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. 2023 Aug 16;23(1):870.
doi: 10.1186/s12913-023-09853-2.

Evaluation of the implementation of hospital hygiene components in 30 health-care facilities in the autonomous district of Abidjan (Cote d'Ivoire) with the WHO Infection Prevention and Control Assessment Framework (IPCAF)

Doumbia Mariamou Cissé  1   2 , Essis Esme Marie Laure  3   4 , Koné Atioumounan Blaise  1   5 , N'gbesso N'gbesso Jean Paul  6 , Mbengue Valérie Gbonon  7   8 , Cissé Raïssa Adja Mayaka  2 , Gagne Doh Eugénie  9 , Dagnan N'cho Simplice  10 , Kouadio Luc Philippe  2   5 , Samba Mamadou  1   11
Affiliations

Evaluation of the implementation of hospital hygiene components in 30 health-care facilities in the autonomous district of Abidjan (Cote d'Ivoire) with the WHO Infection Prevention and Control Assessment Framework (IPCAF)

Doumbia Mariamou Cissé et al. BMC Health Serv Res. .

Abstract

Introduction: As part of the implementation of its mission "to integrate hygiene activities into healthcare", the general directorate of health conducted in 2018 with its technical structures, an evaluation of the implementation of Infection Prevention and Control (IPC) using the WHO IPCAF tool in 30 health-care facilities in the autonomous district of Abidjan.

Materials and methods: This were a cross-sectional survey with a conceptualized component considering the issue of injection safety and sanitary waste management, which was conducted in the named health-care facilities from March 20 to 28, 2018. The scores of the essential components of the IPC made it possible to assess the IPC level of each health-care facility evaluated and the overall IPCAF score of all facilities.

Results: The overall median IPCAF score of the health-care facilities was 242.5/800 and corresponded to an inadequate level overall. No facility reached the "advanced" level of performance, 5 facilities (17%) reached the "intermediate" level, 10 (33%) fell into the "basic" level, and 15 (50%) were at the "inadequate" level. Baseline institutions had much higher scores than first contact institutions.

Conclusion: IPC component activities were inadequate and fragmented in the under-resourced health facilities at the time of the assessment. It would be appropriate to provide adequate resources and develop expertise in IPC through strong political will and leadership. This will contribute to the achievement of universal health insurance objectives with safe health services for patients.

Keywords: Cote d’Ivoire; Evaluation; Hand Hygiene; Health-care facilities; Healthcare associated infections; Infection Prevention and Control; Patient safety; Survey.

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Conflict of interest statement

The authors declare that there are no conflicts of interest regarding the publication of this article.

Figures

Fig. 1
Fig. 1
Study area (Autonomous District of Abidjan)
Fig. 2
Fig. 2
Availability of essential guidelines in health-care facilities
Fig. 3
Fig. 3
Proportion of health-care facilities by monitoring indicators
See this image and copyright information in PMC

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