Compliance to standard precaution practice for infection prevention and associated factors among public health care workers in East Arsi zone, Oromia region, South Eastern Ethiopia

Abstract

Background: Infection in healthcare facilities is a major public health problem in most developing countries like Ethiopia. Currently the overall incidence of health care associated infection has been increasing and burden of these infections is staggering. Thus, it is important to assess compliance to standard precaution practices and associated factors among health care workers for better intervention. Objectives: The objective of this study was to assess compliance to standard precaution practices for infection prevention and associated factors among health care workers in Arsi zone ,Oromia regional state. Methods: Institution based cross sectional study was conducted from February 2015 to June 2015 in health institutions found in East Arsi zone. Data were collected using pre tested questionnaire interview method from 300 health care workers selected by simple random sampling technique. Collected data were checked, coded and entered into EPI DATA version 3.1 and exported to SPSS version 20 for analysis. Frequency, Mean and standard deviation were calculated. Both bivariate and multivariable logistic regression analysis was done. Variables that had P-value less than 0.25 in bivariate analysis entered in to multivariable logistic regressions to control confounders. P-value less than 0.05 were set as statistically significant. Result: 300 (95.5%) health care workers were participated in the study. Out of total respondents 192(64% )of respondents’ had complied to standard precaution practices and 108(36%) health care workers poorly complied to standard precaution practices. Result of multiple logistic regression analysis showed that service years ,knowledge of health care workers ,attitude ,and standard precaution practices were independently associated with compliance to standard precaution practices. Conclusion: In this study, a total of 300 (95.5%) health care workers were participated in the study. More than half of 192(64%) health care workers complied to standard precaution practices. This study concluded that sex ,age, educational status ,profession, supply in the health institution ,training, monitored and evaluation ,knowledge, attitude s and standard precaution practices were factors associated with compliance to standard precaution practice.