Abstract
BackgroundIt is not fully understood why healthcare decision-makers of developing countries often give low priority to infection control and why they are unable to implement international guidelines. This study aimed to identify the main perceived challenges and barriers that hinder the effective implementation of infection control programmes in Mongolia.MethodsIn 2008, qualitative research involving 4 group and 55 individual interviews was conducted in the capital city of Mongolia and two provincial centres.ResultsA total of 87 health professionals participated in the study, including policy and hospital-level managers, doctors, nurses and infection control practitioners. Thematic analysis revealed a large number of perceived challenges and barriers to the formulation and implementation of infection control policy. These challenges and barriers were complex in nature and related to poor funding, suboptimal knowledge and attitudes, and inadequate management. The study results suggest that the availability of infection control policy and guidelines, and the provision of specific recommendations for low-resource settings, do not assure effective implementation of infection control programmes.ConclusionsThe current infection control system in Mongolia is likely to remain ineffective unless the underlying barriers and challenges are adequately addressed. Multifaceted interventions with logistical, educational and management components that are specific to local circumstances need to be designed and implemented in Mongolia. The importance of international peer support is highlighted.
Highlights
It is not fully understood why healthcare decision-makers of developing countries often give low priority to infection control and why they are unable to implement international guidelines
This study aims to identify the perceptions of healthcare professionals on the main challenges and barriers that hinder the effective implementation of infection control programmes in Mongolia
Challenges and barriers to successful implementation of infection control programmes in Mongolia perceived by these study participants were grouped into those impinging on: (1) the formulation; and (2) the implementation of infection control policy
Summary
It is not fully understood why healthcare decision-makers of developing countries often give low priority to infection control and why they are unable to implement international guidelines. It has been widely known for the last four decades, that the majority of healthcare-associated infections (HCAIs) can be prevented by adequate, though not necessarily sophisticated, surveillance and control measures [1,2]. A number of international initiatives are being undertaken to support developing countries to build and implement infection control effectively in their health care settings [3,4,5,6]. Despite these growing efforts, infection control in. There were some advances in handhygiene and infection control policies and guidelines were updated, the planned surveillance activities have not yet been established
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