Catching up with the standards: Infection prevention and control in the rural health units in region 2 Philippines

Paper Details

Research Paper 15/10/2024
Views (20) Download (5)
current_issue_feature_image
publication_file

Catching up with the standards: Infection prevention and control in the rural health units in region 2 Philippines

Ma. Angelita S. Rabanal, Julius T. Capili, Lily Ann C. Mallabo, Jinky Marie T. Chua
Int. J. Biosci.25( 4), 262-270, October 2024.
Certificate: IJB 2024 [Generate Certificate]

Abstract

This study assessed the current state of Infection Prevention and Control (IPC) in Rural Health Units in the four provinces of Region 2 in the Philippines amidst the ongoing COVID-19 pandemic. Using a concurrent mixed-method research design, the study employed structured interviews, document analysis, and focus group discussions. The World Health Organization’s Infection Prevention and Control Assessment Framework (IPCAF) and the National Standard for Infection Control in the Health Care Facility of the Department of Health (DOH) were utilized as primary tools. Results revealed very good scores in the core components of IPC. While efforts to implement IPC measures were evident, significant gaps were identified. Based on the findings, the study underscores the need for strengthening IPC measures and recommends focused interventions on RHUs scoring lower on IPC standards, the importance of fostering a culture of safety and vigilance, and the need for robust regulatory mechanisms to uphold IPC standards. Future research directions include longitudinal studies for tracking improvements and investigating barriers to effective IPC implementation. The study offers critical insights for enhancing patient safety and protecting healthcare workers, thereby contributing to healthcare system resilience during pandemics.

VIEWS 14

Aghdassi S, Grisold A, Wechsler-Fördös A, Hansen S, Bischoff P, Behnke M, … & Gastmeier P. 2020. Evaluating Infection Prevention and Control Programs in Austrian Acute Care Hospitals Using the WHO Infection Prevention and Control Assessment Framework. Antimicrob Resist Infect Control 1(9). https://doi.org/10.1186/s13756-020-00761-2

Allegranzi B, Bagheri Nejad S, Combescure C, Graafmans W, Attar H, Donaldson L, & Pittet D. 2011. Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis. The Lancet 377(9761), 228-241.

Behnke M, Valik J, Gubbels S, Teixeira D, Kristensen B, Abbas M, … & Tängdén T. 2021. Information Technology Aspects of Large-Scale Implementation of Automated Surveillance of Healthcare-Associated Infections. Clinical Microbiology and Infection 27, S29-S39. https://doi.org/10.1016/j.cmi.2021.02.027

Birgand G, Johansson A, Szilagyi E, Lucet J. 2015. Overcoming the Obstacles of Implementing Infection Prevention and Control Guidelines. Clinical Microbiology and Infection 12(21), 1067-1071. https://doi.org/10.1016/j.cmi.2015.09.005

Birgand G, Lepelletier D, Baron G, Barrett S, Breier AC, Buke C, … & Szilágyi E. 2015. Agreement Among Healthcare Professionals in Ten European Countries in Diagnosing Case-Vignettes of Surgical-Site Infections. PLoS ONE 10(7), e0133065.

Bryant KA, Harris AD, Gould CV, Humphreys E, Lundstrom T, Murphy DM, … & Scheckler WE. 2016. Necessary Infrastructure of Infection Prevention and Healthcare Epidemiology Programs: A Review. Infection Control & Hospital Epidemiology 37(4), 371-380.

Cayô R, De Almeida LM, Andrade SS, Diogo Filho A, & Silbert S. 2014. Control of Endemic Multidrug-Resistant Gram-Negative Bacteria After Removal of Sinks and Implementing a New Water-Safe Policy in an Intensive Care Unit. Journal of Hospital Infection 86(1), 63-67.

Cimiotti JP, Aiken LH, Sloane DM, & Wu ES. 2012. Nurse Staffing, Burnout, and Health Care–Associated Infection. American Journal of Infection Control 40(6), 486-490.

Colet P, Cruz J, Cacho G, Alqubeilat H, Soriano S, Cruz C. 2017. Perceived Infection Prevention Climate and Its Predictors Among Nurses in Saudi Arabia. Journal of Nursing Scholarship 2(50), 134-142. https://doi.org/10.1111/jnu.12360

Dettenkofer M, Seegers S, Antes G, Motschall E, Schumacher M, & Daschner FD. 2004. Does the Architecture of Hospital Facilities Influence Nosocomial Infection Rates? A Systematic Review. Infection Control & Hospital Epidemiology 25(1), 21-25.

