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Health Service Providers Knowledge and Practice Towards Clean and Safe Health Facility in Debre Tabor General Hospital, North Central Ethiopia

Received: 6 February 2019     Accepted: 15 March 2019     Published: 8 April 2019
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Abstract

Excellence in patient care is dependent on getting the basics right, making sure that the food is good, making sure that the patients are cared for appropriately and that the surroundings are clean, tidy, comfortable and safe. It is not possible to have a good hospital without being clean and tidy. Hence the objectives of this study were to assess health service providers’ level of knowledge, practice and associated factors of a clean and safe health facility in Debre Tabor General Hospital, North Central Ethiopia, 2017. An institution-based cross-sectional study was conducted and stratified sampling technique with proportional allocation was employed to select study participants by considering cleaners or laundry service providers and health workers as strata. A pretested questionnaire was used for data collection and data were checked, coded and entered into a statistical package for social sciences version 20 for analysis. Descriptive statistics, bivariate, and multiple logistic regression analysis were done. The result indicated that the knowledge score of respondents was 81.5% and 54.6% of respondents had a good practice of clean and safe health facility initiative procedures. Result of multiple logistic regression analysis showed that working experience greater than five years [AOR=0.06(95%CI=(0.03, 0.76)], males [AOR=2.54(95%CI=(1.12, 5.24)], age of service providers greater than 35 years [AOR=1.56(95%CI=(1.11, 6.24)] and attending training on clean and safe health facility initiative [AOR=4.52(95%CI=(3.53, 6.37)] were factors associated with knowledge and practice of clean and safe health facility protocols. Generally, the level of knowledge and practice on clean and safe health facility procedures is not optimum as per the national guideline; ensuring the availability of personal protective equipment, the existence of monitoring and evaluation mechanisms and dealing with staff retention mechanisms could improve the knowledge and practice of clean and safe health facility protocols.

Published in International Journal of Biomedical Engineering and Clinical Science (Volume 5, Issue 1)
DOI 10.11648/j.ijbecs.20190501.11
Page(s) 1-6
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Clean and Safe, Health Facility, Clean and Safe Health Facility, Ethiopia

References
[1] Essential environmental health standards in health care Edited by John Adams, Jamie Bartram, Yves Chartier. World Health Organization 2008. ISBN 978 92 4 154723 9.
[2] Federal Ministry of Health, Ethiopia. Clean and Safe Health facilities Initiative:- The CASH initiative In Ethiopia. Stockholm, Sweden August 2015.
[3] Didier P, Liam D. Clean Care is Safer Care: The First Global Challenge of the WHO World Alliance for Patient Safety. Infection control and hospital epidemiology. 26 (11).
[4] Kelemua Gulilat and Gebeyaw Tiruneh: Assessment of Knowledge, Attitude And Practice of Health Care Workers on Infection Prevention in Health Institution Bahir Dar City Administration Science Journal of Public Health 2014;(15).
[5] European Union Programme for Employment and Social Solidarity - PROGRESS (2007-2013). Occupational health and safety risks in the healthcare sector. Guide to prevention and good practice.
[6] Federal Ministry of Health-Ethiopia, Medical Services Directorate-MOH Ethiopia. Clean and Safe Health Facility Initiative. October 2015.
[7] International Federation of Red Cross and Red Crescent Societies. Infections and infectious diseases. A manual for nurses and midwives in the WHO European Region. World Health Organization, 2001.
[8] World Health Organization. Infection control standard precautions in health care. Epidemic and pandemic alert and response. World Health Organization AND HOSPITAL EPIDEMIOLOGY. 2006.
[9] European Union Programme for Employment and Social Solidarity - PROGRESS (2007-2013). Occupational health and safety risks in the healthcare sector. Guide to prevention and good practice.
[10] Eileen B Malone, Barbara A. Dellinger, AAHID, IIDA, CID, EDAC. Furniture Design Features and Quality Care. May 2011.
[11] Alice W. Gichuhi, Simon M. Kamau, Elijah Nyangena, Z. Ngalo Otieno-Ayayo. Health Care Workers Adherence to Infection Prevention Practices and Control Measures: A Case of a Level Four District Hospital in Kenya. American Journal of Nursing Science 2015; 4(2): 39-44.
[12] Admasu Tenna, Edward A. Stenehjem, Lindsay Margolis, Ermias Kacha, Henry M. Blumberg, Russell R. Kempker. Infection Control Knowledge, Attitudes, and Practices among Healthcare Workers in Addis Ababa, Ethiopia. Infect Control Hosp Epidemiol. 2013; 34(12): 1289–1296.
[13] Azazh A, Diprete L, et al. Improvement of infection prevention compliance at Tikur Ambesa hospital 2010 http://www.nichq.org/patient-safety-infection.htm/
[14] Najeeb N. Knowledge, attitude and practice of standard and transmission-based precaution in tertiary and secondary health care setting of Maldives 2007 (41-46).
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  • APA Style

    Awoke Giletew Wondie, Daniel Alelign Demissie. (2019). Health Service Providers Knowledge and Practice Towards Clean and Safe Health Facility in Debre Tabor General Hospital, North Central Ethiopia. International Journal of Biomedical Engineering and Clinical Science, 5(1), 1-6. https://doi.org/10.11648/j.ijbecs.20190501.11

