Healthcare Workers’ Knowledge and Attitudes Regarding the World Health Organization’s “My 5 Moments for Hand Hygiene”: Evidence from a Vietnamese Central General Hospital

Nguyen Van Huy^1,2,3 , Tran Trung Hieu², Khuong Quynh Long⁴, Nguyen Van Thanh², Ho Thi Nhi Na⁵, Dao Thi Minh An^3,6 , Hoang Van Minh⁴

¹Graduate School of Public Health, St. Luke's International University, Tokyo, Japan
²Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam
³Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worchester, Massachusetts, USA
⁴Hanoi University of Public Health, Hanoi, Vietnam
⁵School of Nursing, Duy Tan University, Da Nang, Vietnam
⁶Department of Epidemiology, Institute for Preventive Medicine and Public Health, Hanoi Medical University

ABSTRACT

Objectives: Although the World Health Organization (WHO) initiative "My 5 Moments for Hand Hygiene" has been lauded as effective in preventing hospital-associated infections, little is known about healthcare workers??hand hygiene behavior. In this study, we sought to assess knowledge and attitudes towards the concepts in this initiative, as well as associated factors, among Vietnamese healthcare workers at a general hospital. Method: A structured questionnaire was administered to healthcare workers at a central Vietnamese general hospital in 2015. Multiple logistic regression analysis was used to identify factors associated with healthcare workers??knowledge and attitudes towards hand hygiene. Results: Of 120 respondents, 65.8% and 67.5% demonstrated appropriate knowledge and a positive attitude, respectively, regarding all 5 hand hygiene moments. Logistic regression indicated better knowledge of hand hygiene in workers who were over 30 years old, who were direct healthcare workers (rather than managers), who had frequent access to clinical information, and who received their clinical information from training. Those who worked in infectious and tropical disease wards, who had frequent access to clinical information, and who received information from training were more likely to have a positive attitude towards hand hygiene than their counterparts. Conclusions: Although many Vietnamese healthcare workers displayed moderate knowledge and positive attitudes towards the WHO hand hygiene guidelines, a key gap remained. Regular education and training programs are needed to increase knowledge and to improve attitudes and practices towards hand hygiene. Furthermore, a combination of multimodal strategies and locally-adapted interventions is needed for sustainable hand hygiene adherence.

Key words: Knowledge; Attitude; Hand hygiene; Health workers; WHO; Vietnam

Full-text link: Healthcare Workers’ Knowledge and Attitudes Regarding the World Health Organization’s “My 5 Moments for Hand Hygiene”: Evidence from a Vietnamese Central General Hospital

Source: Center for Population Health Sciences (CPHS) - Hanoi University of Public Health