workers at Juba Teaching Hospital, Juba-South Sudan: a cross-sectional study |
| title_short | Adherence to standard infection prevention and control practices and factors associated among healthcare workers at Juba Teaching Hospital, Juba-South Sudan: a cross-sectional study |
| title_sort | adherence to standard infection prevention and control practices and factors associated among healthcare workers at juba teaching hospital juba south sudan a cross sectional study |
| topic | Adherence Healthcare workers (HCWs) IPC practices Hospital-acquired infection |
| url | https://doi.org/10.1186/s41043-025-00807-4 |
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