Knowledge, Practices, and Adherence to Infection Prevention and Control among Health Care Providers in the Labour Ward at Busia County Referral Hospital

Abstract

Provider's Infection prevention and control (IPC) skills are essential for healthcare (HCPs), particularly in labour wards, where they significantly affect maternal and neonatal outcomes. Hospital-acquired infections (HAIs) are major contributors to maternal and neonatal sepsis, resulting in high morbidity and mortality rates, especially in low- and middle-income countries. This study aimed to assess knowledge, practices, and adherence to IPC among HCPs in the labour ward at Busia County Referral Hospital, focusing on hand hygiene, use of personal protective equipment (PPE), and maintaining a clean environment. A cross-sectional study design was used to collect quantitative data from HCPs directly involved in patient care. The sample size consisted of 11 HCPs, with 10 participants, including 30% nurses, 30% clinical officers, and 40% nursing students. Most participants (40%) were aged 20-25 years, and 60% were male. Data were gathered through self-administered questionnaires and an observational checklist. Analysis was performed using Microsoft Excel, with results presented in tables, graphs, and pie charts. The findings revealed that 90% of HCPs had received formal IPC training. While 60% demonstrated good IPC knowledge, the mean score was 78% for knowledge, 69% for practices, and 50% for adherence. Although HCPs exhibited strong knowledge and practices, their adherence to IPC protocols was only borderline satisfactory. The study suggests that regular IPC training is needed to improve adherence, along with hospital management providing sufficient resources, conducting supervision, and implementing feedback mechanisms for HCPs