Healthcare workers’ knowledge, attitude and practices on infection prevention and control in the context of the COVID-19 pandemic at the Faranah regional hospital and associated healthcare centers, Guinea

Abstract Background In response to the COVID-19 pandemic, WHO launched a strategic preparedness and response plan, outlining public health measures to support countries worldwide. Healthcare workers have an increased risk of becoming infected and their behaviour regarding infection prevention and co...

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Main Authors: Lena Landsmann, Anna Borodova, Carlos Rocha, Aziz Amadou Diallo, Kamis Mamadou Diallo, Matthias Borchert, Mardjan Arvand, Mamadou Diallo, Rebekah R. Wood, Sophie A. Müller
Format: Article
Language:English
Published: BMC 2024-07-01
Series:Antimicrobial Resistance and Infection Control
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Online Access:https://doi.org/10.1186/s13756-024-01435-z
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author Lena Landsmann
Anna Borodova
Carlos Rocha
Aziz Amadou Diallo
Kamis Mamadou Diallo
Matthias Borchert
Mardjan Arvand
Mamadou Diallo
Rebekah R. Wood
Sophie A. Müller
author_facet Lena Landsmann
Anna Borodova
Carlos Rocha
Aziz Amadou Diallo
Kamis Mamadou Diallo
Matthias Borchert
Mardjan Arvand
Mamadou Diallo
Rebekah R. Wood
Sophie A. Müller
author_sort Lena Landsmann
collection DOAJ
description Abstract Background In response to the COVID-19 pandemic, WHO launched a strategic preparedness and response plan, outlining public health measures to support countries worldwide. Healthcare workers have an increased risk of becoming infected and their behaviour regarding infection prevention and control (IPC) influences infection dynamics. IPC strategies are important across the globe, but even more in low-resource settings where capacities for testing and treatment are limited. Our study aimed to assess and implement COVID-19 pandemic preparedness and response measures in Faranah, Guinea, primarily focusing on healthcare workers’ IPC knowledge, attitude and practice (KAP). Methods The study was conducted between April 2020 and April 2021 assessing IPC pandemic preparedness and response measures such as healthcare workers’ KAP, alcohol-based handrub (ABHR) consumption and COVID-19 triaging in the Faranah Regional Hospital and two associated healthcare centres. The assessment was accompanied by IPC training and visual workplace reminders and done in pre- and post- phases to evaluate possible impact of these IPC activities. Results The overall knowledge score in the Faranah Regional Hospital was 32.0 out of 44 at baseline, and did not change in the first, but increased significantly by 3.0 points in the second follow-up. The healthcare workers felt closer proximity to SARS-CoV-2 overtime in addition to higher stress levels in all study sites. There was significant improvement across the observed triaging practices. Hand hygiene compliance showed a significant increase across study sites leading to 80% in Faranah Regional Hospital and 63% in healthcare centers. The average consumption of ABHR per consultation was 3.29 mL with a peak in February 2020 of 23 mL. Conclusion Despite increased stress levels among HCWs, the ongoing IPC partnership well prepared the FRH in terms of triaging processes with a stronger impact on IPC practice than on theoretical knowledge. Throughout the pandemic, global shortages and surges in consumption did not affect the continuous ABHR provision of the FRH. This highlights local ABHR production as a key pandemic preparedness strategy.
