Compliance with the National Palestinian Infection Prevention and Control Protocol at Governmental Paediatric Hospitals in Gaza Governorates
Journal Title: Sultan Qaboos University Medical Journal - Year 2014, Vol 14, Issue 3
Abstract
Objectives: Nosocomial infections are a signifcant burden for both patients and the healthcare system. For this reason, infection prevention and control (IPC) practices are extremely important. Te Palestinian Ministry of Health adopted the national IPC Protocol in 2004. Tis study aimed to assess the compliance of healthcare providers (HCPs) with the Protocol in three governmental paediatric hospitals in Gaza governorates. Methods: Tis descriptive cross-sectional study was conducted from February to November 2010. Data were collected from a sample of doctors, nurses and physiotherapists (N = 334) using a self-administered questionnaire and observation checklists to record HCP practices and assess the hospital environment. Results: Te response rate was 92%. Te most important reasons for non-compliance with the IPC Protocol were the absence of an education programme (61.5%), lack of knowledge (52.4%) and the scarcity of required supplies (46.9%). Only 2.3% of respondents had a copy of the IPC Protocol, while 65.8% did not know of its existence. Only 16.9% had participated in training sessions regarding general IPC practices. Te observation checklist regarding HCP practices revealed low levels of compliance in hand washing (45.9%), wearing gloves (40.7%) and using antiseptics/disinfectants (49.16%). Te health facilities checklist indicated that there was a lack of certain essential equipment and materials, such as covered waste containers and heavy-duty gloves. Conclusion: Due to the lack of HPC knowledge, the authors recommend that the IPC Protocol be made available in all hospitals. In addition, a qualifed team should implement intensive IPC education and training programmes and facilities should provide the required equipment and materials.
Authors and Affiliations
Ashraf Eljedi| Faculty of Nursing, Islamic University of Gaza, Gaza, Palestine, Shareef Dalo| Faculty of Nursing, Islamic University of Gaza, Gaza, Palestine
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