Evaluation of a program to improve hand hygiene in Kenyan hospitals through production and promotion of alcohol-based Handrub - 2012-2014

Linus Ndegwa, Kelly M. Hatfield, Ronda Sinkowitz-Cochran, Emily D'Iorio, Neil Gupta, James Kimotho, Tiffanee Woodard, Sandra S. Chaves, Katherine Ellingson

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Although critical to prevent healthcare-associated infections, hand hygiene (HH) compliance is poor in resource-limited settings. In 2012, three Kenyan hospitals began onsite production of alcohol-based handrub (ABHR) and HH promotion. Our aim is to determine the impact of local production of ABHR on HH compliance and perceptions of ABHR. We observed 25,738 HH compliance opportunities and conducted 15 baseline and post-intervention focus group discussions. Hand Hygiene compliance increased from 28% (baseline) to 38% (post-intervention, p = 0.0003). Healthcare workers liked the increased accessibility of ABHR, but disliked its smell, feel, and sporadic availability. Onsite production and promotion of ABHR resulted in modest HH improvement. Enhancing the quality of ABHR and addressing logistical barriers could improve program impact.

Original languageEnglish (US)
Article number0450
JournalAntimicrobial Resistance and Infection Control
Volume8
Issue number1
DOIs
StatePublished - Jan 3 2019

Keywords

  • Hand hygiene, Alcohol-based handrub, Compliance

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)
  • Infectious Diseases
  • Pharmacology (medical)

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