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spelling doaj-art-795cced381eb43daae14caacf7cc58bc2025-08-20T02:15:28ZengBMCAntimicrobial Resistance and Infection Control2047-29942024-07-0113111210.1186/s13756-024-01435-zHealthcare workers’ knowledge, attitude and practices on infection prevention and control in the context of the COVID-19 pandemic at the Faranah regional hospital and associated healthcare centers, GuineaLena Landsmann0Anna Borodova1Carlos Rocha2Aziz Amadou Diallo3Kamis Mamadou Diallo4Matthias Borchert5Mardjan Arvand6Mamadou Diallo7Rebekah R. Wood8Sophie A. Müller9Unit for Hospital Hygiene, Infection Prevention and Control, Robert Koch InstituteCentre for International Health Protection, Robert Koch InstituteCentre for International Health Protection, Robert Koch InstituteFaranah Regional HospitalFaranah Regional HospitalCentre for International Health Protection, Robert Koch InstituteUnit for Hospital Hygiene, Infection Prevention and Control, Robert Koch InstituteFaranah Regional HospitalCentre for International Health Protection, Robert Koch InstituteCentre for International Health Protection, Robert Koch InstituteAbstract Background In response to the COVID-19 pandemic, WHO launched a strategic preparedness and response plan, outlining public health measures to support countries worldwide. Healthcare workers have an increased risk of becoming infected and their behaviour regarding infection prevention and control (IPC) influences infection dynamics. IPC strategies are important across the globe, but even more in low-resource settings where capacities for testing and treatment are limited. Our study aimed to assess and implement COVID-19 pandemic preparedness and response measures in Faranah, Guinea, primarily focusing on healthcare workers’ IPC knowledge, attitude and practice (KAP). Methods The study was conducted between April 2020 and April 2021 assessing IPC pandemic preparedness and response measures such as healthcare workers’ KAP, alcohol-based handrub (ABHR) consumption and COVID-19 triaging in the Faranah Regional Hospital and two associated healthcare centres. The assessment was accompanied by IPC training and visual workplace reminders and done in pre- and post- phases to evaluate possible impact of these IPC activities. Results The overall knowledge score in the Faranah Regional Hospital was 32.0 out of 44 at baseline, and did not change in the first, but increased significantly by 3.0 points in the second follow-up. The healthcare workers felt closer proximity to SARS-CoV-2 overtime in addition to higher stress levels in all study sites. There was significant improvement across the observed triaging practices. Hand hygiene compliance showed a significant increase across study sites leading to 80% in Faranah Regional Hospital and 63% in healthcare centers. The average consumption of ABHR per consultation was 3.29 mL with a peak in February 2020 of 23 mL. Conclusion Despite increased stress levels among HCWs, the ongoing IPC partnership well prepared the FRH in terms of triaging processes with a stronger impact on IPC practice than on theoretical knowledge. Throughout the pandemic, global shortages and surges in consumption did not affect the continuous ABHR provision of the FRH. This highlights local ABHR production as a key pandemic preparedness strategy.https://doi.org/10.1186/s13756-024-01435-zCOVID-19SARS-CoV-2Infection prevention and control (IPC)Healthcare workers (HCW)KAPHand hygiene (HH)
spellingShingle Lena Landsmann
Anna Borodova
Carlos Rocha
Aziz Amadou Diallo
Kamis Mamadou Diallo
Matthias Borchert
Mardjan Arvand
Mamadou Diallo
Rebekah R. Wood
Sophie A. Müller
Healthcare workers’ knowledge, attitude and practices on infection prevention and control in the context of the COVID-19 pandemic at the Faranah regional hospital and associated healthcare centers, Guinea
Antimicrobial Resistance and Infection Control
COVID-19
SARS-CoV-2
Infection prevention and control (IPC)
Healthcare workers (HCW)
KAP
Hand hygiene (HH)
title Healthcare workers’ knowledge, attitude and practices on infection prevention and control in the context of the COVID-19 pandemic at the Faranah regional hospital and associated healthcare centers, Guinea
title_full Healthcare workers’ knowledge, attitude and practices on infection prevention and control in the context of the COVID-19 pandemic at the Faranah regional hospital and associated healthcare centers, Guinea
title_fullStr Healthcare workers’ knowledge, attitude and practices on infection prevention and control in the context of the COVID-19 pandemic at the Faranah regional hospital and associated healthcare centers, Guinea
title_full_unstemmed Healthcare workers’ knowledge, attitude and practices on infection prevention and control in the context of the COVID-19 pandemic at the Faranah regional hospital and associated healthcare centers, Guinea
title_short Healthcare workers’ knowledge, attitude and practices on infection prevention and control in the context of the COVID-19 pandemic at the Faranah regional hospital and associated healthcare centers, Guinea
title_sort healthcare workers knowledge attitude and practices on infection prevention and control in the context of the covid 19 pandemic at the faranah regional hospital and associated healthcare centers guinea
topic COVID-19
SARS-CoV-2
Infection prevention and control (IPC)
Healthcare workers (HCW)
KAP
Hand hygiene (HH)
url https://doi.org/10.1186/s13756-024-01435-z
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