A cross-sectional survey of predictors of infection prevention and control practice among health workers in primary health centers in a southwest state, Nigeria

Abstract

Objective: This study aimed to assess the knowledge of health workers and their attitude towards infection prevention and control (IPC) practice and to determine the associated factors and predictors of IPC practice among the health workers at primary health centres (PHCs) in a southwest state of Nigeria . Materials and Methods: This was a facility-based cross-sectional survey among 450 health workers across 60 PHCs in Ekiti state for a period of 3 months from July to September 2022. The sample size was determined using Leslie Fishers formula, and multistage sampling technique was used in selecting eligible participants. A self-administered structured questionnaire was used and data analyzed using SPSS version 27 . Results: A total of 450 health workers participated in this study with 94% response rate. The respondents in the urban PHCs were little less likely to have good IPC practice [adjusted odds ratio (AOR)= 0.646, 95% confidence interval (CI)= 0.448-0.931], those with IPC training were about twice more likely (AOR= 1.866, 95% CI= 1.089-3.926), and those with work experience above five years about thrice more likely to have good IPC practice (AOR= 2.463, 95% CI= 1.197- 5.071). Also, respondents with good knowledge were about ten times more likely (AOR= 10.433, 95% CI= 4.600-14.322), and those with positive attitude were about four times more likely to have good IPC practice (AOR= 3.630, 95% CI= 2.293-5.747). Conclusion: Health workers in urban PHCs, those that had been trained and those with more work experience were predictors of good IPC practice. Periodic training of health workers on IPC should be promoted especially in rural PHCs.

Keywords

• Infection prevention and control
• Primary health centre
• Health workers

References

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