Abstract

Background Infection prevention and control practice (IPCP) is essential for healthcare safety and quality service delivery. The Ethiopian government has already put in place programs and initiatives for clean and safe healthcare facilities. However, in the North Showa Zone of the Oromiya Region, the infection prevention and control practice level was not well understood. Therefore, this study aimed to assess the knowledge, attitude, and practice of infection prevention and control practice among the health workforce (HWF) in North Shoa healthcare facilities (NSHCFs) environment. Methods Healthcare facility-based cross-sectional study design was employed. Structured and pretested self-administered questionnaires were distributed for 373 health workforce. Three hospitals and six health centers were randomly selected, and the study participants were selected by systematic sampling technique. Data were entered into Epi-data version 3.5.2 and then exported to SPSS version 23 for analysis. Multivariable logistic regression was performed to determine the associated factors with infection prevention practice, and a p value of less than 0.05 was considered statistically significant. Results A total of 361 (96.8%) health workforce responded to self-administered questionnaires. About 55.70% of study participants had good knowledge, 59.3% of them had a positive attitude, and 46.8% had a good infection prevention practice. Age category of 20–29(AOR = 4.08, 95%, CI = (1.97, 8.49)), female participants (AOR = 3.87, 95%, CI = (1.91, 7.86)), single participants (AOR = 3.89, 95%, CI = (1.92, 7.87)), having greater than ten years of working experience (AOR = 3.10, 95% CI = (1.19, 8.10)), positive attitude (AOR = 10.07, 95% CI = (4.82, 21.05)), and availability of water at working area (AOR = 2.27, 95% CI = (1.18, 4.35)) were significantly associated with good infection prevention practice. Conclusion In this study, a significant number of health workers had low knowledge, negative attitudes, and poor infection prevention practices. Female participants, higher work experience, a positive attitude, and water availability in the healthcare facilities were positively associated with infection prevention and control practice. Healthcare facilities should be continued capacitating the health workforce on infection prevention and control measures and equipping health facilities with infection prevention materials.

Highlights

  • Healthcare-associated infections (HCAIs) are a serious problem in healthcare settings, common causes of morbidity and mortality among the health workforce

  • We found that 169 (46.8%) of the respondents had reported good infection prevention and control practice. is result is in line with the study done in Mekelle, which found that 42.9% of the study participants had reported good infection prevention and control practice [32]. is finding is higher than that of the study conducted in the West Arsi district, which reported that 36.3% of healthcare workers had good infection prevention and control practices [27]

  • We found that the positive attitude toward infection prevention and control practice was 59.3%, which is in line with the study done in Bahir Dar city health institutions found that 55.6% of healthcare workers had reported a good attitude toward infection prevention and control practice [36]. is finding is higher than the study finding from Zabol Teaching Hospital, which revealed that 33% of HCWs had reported a good attitude toward infection prevention and control practice [38]

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Summary

Introduction

Healthcare-associated infections (HCAIs) are a serious problem in healthcare settings, common causes of morbidity and mortality among the health workforce. Healthcare facility-acquired infections occur in both high- and lowincome countries due to poor healthcare cleanliness. A study done in Nigeria found that 90% of healthcare workers (HCWs) were knowledgeable, 92.3% had a good attitude toward infection prevention, and 50.8% had good. Journal of Environmental and Public Health infection prevention and control practice [9]. Infection prevention and control practice (IPCP) is essential for healthcare safety and quality service delivery. In the North Showa Zone of the Oromiya Region, the infection prevention and control practice level was not well understood. Erefore, this study aimed to assess the knowledge, attitude, and practice of infection prevention and control practice among the health workforce (HWF) in North Shoa healthcare facilities (NSHCFs) environment. Structured and pretested self-administered questionnaires were distributed for 373 health workforce

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