Implementation effectiveness of infection prevention and control measures during the first wave of COVID-19: A cross-sectional survey among healthcare workers in four regions of Tanzania

Introduction: A novel coronavirus disease was officially recognized in Wuhan, China, in December 2019. Tanzania reported its first COVID-19 case on March 16, 2020, at Mount Meru Hospital in the Arusha region, involving a returning national who re-entered the country through Kilimanjaro International...

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Main Authors: Edward Augustine MAGWE, Modest Diamond VARISANGA, Secilia Kapalata NG’WESHEMI
Format: Article
Language:English
Published: Edizioni FS Publisher 2023-06-01
Series:GIornale Italiano di Psicologia e Medicina del Lavoro
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Online Access:https://gipmel.it/wp-content/uploads/10.690882023MPLM5.pdf
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author Edward Augustine MAGWE
Modest Diamond VARISANGA
Secilia Kapalata NG’WESHEMI
author_facet Edward Augustine MAGWE
Modest Diamond VARISANGA
Secilia Kapalata NG’WESHEMI
author_sort Edward Augustine MAGWE
collection DOAJ
description Introduction: A novel coronavirus disease was officially recognized in Wuhan, China, in December 2019. Tanzania reported its first COVID-19 case on March 16, 2020, at Mount Meru Hospital in the Arusha region, involving a returning national who re-entered the country through Kilimanjaro International Airport. This study was conducted to assess the implementation effectiveness of healthcare facilities’ Infection Prevention and Control (IPC) measures during the first wave of COVID-19 among healthcare workers. This will strengthen the healthcare system’s capacity whenever the disease re-emerges. Methods: This study applied a quantitative analytical cross-sectional survey conducted from 24th of August to 3rd October 2022 in Dar es Salaam, Mwanza, Arusha, and Dodoma regions of Tanzania involving 596 healthcare workers and 40 healthcare facilities. Self-administered questionnaires were used to collect primary data. Frequencies, percentages, Chi-square and logistic regression were analyzed by using the Statistical Package for the Social Sciences (SPSS) version 26. Results: The level of implementation effectiveness was delayed at 91% and fast responses at only 9% of IPC measures. An average of 22.2% of participants said that IPC measures were implemented before the first case was reported in Tanzania. Bivariate logistic regression found a significant relationship in the Arusha region (AOR =15.518, 95% CI, 1.947-123.672, P =0.01) and dispensary in the category of healthcare facilities (AOR =3.876, 95% CI, 1.049-14.314, P =0.042). Discussion and Conclusions: The overall level of implementation effectiveness was maximumly delayed at 91%. It is generally a difficult task in Tanzania to control the outbreak and build hope in combating COVID-19 as a worldwide severe pandemic without strengthening healthcare facilities management and support by taking corrective measures regarding appropriate compliance to infection prevention and control.
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spelling doaj-art-e9ef50d539ed4a7ab022f158aeb9aa092025-08-20T03:28:47ZengEdizioni FS PublisherGIornale Italiano di Psicologia e Medicina del Lavoro2785-13382023-06-0131213310.69088/2023/MPLM5Implementation effectiveness of infection prevention and control measures during the first wave of COVID-19: A cross-sectional survey among healthcare workers in four regions of TanzaniaEdward Augustine MAGWE0Modest Diamond VARISANGA1Secilia Kapalata NG’WESHEMI2Department of Pharmaceutical Sciences, Institute of Health and Allied Sciences, Ruaha Catholic University, P.O. Box 774 Iringa, Tanzania. E-mail: edwardam87@gmail.comDepartment of Biological and Food Sciences, Faculty of Science, Technology and Environmental Studies, The Open University of Tanzania, P.O. Box 23409 Dar es Salaam, Tanzania. E-mail: modest.varisanga@out.ac.tzDepartment of Community Medicine, School of Medicine and Dentistry, University of Dodoma, P.O. Box 854 Dodoma, Tanzania. E-mail: mwatty92@yahoo.comIntroduction: A novel coronavirus disease was officially recognized in Wuhan, China, in December 2019. Tanzania reported its first COVID-19 case on March 16, 2020, at Mount Meru Hospital in the Arusha region, involving a returning national who re-entered the country through Kilimanjaro International Airport. This study was conducted to assess the implementation effectiveness of healthcare facilities’ Infection Prevention and Control (IPC) measures during the first wave of COVID-19 among healthcare workers. This will strengthen the healthcare system’s capacity whenever the disease re-emerges. Methods: This study applied a quantitative analytical cross-sectional survey conducted from 24th of August to 3rd October 2022 in Dar es Salaam, Mwanza, Arusha, and Dodoma regions of Tanzania involving 596 healthcare workers and 40 healthcare facilities. Self-administered questionnaires were used to collect primary data. Frequencies, percentages, Chi-square and logistic regression were analyzed by using the Statistical Package for the Social Sciences (SPSS) version 26. Results: The level of implementation effectiveness was delayed at 91% and fast responses at only 9% of IPC measures. An average of 22.2% of participants said that IPC measures were implemented before the first case was reported in Tanzania. Bivariate logistic regression found a significant relationship in the Arusha region (AOR =15.518, 95% CI, 1.947-123.672, P =0.01) and dispensary in the category of healthcare facilities (AOR =3.876, 95% CI, 1.049-14.314, P =0.042). Discussion and Conclusions: The overall level of implementation effectiveness was maximumly delayed at 91%. It is generally a difficult task in Tanzania to control the outbreak and build hope in combating COVID-19 as a worldwide severe pandemic without strengthening healthcare facilities management and support by taking corrective measures regarding appropriate compliance to infection prevention and control.https://gipmel.it/wp-content/uploads/10.690882023MPLM5.pdfimplementation effectivenessinfection preventionhealthcare workerscovid-19tanzania
spellingShingle Edward Augustine MAGWE
Modest Diamond VARISANGA
Secilia Kapalata NG’WESHEMI
Implementation effectiveness of infection prevention and control measures during the first wave of COVID-19: A cross-sectional survey among healthcare workers in four regions of Tanzania
GIornale Italiano di Psicologia e Medicina del Lavoro
implementation effectiveness
infection prevention
healthcare workers
covid-19
tanzania
title Implementation effectiveness of infection prevention and control measures during the first wave of COVID-19: A cross-sectional survey among healthcare workers in four regions of Tanzania
title_full Implementation effectiveness of infection prevention and control measures during the first wave of COVID-19: A cross-sectional survey among healthcare workers in four regions of Tanzania
title_fullStr Implementation effectiveness of infection prevention and control measures during the first wave of COVID-19: A cross-sectional survey among healthcare workers in four regions of Tanzania
title_full_unstemmed Implementation effectiveness of infection prevention and control measures during the first wave of COVID-19: A cross-sectional survey among healthcare workers in four regions of Tanzania
title_short Implementation effectiveness of infection prevention and control measures during the first wave of COVID-19: A cross-sectional survey among healthcare workers in four regions of Tanzania
title_sort implementation effectiveness of infection prevention and control measures during the first wave of covid 19 a cross sectional survey among healthcare workers in four regions of tanzania
topic implementation effectiveness
infection prevention
healthcare workers
covid-19
tanzania
url https://gipmel.it/wp-content/uploads/10.690882023MPLM5.pdf
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