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
infectionsand the burden of the infections had been highly increasing.There is limited evidence
on compliance with infection prevention and control practices in Ethiopia;particularly,among
health care workersinpublic hospitals of Harar town.
Objectives: To assess compliance with infection prevention and control practicesand associated
factors among Health care workers in public hospital of Harar Town, Eastern Ethiopia.
Methods:An institution based cross-sectional study was conducted among health professionals
withinpublic Hospitals in Harar Town from May 15 to June 30, 2023.The questionnaire was used
to collect data from sample of 280 health care workers by using simple random sampling
technique. The data were collected using self-administeredquestionnaires and observational
check list. The Epidataversion 3.1 and SPSS version 22 were used for analysis. Both bivariate
and multivariable logistic regression analysis were assesed the association between independent
variables and the outcome variable. Odds ratios at 95%CI were computed to measure the
strength of association between outcomes and explanatory variables and P-value less than 0.05
used as acute off point for statistically significant.
Results:-A total of 280 healthcare workers participated in the study with a response rate of
100%. Out of the total respondents, 162 (57.90%) [95% CI = 52.10, 64.30] good complied with
IPC; practice, while118(42.1%) poor complied with IPCpractice.The multivariate logistic
regression found thatknowledge (AOR=3.36, 95% CI=1.71, 6.71), hand hygiene practice
(AOR=4.90, 95% CI=2.38, 10.17), PPE practice (AOR=11.37, 95% CI=5.27, 24.54), sharp
handling practice (AOR=6.21, 95% CI=3.04, 12.69), and monitoring and evaluation (AOR=5.36,
95% CI=2.59, 11.14) were significantly associated with compliance to standard precautions.
Conclusions:The study concluded that more than half of respondents were complied with
standard precaution practice.The study also identifiedknowledge, hand hygiene practice, PPE
practice, sharp handling practice and monitoring and evaluationwere significantly associated
with compliancewithstandard precautions
