ArticleThe Journal of hospital infection2016
Healthcare worker and family caregiver hand hygiene in Bangladeshi healthcare facilities: results from the Bangladesh National Hygiene Baseline Survey.
Article in The Journal of hospital infection, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed, 58 citations in OpenAlex.
- Effect of a Water, Sanitation, and Hygiene Program on Handwashing with a Cleansing Agent among Diarrhea Patients and Attendants in Healthcare Facilities in the Democratic Republic of the Congo: A Randomized Pilot of the PICHA7 Program.International journal of environmental research and public health · 2024Trial
- Assessing the Impact of a Handwashing Knowledge and Practices Program among Poor Households in Rural Bangladesh: A Cluster-Randomized Pre-Post Study.The American journal of tropical medicine and hygiene · 2023Trial
- Mapping infant streptococcal mortality burden in low- and middle-income countries: temporal trends, geospatial patterns, and socioeconomic determinants.European journal of pediatrics · 2026Article
- Impact of targeted infection prevention and control interventions on bloodstream infections and colonization with carbapenem-resistant organisms among hospitalized neonates, Bangladesh, 2023-2024.Antimicrobial resistance and infection control · 2026Article
- Hand Sanitizer Use During the Pandemic: Frequency and Health Effects Among Healthcare and Non-Healthcare Professionals.Workplace health & safety · 2026Article
- The effects of environmental health services on patient well-being and quality of care: A qualitative study in Malawi's public healthcare facilities.SSM - health systems · 2025Article
- Social Determinants Influencing Internet-Based Service Adoption Among Female Family Caregivers in Bangladesh: A Sociodemographic and Technological Analysis.Health science reports · 2025Article
- Integration of IPC/WASH critical conditions into quality of care and quality improvement tools and processes: Bangladesh case study.Antimicrobial resistance and infection control · 2024Article
- Inadequate sanitation in healthcare facilities: A comprehensive evaluation of toilets in major hospitals in Dhaka, Bangladesh.PloS one · 2024Article
- Hand hygiene compliance and associated factors among healthcare workers in selected tertiary-care hospitals in Bangladesh.The Journal of hospital infection · 2023Article
- Dependency of sanitation infrastructure on the discharge of faecal coliform and SARS-CoV-2 viral RNA in wastewater from COVID and non-COVID hospitals in Dhaka, Bangladesh.The Science of the total environment · 2023Article
- A controlled before-and-after study of a multi-modal intervention to improve hand hygiene during the peri-natal period in Cambodia.Scientific reports · 2022Article
- The experience of informal caregivers in providing patient care in hospitals in low- and middle-income countries: A qualitative meta-synthesis.Journal of health services research & policy · 2022Review
- Article
- Compliance to hand hygiene and its determinant factors among Community Health Care Providers in Community Clinics: an observational study in Bangladesh.Journal of infection prevention · 2022Article
- Exploring factors influencing the compliance of patients and family carers with infection prevention and control recommendations across Bangladesh, Indonesia, and South Korea.Frontiers in public health · 2022Article
- Healthcare-Associated Infection Prevention Interventions for Neonates in Resource-Limited Settings.Frontiers in pediatrics · 2022Review
- An exploratory qualitative study of caregivers' knowledge, perceptions and practices related to hospital hygiene in rural Niger.Infection prevention in practice · 2021Article
- Hand Hygiene during the Early Neonatal Period: A Mixed-Methods Observational Study in Healthcare Facilities and Households in Rural Cambodia.International journal of environmental research and public health · 2021Observational
- Could Alcohol-Based Hand Sanitizer Be an Option for Hand Hygiene for Households in Rural Bangladesh?The American journal of tropical medicine and hygiene · 2021Article
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundHealthcare facility hand hygiene impacts patient care, healthcare worker safety, and infection control, but low-income countries have few data to guide interventions.
aimTo conduct a nationally representative survey of hand hygiene infrastructure and behaviour in Bangladeshi healthcare facilities to establish baseline data to aid policy.
methodsThe 2013 Bangladesh National Hygiene Baseline Survey examined water, sanitation, and hand hygiene across households, schools, restaurants and food vendors, traditional birth attendants, and healthcare facilities. We used probability proportional to size sampling to select 100 rural and urban population clusters, and then surveyed hand hygiene infrastructure in 875 inpatient healthcare facilities, observing behaviour in 100 facilities.
findingsMore than 96% of facilities had 'improved' water sources, but environmental contamination occurred frequently around water sources. Soap was available at 78-92% of handwashing locations for doctors and nurses, but just 4-30% for patients and family. Only 2% of 4676 hand hygiene opportunities resulted in recommended actions: using alcohol sanitizer or washing both hands with soap, then drying by air or clean cloth. Healthcare workers performed recommended hand hygiene in 9% of 919 opportunities: more after patient contact (26%) than before (11%). Family caregivers frequently washed hands with only water (48% of 2751 opportunities), but with little soap (3%).
conclusionHealthcare workers had more access to hand hygiene materials and performed better hand hygiene than family, but still had low adherence. Increasing hand hygiene materials and behaviour could improve infection control in Bangladeshi healthcare facilities.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.