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2020 ; 2
(3
): 100071
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English Wikipedia
Status of Infection Prevention and Control in Tanzanian Primary Health Care
Facilities: Learning From Star Rating Assessment
#MMPMID34316561
Kinyenje E
; Hokororo J
; Eliakimu E
; Yahya T
; Mbwele B
; Mohamed M
; Kwesigabo G
Infect Prev Pract
2020[Sep]; 2
(3
): 100071
PMID34316561
show ga
BACKGROUND: The WHO estimates 10-30% of hospital admissions are associated with
poor infection prevention and control (IPC). There are no reliable data on IPC
status in Tanzanian healthcare facilities; hence the Star Rating Assessment (SRA)
was established to address this. This study compared the health facility
performances on adherence to IPC principles using baseline and reassessment data
of SRA. METHODS: A retrospective analysis of data from eight randomly selected
regions across Tanzania. Data was gathered from an SRA database in which records
of baseline assessments (2015/16) and reassessments (2017/18) were documented.
Each healthcare facility's ownership and service level were investigated as
independent variables. RESULTS: A total of 2,131 healthcare facilities at
baseline and 2,185 at reassessment were analysed. Median adherence to IPC
principles increased from 31% (IQR: 20%, 46%) to 57% (IQR: 41.4%, 73.2%) after
interventions (p<0.001).Privately-owned facilities had higher adherence to IPC
principles compared to publicly-owned facilities during baseline (p<0.001)
however, the difference was not significant after intervention (p=0.751). On
average, hospitals scored highest followed by health centres and then
dispensaries during both assessments.Being a privately-owned facility was a
predictor of attaining a recommended IPC score of 80% at baseline (POR=1.92
CI=1.06-3.48) but not after the intervention. Facility level was not a predictor
during baseline assessment; however after intervention hospitals were twice as
likely to attain the recommended score compared to dispensaries (POR=2.27
CI=1.15-4.45). CONCLUSION: Assessment and rating of quality and organization of
health services plus management support to healthcare facilities, leads to
improved adherence to IPC principles.