Evidence map›Paper›PMID 40581363›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2025

The East Africa Infection Prevention and Control (IPC) Learning Network: An Approach to Improving IPC Competencies and Practices During the COVID-19 Pandemic, 2020-2023.

Getachew Kassa, Irene Ogongo, Miriam Rabkin, Elizabeth Bancroft, Rick Mitchell, Laura Block, Cori Dennison, Elizabeth Katwesigye, Markos Paulos, Joseph Hokororo and 2 more

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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

12 authors.

Getachew KassaInternational Center for AIDS Care and Treatment Program (ICAP) at Columbia University, New York, New York, USA.ORCID 0000-0003-3611-861X
Irene OgongoInternational Center for AIDS Care and Treatment Program (ICAP) at Columbia University, New York, New York, USA.
Miriam RabkinInternational Center for AIDS Care and Treatment Program (ICAP) at Columbia University, New York, New York, USA.ORCID 0000-0002-2342-4362
Elizabeth BancroftDivision of Healthcare Quality Promotion, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Rick MitchellInternational Center for AIDS Care and Treatment Program (ICAP) at Columbia University, New York, New York, USA.
Laura BlockInternational Center for AIDS Care and Treatment Program (ICAP) at Columbia University, New York, New York, USA.ORCID 0009-0008-1098-3019
Cori DennisonDivision of Healthcare Quality Promotion, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Elizabeth KatwesigyeInfection Prevention and Control, Uganda Ministry of Health, Kampala, Uganda.ORCID 0000-0002-1560-2341
Markos PaulosInfection Control Unit, Ethiopia Federal Ministry of Health, Addis Ababa, Ethiopia.
Joseph HokororoHealth Quality Assurance Unit, Tanzania Ministry of Health, Dar es Salaam, Tanzania.
Irungu KamauDivision of Patient and Health Worker Safety, Kenya Ministry of Health, Nairobi, Kenya.
Carolyn HerzigDivision of Healthcare Quality Promotion, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0002-3271-0117

Funding

US Centers for Disease Control and Prevention
6 · The paper itself

Abstract

backgroundOutbreaks of Ebola and the COVID-19 pandemic demonstrate that healthcare workers (HCWs) are critical for resilient health systems. Interventions that improve infection prevention and control (IPC) practices are required to protect HCWs. We aimed to implement a regional IPC learning network to improve compliance with IPC standards.

methodsThis project was implemented in a network of 20 tertiary care hospitals in Ethiopia, Kenya, Tanzania, and Uganda. Baseline and routine assessments of hospital IPC and IPC focal point competencies were conducted from January 2021 through June 2023 to identify gaps and measure progress. Virtual and in-person trainings were held routinely, and a collaborative quality improvement (QI) project on personal protective equipment (PPE) use was conducted. Data were analyzed to describe changes in IPC compliance and competencies.

resultsOverall, hospital compliance with IPC standards improved from baseline to the final assessments across all domains assessed. IPC focal points' occupational health competency scores increased; median scores for each competency component ranged from 2.5 to 3.5 (out of 5) at baseline and were ≥4.5 at endpoint. Eighteen hospitals completed the QI collaborative; average compliance with appropriate PPE use across hospitals increased significantly, from 65% to 92% (P < .006).

conclusionsImplementing evidence-based interventions in a learning network in East Africa improved compliance with IPC standards and occupational health competencies, which are critical to protecting HCWs and preventing pathogen transmission in healthcare facilities. This learning network approach can serve as a model for other regions or be implemented to address other public health emergencies.

Indexed as

COVID-19Health PersonnelInfection ControlAfrica, EasternHumansPandemicsPersonal Protective EquipmentQuality ImprovementSARS-CoV-2COVID-19East Africahealthcare workersinfection prevention and control (IPC)SARS-CoV-2

Identifiers

PMID40581363
PMCPMC12314500

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.