Gilbert G, Kerridge I. 2022. What Is Needed to Sustain Improvements in Hospital Practices Post-COVID-19? A Qualitative Study of Interprofessional Dissonance in Hospital Infection Prevention and Control. BMC Health Serv Res 1(22). https://doi.org/10.1186/s12913-022-07801-0

Haischer MH, Beilfuss R, Hart MR, Opielinski L, Wrucke D, Zirgaitis G, … & Zahner SJ. 2020. Who Is Wearing the Masks? Gender Differences in the Performance of Physical Activities and in the Acquisition of Skills While Wearing N95 Masks. American Journal of Infection Control 48(8), 968-969.

Herzig C, Stone P, Castle N, Pogorzelska-Maziarz M, Larson E, Dick A. 2016. Infection Prevention and Control Programs in US Nursing Homes: Results of a National Survey. Journal of the American Medical Directors Association 17(1), 85-88. https://doi.org/10.1016/j.jamda.2015.10.017

Ilesanmi O, Ayodeji O, Bakare A, Adedosu N, Adeagbo A, Odutayo A.; Bello A. 2020. Infection Prevention and Control (IPC) at a Lassa Fever Treatment Center Before and After the Implementation of an Intensive IPC Program. Jidhealth 3(3), 213-216. https://doi.org/10.47108/jidhealth.vol3.iss3.66

Islam M, Rahman K, Sun Y, Qureshi M, Abdi I, Chughtai A.; Seale H. 2020. Current Knowledge of COVID-19 and Infection Prevention and Control Strategies in Healthcare Settings: A Global Analysis. Infect. Control Hosp. Epidemiol. 41(10), 1196-1206. https://doi.org/10.1017/ice.2020.237

Michael I. 2020. Determinants of Knowledge and Practice of Infection Prevention and Control Among Healthcare Workers During COVID-19 Outbreak in Nigeria. TIJPH 3(8), 169-180. https://doi.org/10.21522/tijph.2013.08.03.art019

Mitchell BG, Gardner A, Stone PW, Hall L, Pogorzelska-Maziarz M. 2015. Hospital staffing and health care-associated infections: a systematic review of the literature. Journal of Hospital Infection 91(3), 211-222.

Opollo MS, Otim TC, Kizito W, Thekkur P, Kumar AM, Kitutu FE, … & Zolfo M. 2021. Infection Prevention and Control at Lira University Hospital, Uganda: More Needs to Be Done. Tropical Medicine and Infectious Disease 6(2), 69.

Oppong T, Amponsem-Boateng C, Kyere E, Wang Y, Gheisari Z, Oppong E, … & Yang H. 2020. Infection Prevention and Control Preparedness Level and Associated Determinants in 56 Acute Healthcare Facilities in Ghana. IDR 13, 4263-4271. https://doi.org/10.2147/idr.s273851

Sahiledengle B, Gebresilassie A, Getahun T, Hiko D. 2018. Infection Prevention Practices and Associated Factors Among Healthcare Workers in Governmental Healthcare Facilities in Addis Ababa. Ethiop J Health Sci 28(2), 177. https://doi.org/10.4314/ejhs.v28i2.9

Schweizer ML, Reisinger HS, Ohl M, Formanek MB, Blevins A, Ward MA, Perencevich EN. 2014. Searching for an Optimal Hand Hygiene Bundle: A Meta-Analysis. Clinical Infectious Diseases 58(2), 248-259.

Sehulster L, Chinn RY; CDC; HICPAC. 2004. Guidelines for Environmental Infection Control in Health-Care Facilities. MMWR Recomm Rep 52(RR-10), 1-42. PMID: 15191496.

Smith PC. 2015. Some Reflections on Priorities for Health Systems Strengthening in the WHO European Region. World Health Organization Regional Office for Europe.

Storr J, Twyman A, Zingg W, Damani N, Kilpatrick C, Reilly J, … & Kilpatrick C. 2017. Core Components for Effective Infection Prevention and Control Programmes: New WHO Evidence-Based Recommendations. Antimicrobial Resistance & Infection Control 6(1), 1-18.

World Health Organization (WHO). Guidelines on Core Components of Infection Prevention and Control Programmes at the National and Acute Health Care Facility Level. Retrieved from http://www.who.int/infection-prevention/publications/ipc-components-guidelines/en/

World Health Organization (WHO). Infection Prevention and Control Assessment Framework at the Facility Level. Retrieved from https://www.who.int/infection-prevention/tools/core-components/IPCAF-facility.PDF?ua=1

World Health Organization (WHO). WHO Guidelines on Core Components of Infection Prevention & Control Programmes at the National and Acute Health Care Facility Level. Retrieved from http://www.who.int/gpsc/cc_summary.pdf?ua=1&ct=t(World_Antibiotic_Awareness_Week10_12_2016)

Zingg W, Holmes A, Dettenkofer M, Goetting T, Secci F, Clack L, … & Pittet D. 2015. Hospital Organisation, Management, and Structure for Prevention of Health-Care-Associated Infection: A Systematic Review and Expert Consensus. The Lancet Infectious Diseases 15(2), 212-224.