A survey examining promotion of hand hygiene in healthcare through campaigns and programmes coordinated at a nationalsubnational level
Abstract number: O465
Mathai E., Allegranzi B., Kilpatrick C., Bagheri Nejad S., Graafmans W., Pittet D.
Objective: The WHO First Global Patient Safety Challenge "Clean Care is Safer Care" (CCiSC) recognises the importance of nationally coordinated activities in achieving its goal of reducing healthcare-associated infection (HAI) through improved hand hygiene in healthcare. A baseline survey of existing hand hygiene national/sub-national initiatives was conducted in 2007 and repeated in early 2009 to assess current status and to generate information on factors contributing to their success.
Methods: Campaigns and programmes promoting hand hygiene in healthcare were identified through WHO regional offices and experts in the field. An online survey using a structured questionnaire was conducted during March-April 2009.
Results: In 2009, 38/38 campaigns/programmes identified (18/20 in 2007) completed the survey. Of the 38, 29 were active national/sub-national level initiatives from all WHO regions, except for Africa; 21 (72.4%) were initiated after the launch of CCiSC in October 2005. The main targets of hand hygiene promotion were general, district and university hospitals, with increasing coverage of long-term care facilities and primary care. The scope varied from awareness raising to well scaled-up activities with ongoing evaluation. Most activities (20/29) obtained funding from multiple sources with governments among the main funders; governments were responsible for initiating 25/29 (86.2%) campaigns/programmes. Through the 2009 survey, the facilitator role played by CCiSC in initiating activities and the support with tools and recommendations emerged very clearly. Barriers were identified, but the perceived significance of specific barriers varied considerably. Those related to commitment (priority and support) and resource availability were important across all regions. A range of indicators to measure the impact of the initiative was reported with process indicators being more common.
Conclusion: Hand hygiene is being promoted in healthcare in several countries at national/sub-national level with clear objectives, strategies and governmental support. Such embedding through policies and resource allocation is important for sustainability. Actions to improve commitment from different stakeholders are needed. Indicators for measuring impact need to be more uniform and more widely implemented. Further actions to initiate coordinated activities across the world, including countries with limited resources, are required.
|Session name:||Abstracts 20th European Congress of Clinical Microbiology and Infectious Diseases|
|Location:||Vienna, Austria, 10 - 13 April 2010|
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