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Article Abstract
Objectives: This study presents baseline characteristics of a cluster randomized controlled trial (cRCT) on hand hygiene in primary healthcare in Burkina Faso and Mali, addressing data gaps on hand hygiene practices in these settings.
Methods: We implemented a two-arm cRCT in 48 primary healthcare facilities. Baseline data were collected (January-June 2023), followed by covariate-constrained randomization. We conducted covert hand hygiene observations, hand-rinse sampling for detection, and a survey on behavioral factors among healthcare workers. The primary outcome is observed handwashing rate.
Results: Baseline data included 309 healthcare workers. Trial arms were balanced in hand hygiene adherence, behavioral factors, and contamination. Hand hygiene adherence was low (12%). contamination was very high in Burkina Faso (76%) and considerable in Mali (23%). Participants had a high intention to wash their hands (93%) but only a quarter could name all moments for hand hygiene.
Conclusion: Poor hand hygiene and contamination in our setting may heighten nosocomial infection risks. Interventions should address knowledge and build on high intentions to perform hand hygiene.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133522 | PMC |
| http://dx.doi.org/10.3389/ijph.2025.1608406 | DOI Listing |
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