TY - JOUR
T1 - Factors influencing healthcare workers’ perceived compliance with infection prevention and control standards, North Bank East region, The Gambia, a cross-sectional study
AU - Darboe, Sheriffo M.K.
AU - Darfour-Oduro, Sandra A.
AU - Kpene, Godsway Edem
AU - Kebbeh, Abou
AU - Fofana, Nuha
AU - Ndow, Manjally
AU - Sanyang, Kawsu
AU - Duah, Dwomoh
AU - Yawson, Alfred Edwin
AU - Kenu, Ernest
AU - Bonful, Harriet Affran
N1 - Publisher Copyright:
© The Author(s) 2025.
PY - 2025/12
Y1 - 2025/12
N2 - Background: This study evaluated Health Care Workers’ (HCWs) knowledge, attitude, perceived compliance, and potential influencing factors related to Infection Prevention and Control (IPC) standards in the North Bank East region of The Gambia. Method: The study was an analytic cross-sectional study, conducted in 2021 using a multistage sampling technique. Thirteen health facilities were sampled from the North Bank East Region of The Gambia. The sample size was calculated using the Cochrane formula, based on a healthcare worker population of 408, with a 95% confidence interval. Adjustments were made for a 10% non-response rate and a compliance level of 50%. A final sample size of 218 was used for the study. Descriptive statistics, chi-square, and logistic regression were done at a 95% confidence limit and an alpha level of 0.05. A p-value of 0.05 was considered statistically significant. Results: Among the 218 healthcare workers, the majority demonstrated adequate knowledge (86.24%) and a positive attitude (78.4%) toward Infection Prevention and Control (IPC). About half (50.5%) of the HCWs did not comply with IPC standards. Good attitude of HCWs [aOR = 3.13, 95%CI: 1.17–8.41, p-value = 0.023], accessibility of Personal Protective Equipment [aOR = 2.34, 95%CI: 1.01–5.38; p-value = 0.046], and monitoring of IPC practice [aOR = 3.95, 95%CI: 1.84–8.45; p-value = < 0.001] were independently associated with HCWs perceived compliance with IPC standards. Conclusion: Although 188 (86.24%) HCWs displayed adequate knowledge of IPC standards, perceived compliance remains insufficient in Gambian healthcare facilities. To address this, the Ministry of Health should prioritize educational campaigns, and regular training to reinforce HCW knowledge, ensure Personal Protective Equipment (PPE) accessibility, and implement ongoing IPC practice monitoring among healthcare workers.
AB - Background: This study evaluated Health Care Workers’ (HCWs) knowledge, attitude, perceived compliance, and potential influencing factors related to Infection Prevention and Control (IPC) standards in the North Bank East region of The Gambia. Method: The study was an analytic cross-sectional study, conducted in 2021 using a multistage sampling technique. Thirteen health facilities were sampled from the North Bank East Region of The Gambia. The sample size was calculated using the Cochrane formula, based on a healthcare worker population of 408, with a 95% confidence interval. Adjustments were made for a 10% non-response rate and a compliance level of 50%. A final sample size of 218 was used for the study. Descriptive statistics, chi-square, and logistic regression were done at a 95% confidence limit and an alpha level of 0.05. A p-value of 0.05 was considered statistically significant. Results: Among the 218 healthcare workers, the majority demonstrated adequate knowledge (86.24%) and a positive attitude (78.4%) toward Infection Prevention and Control (IPC). About half (50.5%) of the HCWs did not comply with IPC standards. Good attitude of HCWs [aOR = 3.13, 95%CI: 1.17–8.41, p-value = 0.023], accessibility of Personal Protective Equipment [aOR = 2.34, 95%CI: 1.01–5.38; p-value = 0.046], and monitoring of IPC practice [aOR = 3.95, 95%CI: 1.84–8.45; p-value = < 0.001] were independently associated with HCWs perceived compliance with IPC standards. Conclusion: Although 188 (86.24%) HCWs displayed adequate knowledge of IPC standards, perceived compliance remains insufficient in Gambian healthcare facilities. To address this, the Ministry of Health should prioritize educational campaigns, and regular training to reinforce HCW knowledge, ensure Personal Protective Equipment (PPE) accessibility, and implement ongoing IPC practice monitoring among healthcare workers.
KW - Compliance
KW - Healthcare worker
KW - Healthcare-associated infection
KW - Infection prevention and control standards
KW - Knowledge
KW - The Gambia
UR - https://www.scopus.com/pages/publications/85217623931
U2 - 10.1186/s13104-025-07101-w
DO - 10.1186/s13104-025-07101-w
M3 - Article
C2 - 39885582
AN - SCOPUS:85217623931
SN - 1756-0500
VL - 18
JO - BMC Research Notes
JF - BMC Research Notes
IS - 1
M1 - 43
ER -