Hand hygiene

Background: Hand hygiene is a critical preventive measure in healthcare ,reducing the transmission of healthcare associated infections (HCAIs).Despite its importance ,compliance among healthcare workers remains inconsistent ,particularly in resource -constrained settings. Objective: To assess the knowledge,practice,attitude,andcompliancetowardshandhygieneamonghealthcare workers in Oluku community, Benin City. Methodology: Across- sectional study was conducted among 116 healthcare workers from public and private Facilities in Oluku community. Data was collected using structured questionnaires addressing knowledge, practice, compliance, and factors influencing hand hygiene. Descriptive and inferential statistics were employed, with significance set atp<0.05.
Results: The study included 116 health care workers, with females comprising 65.5% and the majority aged between 31-40years(40.5%). Knowledge of hand hygiene was high, with 81.0% demonstrating good knowledge, predominantly obtained through workshops(85.3%). Good hand hygiene practices were reported by 85.3%, with 54.3% consistently adhering to the WHO’s five moments of hand hygiene. Compliance was highest a fter exposure to body fluids(93.1%) and lowest before patient interaction(50.9%). Alcohol- based hand sanitizers were regularly used by 87.9%, and 94.0% washed hands with soap and water. Factor s affecting compliance included the unavailability of soap(59.5%), lack of reminders(57.8%),and busy s chedules(51.7%). Public facility workers exhibited higher adherence compared to private facility workers(p<0.05).
Conclusion: The study revealed good knowledge and practice of hand hygiene among healthcare worker s in Oluku community ,but compliance with key protocols was sub optimal. Addressing barriers could enhance adherence and reduce HCAIs.

This study assessed the practice of infection control measures, influencing factors, barriers, and the relationship between academic level and adherence among undergraduate nursing students in a tertiary institution in Edo State. A descriptive cross-sectional design was adopted, and data were collected from 244 students using a structured self-administered questionnaire. Analysis was done using SPSS version 27, with descriptive and inferential statistics applied. Findings revealed generally good adherence, particularly in hand hygiene (65.6%), proper disposal of sharps (70.5%), and use of personal protective equipment (60.7%). Compliance was lower for equipment disinfection (56.6%) and isolation precautions (53.3%), with a grand mean of 3.47. Factors positively influencing practice included belief in patient safety (72.1%), continuous education (64.8%), and supervision (62.3%). Major barriers reported were overcrowding (61.5%), time constraints (58.2%), workload (57.4%), inadequate PPE (53.3%), and insufficient supervision (52.5%). A Chi-square test revealed a significant association between academic level and adherence (χ² = 6.481, df = 4, p = 0.039), with 300-level students showing higher compliance (68.2%) than 400-level (59.3%) and 500-level (53.3%) students. The study concludes that while nursing students demonstrate commendable infection control practices, gaps remain, highlighting the need for stronger institutional support, continuous education, and resource provision to sustain compliance.

Hand hygiene is a key component of infection prevention and control (IPC) strategies, proven to significantly reduce healthcare-associated infections (HAIs) and improve patient safety. Despite this, compliance with hand hygiene protocols among healthcare workers
(HCWs) in many healthcare facilities remains suboptimal. This study assessed the knowledge, attitude, compliance, and determinants influencing hand hygiene practice among healthcare workers in the University of Benin Teaching Hospital (UBTH), Benin City, Edo State, Nigeria. MATERIALS AND METHODS: A descriptive cross-sectional study design was employed in this study. The sample size was calculated using Cochran’s formula for descriptive studies. A stratified random sampling technique was utilized for the study. Data were collected using a structured self- administered questionnaire adapted from WHO hand hygiene tools, the Hand Hygiene Belief Scale (HHBS), and WHO ward infrastructure checklist. Data were analyzed using IBM SPSS version 27.0. Descriptive statistics were presented as frequencies, means, and percentages, while inferential statistics including Chi-square test and binary logistic regression were used to determine associations, with statistical significance set at p < 0.05. RESULTS: A total of 460 respondents participated in the study, with a mean age of 31.9 ± 7.7 years; 247 (53.7%) were females and 213 (46.3%) males. Almost all participants (457 [99.3%]) were aware of hand hygiene, and 359 (78.0%) had received formal training within the previous three years. However, only 170 (37.0%) demonstrated good knowledge, while 290 (63.0%) had poor knowledge. A positive attitude toward hand hygiene was observed in 349 (75.9%) respondents, yet only 210 (45.7%) demonstrated satisfactory compliance with the WHO’s Five Moments for Hand Hygiene. Nurses (185 [40.2%]) recorded the highest compliance rates compared with other cadres. Marital status (p = 0.033), profession (p = 0.027), and monthly income (p = 0.024) were significantly associated with knowledge. Logistic regression showed that being unmarried (AOR = 2.32; 95% CI: 1.36-3.94; p = 0.002), female (AOR = 1.62; 95% CI: 1.05-2.51; p = 0.031), and of the nursing profession (AOR = 2.54; 95% CI: 1.17-5.53; p = 0.019) independently predicted good knowledge. Facility assessment revealed inadequate availability of alcohol-based hand rubs (62 [13.5%]), inconsistent running-water supply, and incomplete handwashing infrastructure in several
wards. CONCLUSION: About a third of the health workers demonstrated good knowledge of hand hygiene, with marital status and profession identified as significant predictors. Half exhibited a positive attitude, which was associated with female gender, single marital status, paramedical profession, and longer years of practice. Approximately two-thirds were compliant with hand
hygiene practices, with nurses showing the highest compliance rates. Awareness of guidelines, understanding the importance of hand hygiene, and belief in its role in preventing infections were key facilitators, while only a third of the wards had adequate infrastructure to support and sustain proper hand hygiene practices.