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
Supporting Institution
None
Ethical Statement
Ethical approval was obtained
from the Ethics and Research Review Committee of
Ekiti State University Teaching Hospital, Ado Ekiti
with protocol number: EKSUTH/A67/2021/012/011
on 17th December 2021, and permission was obtained
from Ekiti State Primary Health Care Development
Agency.
Thanks
I gratefully acknowledge the contributions of Dr.
(Mrs) Ajite for her encouragement through the course
of this research work.
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