Implementation of the WHO multimodal Hand Hygiene Improvement Strategy in a University Hospital in Central Ethiopia

Table 2 HCWs’ perception of the 5 components of the WHO multimodal hand hygiene improvement strategy

	Baseline	Follow up	P value^a
No of respondents	61	53
Category I	42	20
Category II	19	33
Strategy Component^b
System change:
The healthcare facility makes alcohol-based handrub available at each point of care	6 (1–7)	6 (3–7)	0.359
Education:
Clear and simple instructions for hand hygiene are made visible for every HCW	6 (3–7)	6 (4–7)	0.138
Each HCW is trained in hand hygiene	5 (3–7)	6 (3–7)	0.165
Feedback:
HCWs regularly receive the results of their hand hygiene performance	4 (2–7)	5 (2–7)	0.969
Workplace reminders:
Hand hygiene posters are displayed at point of care as reminders	3 (2–7)	6 (5–7)	<0.001
Patient safety climate:
Leaders at your institution support and openly promote hand hygiene	5 (2–7)	6 (4–7)	0.062
Patients are invited to remind HCWs to perform hand hygiene	4 (1–7)	2 (1–7)	0.719

Category I: nurse/midwife/health officer/emergency surgeon/nurse, midwife, health officer student; Category II: medical doctor/intern/medical student. NOTE: HCW, health-care worker; WHO, World Health Organization. HCWs were asked to respond to the listed statements following the introductory question: “In your opinion, how effective would the following actions be to increase hand hygiene permanently in your institution?” ^aDetermined by Wilcoxon rank-sum test. ^bData show median scores (IQR) on a 7-point Likert scale (with extremes labelled as “not effective” at the lower and “very effective” at the higher end)

ISSN: 2047-2994