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    ACS Style

    Awoke Giletew Wondie; Daniel Alelign Demissie. Health Service Providers Knowledge and Practice Towards Clean and Safe Health Facility in Debre Tabor General Hospital, North Central Ethiopia. Int. J. Biomed. Eng. Clin. Sci. 2019, 5(1), 1-6. doi: 10.11648/j.ijbecs.20190501.11

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    AMA Style

    Awoke Giletew Wondie, Daniel Alelign Demissie. Health Service Providers Knowledge and Practice Towards Clean and Safe Health Facility in Debre Tabor General Hospital, North Central Ethiopia. Int J Biomed Eng Clin Sci. 2019;5(1):1-6. doi: 10.11648/j.ijbecs.20190501.11

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  • @article{10.11648/j.ijbecs.20190501.11,
      author = {Awoke Giletew Wondie and Daniel Alelign Demissie},
      title = {Health Service Providers Knowledge and Practice Towards Clean and Safe Health Facility in Debre Tabor General Hospital, North Central Ethiopia},
      journal = {International Journal of Biomedical Engineering and Clinical Science},
      volume = {5},
      number = {1},
      pages = {1-6},
      doi = {10.11648/j.ijbecs.20190501.11},
      url = {https://doi.org/10.11648/j.ijbecs.20190501.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijbecs.20190501.11},
      abstract = {Excellence in patient care is dependent on getting the basics right, making sure that the food is good, making sure that the patients are cared for appropriately and that the surroundings are clean, tidy, comfortable and safe. It is not possible to have a good hospital without being clean and tidy. Hence the objectives of this study were to assess health service providers’ level of knowledge, practice and associated factors of a clean and safe health facility in Debre Tabor General Hospital, North Central Ethiopia, 2017. An institution-based cross-sectional study was conducted and stratified sampling technique with proportional allocation was employed to select study participants by considering cleaners or laundry service providers and health workers as strata. A pretested questionnaire was used for data collection and data were checked, coded and entered into a statistical package for social sciences version 20 for analysis. Descriptive statistics, bivariate, and multiple logistic regression analysis were done. The result indicated that the knowledge score of respondents was 81.5% and 54.6% of respondents had a good practice of clean and safe health facility initiative procedures. Result of multiple logistic regression analysis showed that working experience greater than five years [AOR=0.06(95%CI=(0.03, 0.76)], males [AOR=2.54(95%CI=(1.12, 5.24)], age of service providers greater than 35 years [AOR=1.56(95%CI=(1.11, 6.24)] and attending training on clean and safe health facility initiative [AOR=4.52(95%CI=(3.53, 6.37)] were factors associated with knowledge and practice of clean and safe health facility protocols. Generally, the level of knowledge and practice on clean and safe health facility procedures is not optimum as per the national guideline; ensuring the availability of personal protective equipment, the existence of monitoring and evaluation mechanisms and dealing with staff retention mechanisms could improve the knowledge and practice of clean and safe health facility protocols.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Health Service Providers Knowledge and Practice Towards Clean and Safe Health Facility in Debre Tabor General Hospital, North Central Ethiopia
    AU  - Awoke Giletew Wondie
    AU  - Daniel Alelign Demissie
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    JF  - International Journal of Biomedical Engineering and Clinical Science
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    PB  - Science Publishing Group
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    AB  - Excellence in patient care is dependent on getting the basics right, making sure that the food is good, making sure that the patients are cared for appropriately and that the surroundings are clean, tidy, comfortable and safe. It is not possible to have a good hospital without being clean and tidy. Hence the objectives of this study were to assess health service providers’ level of knowledge, practice and associated factors of a clean and safe health facility in Debre Tabor General Hospital, North Central Ethiopia, 2017. An institution-based cross-sectional study was conducted and stratified sampling technique with proportional allocation was employed to select study participants by considering cleaners or laundry service providers and health workers as strata. A pretested questionnaire was used for data collection and data were checked, coded and entered into a statistical package for social sciences version 20 for analysis. Descriptive statistics, bivariate, and multiple logistic regression analysis were done. The result indicated that the knowledge score of respondents was 81.5% and 54.6% of respondents had a good practice of clean and safe health facility initiative procedures. Result of multiple logistic regression analysis showed that working experience greater than five years [AOR=0.06(95%CI=(0.03, 0.76)], males [AOR=2.54(95%CI=(1.12, 5.24)], age of service providers greater than 35 years [AOR=1.56(95%CI=(1.11, 6.24)] and attending training on clean and safe health facility initiative [AOR=4.52(95%CI=(3.53, 6.37)] were factors associated with knowledge and practice of clean and safe health facility protocols. Generally, the level of knowledge and practice on clean and safe health facility procedures is not optimum as per the national guideline; ensuring the availability of personal protective equipment, the existence of monitoring and evaluation mechanisms and dealing with staff retention mechanisms could improve the knowledge and practice of clean and safe health facility protocols.
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Author Information
  • Department of Public Health, Debre Tabor University, Debre Tabor, Ethiopia

  • Department of Nursing, Debre Tabor General Hospital, Debre Tabor, Ethiopia

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