KNOWLEDGE AND PRACTICE OF HEALTHCARE PROVIDERS TOWARDS INFECTION
PREVENTION AND CONTROL MEASURES FOR NOSOCOMIAL INFECTIONS IN PUBLIC
HOSPITALS OF RWANDA.
Abstract
Background: Adequate knowledge, attitude, and safe practice of
infection prevention among healthcare providers are vital to prevent
nosocomial infections. This study examined the level of knowledge,
attitude, and practice of healthcare providers on infection prevention
and its associated factors among health professionals working in Public
Hospitals of Rwanda. Methods: Institution based cross-sectional
study was conducted among 715 healthcare providers who were selected by
convenient technique. Data were collected using interviewer-administered
questionnaire. Multivariate logistic regression was performed to
identify factors associated with practice of infection prevention and
variables with a p-value < 0.05 were considered statistically
significant. Results: More than half 70.8, 69, and 56.9 of
healthcare providers had satisfactory knowledge positive attitude and
satisfactory practice of infection prevention, respectively. Referral
hospitals (AOR= 2.1, CI at 95% [= 1.5 – 2.9], p-value = 0.01] ,
Region (AOR = 1.4, CI at 95% [1.2 – 2.0], p – value = 0.04);(AOR
= 1.54, CI at 95 % [1.01 -2.70], p – value < 0.01) ,
Education (AOR = 0.44, CI at 95%, [0.38 – 1.08], p-value 0.04) ;
(AOR = 0.63, CI at 95% [0.37 – 0.87], p – value < 0.01)
, attending a course (AOR = 1.54, CI at 95 % [1.02 – 1.68], p –
value < 0.01), receiving HBV (AOR = 1.03, CI at 95% [0.49
– 1.12], p-value = 0.02) , working experience ≥ 10 years , and
Positive overall attitude (AOR = 2.07, CI at 95% [1.01 – 3.42],
p-value = 0.01) were positively associated with satisfactory practice of
infection prevention. Conclusion: A considerable proportion of
healthcare providers had satisfactory knowledge, attitude, and
satisfactory practice of infection prevention. There is a need to
improve training in health facilities.