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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Access to and Use of Hand Hygiene Resources during the COVID-19 Pandemic in Two Districts in Uganda, January–April 2021
American Journal of Tropical Medicine and Hygiene, Volume 109, No. 4, Year 2023
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Description
To understand access to and use of hand hygiene in healthcare facilities (HCFs) and community locations during the COVID-19 pandemic, we evaluated factors associated with hand hygiene in 60 priority HCFs and community locations in two border districts in Uganda. We assessed water and hand hygiene resource availability and observed hand hygiene practice by staff or patrons. Regression modeling estimated factors associated with the availability or use of hand hygiene. In HCFs, most inpatient (61%), outpatient (71%), and laboratory or staff (90%) rooms contained hand hygiene materials. Only 38% of community locations had hand hygiene materials at all entrances and exits, 35% of congregation areas had hand hygiene materials. Overall, 38% of healthcare staff, 48% of patrons post-latrine use, and 21% of patrons entering or exiting community locations practiced hand hygiene. HCF hand hygiene access was lower in inpatient rooms (odds ratio [OR] 5 0.17, 95% CI: 0.06–0.45) and outpatient rooms (OR 5 0.23, 95% CI: 0.07–0.70) compared with laboratory/staff rooms. HCF hand hygiene practice was higher for doctors than nurses (OR 5 3.58, 95% CI: 1.15–11.14) and with new versus existing patient encounters (OR 5 2.27, 95% CI: 1.20–4.27); it was lower before versus after patient contact for both invasive (OR 5 0.03, 95% CI: 0.00–0.20) and noninvasive (OR 5 0.66, 95% CI: 0.45–0.95) procedures. In community settings, hand hygiene practice after using the latrine was higher than at an entrances/exits (OR 5 3.39, 95% CI: 2.08–5.52). Hand hygiene rates were relatively low in healthcare and community settings. Greater emphasis on hand hygiene before patient interactions (at HCFs) and at community entrances/exits for patrons is also needed. Copyright © 2023 The author(s)
Authors & Co-Authors
Pratt, Caroline Quinn
United States, Atlanta
Centers for Disease Control and Prevention
Kesande, Maureen
Uganda, Kampala
Makerere University
Tusabe, Fred
Uganda, Kampala
Makerere University
Medley, Alexandra Marie
United States, Atlanta
Centers for Disease Control and Prevention
Prentice-Mott, Graeme
United States, Atlanta
Centers for Disease Control and Prevention
Lozier, Matthew J.
United States, Atlanta
Centers for Disease Control and Prevention
Trinies, Victoria
United States, Atlanta
Centers for Disease Control and Prevention
Lamorde, Mohammed
Uganda, Kampala
Makerere University
Berendes, David M.
United States, Atlanta
Centers for Disease Control and Prevention
Statistics
Authors: 9
Affiliations: 2
Identifiers
Doi:
10.4269/ajtmh.23-0031
ISSN:
00029637
Research Areas
Covid
Environmental
Health System And Policy
Study Design
Case-Control Study
Study Locations
Uganda