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Table 3 Factors associated with HH compliance in two hospitals implementing a HH project in Kenya, 2018–2019

From: Improving hand hygiene practices in two regional hospitals in Kenya using a continuous quality improvement (CQI) approach

Characteristic

Unadjusted OR

(95% CI)

p value

Adjusted OR

(95% CI)

p value

Indication

      

 After patient contact

Ref

Ref

 Before patient contact

0.18

0.15–0.22

< 0.001

0.17

0.14–0.22

< 0.001

 After touching the patient surrounding

0.39

0.33–0.46

< 0.001

0.42

0.34–0.50

< 0.001

 Before aseptic procedure

0.13

0.08–0.20

< 0.001

0.12

0.08–0.17

< 0.001

 After body fluid exposure

1.33

1.09–1.63

0.005

1.43

1.17–1.74

< 0.001

Department*

      

 Internal medicine

Ref

 

Ref

 

 Surgery

0.91

0.81–1.00

 

0.93

0.85–1.02

 

 Obstetrics and gynaecology

1.22

1.10–1.35

 

1.12

1.03–1.22

 

 Ambulatory

1.51

1.34–1.71

 

1.52

1.36–1.69

 

 ER, OPD

1.29

1.14–1.46

 

1.26

1.12–1.41

 

 ICU, hemodialysis unit

3.11

2.71–3.57

 

3.28

2.88–3.73

 

Professional category

      

 Nurse/midwife

Ref

Ref

 Medical doctor

0.66

0.49–0.87

0.003

0.58

0.41–0.83

0.003

 Student

0.76

0.64–0.90

0.002

0.67

0.54–0.83

< 0.001

 Other healthcare worker

0.82

0.43–1.53

0.52

0.91

0.33–1.50

0.365

 Auxiliary

0.60

0.48–0.75

< 0.001

0.5

0.40–0.63

< 0.001

Hospital

      

 Kitale

Ref

Ref

 Thika

1.25

0.99–1.58

0.063

1.28

0.96–1.70

0.093

Time in quarters

      

 Qr 0 (baseline)

Ref

Ref

 Qr 1

1.93

1.46–2.55

< 0.001

2.02

1.43–2.86

< 0.001

 Qr 2

2.77

1.76–4.36

< 0.001

3.34

1.92–5.80

< 0.001

 Qr 3

2.65

1.67–4.19

< 0.001

3.01

1.65–5.50

< 0.001

 Qr 4

1.53

1.21–1.94

< 0.001

1.79

1.28–2.49

0.001

 Qr 5

2.10

1.35–3.26

0.001

2.41

1.41–4.12

0.001

 Qr 6

2.38

1.52–3.73

< 0.001

2.70

1.59–4.61

< 0.001

  1. Bold p-values are statistically significant
  2. ER, emergency room; OPD, outpatient department; ICU, intensive care unit
  3. *Adjusted for department as a random effect variable with confidence intervals calculated from standard error of variance, hence p values are unavailable