Evidence map›Paper›PMID 34073360›Full record

ArticleTropical medicine and infectious disease2021

Gaps in Infection Prevention and Control in Public Health Facilities of Sierra Leone after the 2014-2015 Ebola Outbreak.

James Sylvester Squire, Imurana Conteh, Arpine Abrahamya, Anna Maruta, Ruzanna Grigoryan, Hannock Tweya, Collins Timire, Katrina Hann, Rony Zachariah, Mohamed Alex Vandi

Open access · goldAbstract read
In one paragraph

Article in Tropical medicine and infectious disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 10 citations in OpenAlex.

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  5. High level of infection prevention and control in surveyed hospitals in Colombia, 2021.Revista panamericana de salud publica = Pan American journal of public health · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 4 countries.

James Sylvester SquireDirectorate of Health Security and Emergencies, Ministry of Health and Sanitation, P.O. Box 529 Freetown, Sierra Leone.ORCID 0000-0002-8593-7972
Imurana ContehDirectorate of Health Security and Emergencies, Ministry of Health and Sanitation, P.O. Box 529 Freetown, Sierra Leone.
Arpine AbrahamyaTB Research and Prevention Center, Yerevan 0014, Armenia.
Anna MarutaWorld Health Organization, P.O. Box 529 Freetown, Sierra Leone.
Ruzanna GrigoryanTB Research and Prevention Center, Yerevan 0014, Armenia.
Hannock TweyaThe International Union Against Tuberculosis and Lung Disease, 75000 Paris, France.
Collins TimireThe International Union Against Tuberculosis and Lung Disease, 75000 Paris, France.
Katrina HannSustainable Health Systems, P.O. Box 529 Freetown, Sierra Leone.ORCID 0000-0002-4913-6270
Rony ZachariahUNICEF, UNDP, World Bank, WHO, Special Programme for Research and Training in Tropical Diseases, 20 Avenue Appia, 1211 Geneva, Switzerland.ORCID 0000-0002-2915-9328
Mohamed Alex VandiDirectorate of Health Security and Emergencies, Ministry of Health and Sanitation, P.O. Box 529 Freetown, Sierra Leone.
Ministry of Health and Sanitation · SLInternational Union Against Tuberculosis and Lung Disease · FRLighthouse Trust · MWSierra Leone Urban Research Centre · SLWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundHigh compliance to infection prevention and control (IPC) is vital to prevent health care-associated infections. In the worst 2014-2015 Ebola-affected district in Sierra Leone (Kenema), we assessed (a) average yearly IPC compliance (2016-2018) using a National IPC assessment tool in the district hospital and peripheral health units (PHUs), and (b) gaps in IPC activities, infrastructure and consumables in 2018.

methodsThis was a cross-sectional study using secondary program data.

resultsAt the district hospital, compliance increased from 69% in 2016 to 73% in 2018 (expected minimal threshold = 70%; desired threshold ≥ 85%). Compliance for screening/isolation facilities and decontamination of medical equipment reached 100% in 2018. The two thematic areas with the lowest compliance were sanitation (44%) and sharps safety (56%). In PHUs (2018), the minimal 70% compliance threshold was not achieved in two (of 10 thematic areas) for Community Health Centers, four for Community Health Posts, and five for Maternal and Child Health Units. The lowest compliance was for screening and isolation facilities (range: 33-53%).

conclusionThis baseline assessment is an eye opener of what is working and what is not, and can be used to galvanize political, financial, and material resources to bridge the existing gaps.

Indexed as

antimicrobial resistanceIPCAFoperational researchSORT IT (Structured Operational Research Training Initiative)sustainable development goals

Identifiers

PMID34073360
PMCPMC8163185
OpenAlexW3164590992

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.