Determinants of Knowledge and Practice of Infection Prevention and Control among Healthcare Workers during COVID-19 Outbreak in Nigeria
Abstract:
Aim: This study aimed to identify factors affecting knowledge
and practice of infection prevention and control (IPC) among healthcare workers
(HCW) during COVID-19 outbreak in Nigeria.
Method: An online sample of 402 Nigerian HCW was recruited
in April, 2020 via their social media closed user group chats. Data was collected online using questionnaire that
was adapted from the study by Melaku et al. Data analysis was done with computer software
IBM SPSS version 20.0.
Results: Three hundred and thirty-one (82.3%) had
good knowledge of IPC while only 230 (57.2%) had good practice of IPC. Age group (p<0.001), profession (p=0.005),
type of health facility (p=0.014) and IPC training (p<0.001) were significantly
associated with the knowledge of IPC while sex (p=0.005), profession (p=0.009),
type of health facility (p<0.001), IPC training (p<0.001) and availability
of water in health facility (p=0.014) were significantly associated with the practice
among the HCW. After multiple logistic regression analysis, age group, type of health
facility and IPC training remain significant predictors of knowledge while sex, type of health
facility, IPC training and availability of water in the health facility remain significant predictors of practice of
IPC among HCW.
Conclusion: Secondary to these findings, regular IPC
training of HCW and making sure water is always available at health facilities was
suggested. This study also recommends that special considerations should be given
to males, older and primary health facilities HCW in order to improve their knowledge
and practice of IPC which is important in limiting infections among them.
References:
T
Wu F, Zhao S, Yu B, Chen Y, Wang W, Song Z et al.,
2020, A new coronavirus associated with human respiratory disease in China. Nature, 579, 265-269. doi.org/10.1038/s41586-020-2008-3.
[2]. Anjorin AA., 2020, The coronavirus
disease 2019 (COVID-19 ) pandemic : A review and an update on cases in Africa. Asian Pacific Journal of Tropical Medicine, 13(5), 199-203. doi: 10.4103/1995-7645.281612.
[3]. NCDC, First-case-of-corona-virus-disease-confirmed-in-Nigeria,
Date of access: 17/4/2020. https://ncdc.gov.ng/news/227/first-case-of-corona-virus-disease-confirmed-in-nigeria.
[4]. WHO, Coronavirus disease 2019 (COVID-19):
situation report — 11. Geneva: World Health Organization, Date of access: 17/4/2020.
https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200131-sitrep-11-covid-19-mp.pdf.
[5]. WHO, Coronavirus disease 2019 (COVID-19):
situation report — 51. Geneva: World Health Organization, Date of access: 17/4/2020.
https://www.who.int/docs/default-source/coronaviruse/situation
-reports/20200311-sitrep-51-covid-19.pdf.
[6]. NCDC, THE COVID-19 SITUATION REPORT
SITUATION REPORT- 48. Abuja: NCDC, Date of access: 17/4/2020.
https://ncdc.gov.ng/themes/common/files/sitreps/c9b4fa96a72b794d51d1defa03721209.pdf.
[7]. WHO, Coronavirus disease (COVID-19)
pandemic. Geneva: World Health Organization, Date of access: 17/4/2020.
https://www.who.int/emergencies/diseases/novel-coronavirus-2019.
[8]. ICN, ICN COVID-2019 Update : Data
on infected healthcare workers and access to protective equipment vital in prevention
of the virus. Geneva, Date of access: 17/4/2020.
https://www.icn.ch/news/icn-covid-2019-update-data-infected-healthcare-workers-and-access-protective-equipment-vital.
[9]. Elsevier, 2020, COVID-19: protecting
health-care workers. The Lancet, 395:922.
[10]. ICN, High proportion of healthcare
workers with COVID-19 in Italy is a stark warning to the world : protecting nurses
and their colleagues must be the number one priority. Geneva, Date of access: 17/4/2020.
https://www.icn.ch/news/high-proportion-healthcare-workers-covid-19-italy-stark-warning-world-protecting-nurses-and.
[11]. Zhang WR, Wang K, Yin L, Zhao WF,
Xue Q, Peng M et al., 2020, Mental Health and Psychosocial Problems of Medical Health
Workers during the COVID-19 Epidemic in China. Psychotherapy Psychosomatics, 100053(45).
DOI: 10.1159/000507639.
[12] Iliyasu G, Dayyab FM, Habib ZG,
Tiamiyu AB, Abubakar S, Mijinyawa MS, et al., 2016, Knowledge and practices of infection
control among healthcare workers in a Tertiary Referral Center in North‑Western Nigeria. Annals
of African Medicine, 15(1), 34-40. DOI: 10.4103/1596-3519.161724.
[13]. Lien LT, Chuc NT, Hoa NQ, Lan PT,
Thoa NT, Riggi E et al., 2018, Knowledge and self-reported practices of infection
control among various occupational groups in a rural and an urban hospital in Vietnam.
Scientific Reports, 8,5119. DOI: 10.1038/s41598-018-23462-8.
[14]. Desta M, Ayenew T, Sitotaw N, Tegegne N, Dires M, Getie M., 2018, Knowledge
, practice and associated factors of infection prevention among healthcare workers
in Debre Markos referral hospital, Northwest Ethiopia. BMC Health Services Research,
18(1), 465. doi: 10.1186/s12913-018-3277-5.
[15]. Gulilat K, Tiruneh G., 2014, Assessent
of knowledge, attitude and practice of health care workers on infection prevention
in health institution Bahir Dar city administration. Science Journal of Public Heathl,
2(5), 384–393. doi: 10.11648/j.sjph.20140205.13.
[16]. Osuola EO, Oluwatosin A., 2017,
Infection control by nurses in selected hospitals in Anambra State, Nigeria. Tropical
Journal of Medical Research, 20(1), 53-60.
[17]. Shrestha GN, Thapa B., 2018, Knowledge
and practice of infection prevention among nurses of Bir Hospiatl, Kathmandu. Journal
of Nepal Health Res Counc, 16(40), 330-335.
[18]. National Population Commisision,
Nigeria 2018 Demographic and Health Survey; Key Findings. Date of access: 17/4/2020.