Introduction
As part of the implementation of its mission "to integrate hygiene activities into health-care", 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.
Material and methods
This was 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.
Introduction: As part of the implementation of its mission "to integrate hygiene activities into health-care", 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.
Material 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.
Soil-Transmitted Helminths (STH) are public health problem in the world and particularly in developing countries. This study initiated at the University Félix Houphouët-Boigny of Cocody (Abidjan - Ivory Coast) aims to determine the level of prevalence, the intensity of infestation and co-infections due to Soil-Transmitted Helminths and the various associated factors. The Mini Flotac technique combined with a questionnaire was the method used to achieve the set objective. The study resulted in prevalence rates of 23.45% for Ascaris lumbricoides, 16.81% for Trichuris trichura and 0.88% for Ankylostoma spp. Co-infection of Ascaris lumbricoides and Trichuris trichiura was identified, i.e. a prevalence of 7.96%. The logistic regression model showed that Ascaris lumbricoides infection is associated with property in university toilets (OR=2.53, p≤0.05). This study made it possible to initiate an integrated control programme against Soil-Transmitted Helminths in general and Ascaris lumbricoides and Trichuris trichura infection in particular at Félix Houphouët-Boigny University.
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