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Measuring the effec...
Measuring the effectiveness of an integrated intervention package to improve the level of infection prevention and control : a multi-centre study in Bangladesh
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- Ahmed, Anisuddin (author)
- Uppsala universitet,Internationell barnhälsa och nutrition,Int Ctr Diarrhoeal Dis Res, Maternal & Child Hlth Div MCHD, Dhaka, Bangladesh.
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- Hossain, L. (author)
- Int Ctr Diarrhoeal Dis Res, Maternal & Child Hlth Div MCHD, Dhaka, Bangladesh.
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- Banik, G. (author)
- Save Children, Hlth & Nutr Sect, Dhaka, Bangladesh.
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- Sayeed, A. (author)
- Int Ctr Diarrhoeal Dis Res, Maternal & Child Hlth Div MCHD, Dhaka, Bangladesh.
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Sajib, M. R. U. -Z (author)
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- Hasan, M. M. (author)
- Int Ctr Diarrhoeal Dis Res, Maternal & Child Hlth Div MCHD, Dhaka, Bangladesh.
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- Hoque, D. E. (author)
- UNFPA, Dhaka, Bangladesh.
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- Hasan, A. S. M. (author)
- UNFPA, Dhaka, Bangladesh.
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- Raghuyamshi, V. (author)
- UNFPA, Dhaka, Bangladesh.
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- Zaman, Shamsuz (author)
- UNFPA, Dhaka, Bangladesh.
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- Akter, E. (author)
- Int Ctr Diarrhoeal Dis Res, Maternal & Child Hlth Div MCHD, Dhaka, Bangladesh.
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- Nusrat, N. (author)
- North Carolina State Univ, Dept Stat, Raleigh, NC USA.
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- Rahman, F. (author)
- Int Ctr Diarrhoeal Dis Res, Maternal & Child Hlth Div MCHD, Dhaka, Bangladesh.
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- Raza, S. (author)
- Int Ctr Diarrhoeal Dis Res, Maternal & Child Hlth Div MCHD, Dhaka, Bangladesh.
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- Hasan, M. R. (author)
- Sir Salimullah Med Coll, Dhaka, Bangladesh.;Mitford Hosp, Dhaka, Bangladesh.
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- Uddin, J. (author)
- Projahnmo Res Fdn, Dhaka, Bangladesh.
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- Sarkar, S. (author)
- Govt Bangladesh, Hosp Serv Management, Directorate Gen Hlth Serv, Dhaka, Bangladesh.
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- Adnan, S. D. (author)
- Govt Bangladesh, Hosp & Clin, Directorate Gen Hlth Serv, Dhaka, Bangladesh.
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- Rahman, A. (author)
- Govt Bangladesh, Directorate Gen Hlth Serv, Communicable Dis Control, Dhaka, Bangladesh.
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- Ameen, S. (author)
- Int Ctr Diarrhoeal Dis Res, Maternal & Child Hlth Div MCHD, Dhaka, Bangladesh.
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- Jabeen, S. (author)
- Int Ctr Diarrhoeal Dis Res, Maternal & Child Hlth Div MCHD, Dhaka, Bangladesh.
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- El Arifeen, S. (author)
- Int Ctr Diarrhoeal Dis Res, Maternal & Child Hlth Div MCHD, Dhaka, Bangladesh.
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- Rahman, A. E. (author)
- Int Ctr Diarrhoeal Dis Res, Maternal & Child Hlth Div MCHD, Dhaka, Bangladesh.
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(creator_code:org_t)
- Elsevier, 2024
- 2024
- English.
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In: Journal of Hospital Infection. - : Elsevier. - 0195-6701 .- 1532-2939. ; 145, s. 22-33
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Abstract
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- Background: Infection prevention and control (IPC) is a critical component of delivering safe, effective and high -quality healthcare services, and eliminating avoidable healthcare -associated infections (HAIs) in health facilities, predominantly in populationdense settings such as Bangladesh.Aim: Our study aimed to assess the effect of an integrated intervention package in improving the IPC level of the health facilities in Bangladesh.Methods: We conducted a pre -post intervention study in six district hospitals (DHs) and 13 Upazila Health Complexes (UHCs) in the six districts of Bangladesh. Baseline and endline assessments were conducted between March and December 2021 using the adapted World Health Organization Infection Prevention and Control Assessment Framework (WHO-IPCAF) tool. The IPCAF score, ranging from 0-800, was calculated by adding the scores of eight components, and the IPC promotion and practice level was categorized as Inadequate (0 -200), Basic (201-400), Intermediate (401-600) and Advanced (601-800). The integrated intervention package including IPC committee formation, healthcare provider training, logistics provision, necessary guidelines distribution, triage/flu corners establishment, and infrastructure development was implemented in all facilities.Results: The average IPCAF score across all the facilities showed a significant increase from 16% (95% CI: 11.5-20.65%) to 54% (95% CI: 51.4-57.1%). Overall, the IPCAF score increased by 34 percentage points (P<0.001) in DHs and 40 percentage points (P<0.001) in UHCs. Following the intervention, 12 (three DHs, nine UHCs) of 19 facilities progressed from inadequate to intermediate, and another three DHs upgraded from basic to intermediate in terms of IPC level.Conclusion: The integrated intervention package improved IPCAF score in all facilities.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Keyword
- Intervention
- IPC
- WHO-IPCAF
- Core components
- Facility
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Ahmed, Anisuddin
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Hossain, L.
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Banik, G.
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Sayeed, A.
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Sajib, M. R. U. ...
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Hasan, M. M.
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show more...
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Hoque, D. E.
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Hasan, A. S. M.
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Raghuyamshi, V.
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Zaman, Shamsuz
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Akter, E.
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Nusrat, N.
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Rahman, F.
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Raza, S.
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Hasan, M. R.
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Uddin, J.
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Sarkar, S.
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Adnan, S. D.
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Rahman, A.
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Ameen, S.
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Jabeen, S.
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El Arifeen, S.
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Rahman, A. E.
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Uppsala University