Evidence map›Paper›PMID 41623365›Full record

ArticleHealth science reports2026

Knowledge, Attitude, and the Practice in Nosocomial Infection Control Among Afghan Healthcare Workers in Herat Afghanistan: A Cross-Sectional Study.

Mohammad Masudi, Enayatollah Ejaz, Mohammad Faisal Wardak, Ali Rahimi, Nasar Ahmad Shayan, Joseph Christian Obnial, Don Eliseo Lucero-Prisno

Abstract read
In one paragraph

Article in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

  1. Article
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4 · The record

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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

7 authors.

Mohammad MasudiDepartment of Pediatrics, Faculty of Medicine Herat University Herat Afghanistan.ORCID https://orcid.org/0009-0003-0525-0228
Enayatollah EjazParaclinical Department, Faculty of Medicine Ghalib University Herat Afghanistan.ORCID https://orcid.org/0009-0004-0899-8298
Mohammad Faisal WardakParaclinical Department, Faculty of Medicine Ghalib University Herat Afghanistan.ORCID https://orcid.org/0009-0006-2303-3173
Ali RahimiDepartment of Curative Medicine, Faculty of Medicine Jami University Herat Afghanistan.ORCID https://orcid.org/0000-0001-5821-9177
Nasar Ahmad ShayanParaclinical Department, Faculty of Medicine Ghalib University Herat Afghanistan.ORCID https://orcid.org/0000-0002-8857-7765
Joseph Christian ObnialNational Coalition of Independent Scholars Battleboro Vermont USA.ORCID https://orcid.org/0000-0003-2711-4094
Don Eliseo Lucero-PrisnoDepartment of Global Health and Development, Faculty of Public Health and Policy London School of Hygiene and Tropical Medicine London UK.ORCID https://orcid.org/0000-0002-2179-6365

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hospital-acquired infections (HIAs) remain a major threat to patient and healthcare worker (HCW) safety globally, with higher burden in low-resource settings. Despite moderate knowledge among HCWs in many low-income contexts, actual adherence to infection prevention practices is often poor. In Afghanistan, reductions in trained personnel and recurrent shortages of infection prevention supplies have further weakened routine infection control capacity. Evidence from the country is limited and data from western Afghanistan are lacking. This study assessed knowledge, attitude, and practice (KAP) regarding nosocomial infection control among HCWs in Herat. Methods: A cross-sectional study of 433 HCWs in 14 Herat health facilities used a self-administered, validated Persian KAP questionnaire to assess KAP toward nosocomial infection control; data were analyzed with SPSS 27 using descriptive statistics, chi-square tests, and logistic regression. Results: A total of 433 HCWs participated (mean age 27.35 ± 6.16 years; 52.9% female). The overall median KAP scores were 53.8%, 76.9%, and 32.3%, respectively, revealing a substantial knowledge-practice gap. Higher knowledge was significantly associated with older age, higher education, being a doctor, longer experience, and employment in private hospitals ( Conclusion: HCWs in Herat, Afghanistan, exhibited moderate knowledge and positive attitudes toward nosocomial infection prevention, but adherence to infection control practices was low. Professional role, education, experience, training, and workload significantly influenced KAP, highlighting the combined impact of individual competencies and institutional factors. Strengthening infection control requires coordinated policies, adequate resources, hands-on training, and workload management to bridge the knowledge-practice gap, reduce nosocomial infections, and improve patient safety.

Indexed as

afghanistanattitudeshealthcare workersHeratknowledgenosocomial infectionspractices

Identifiers

PMID41623365
PMCPMC12855165

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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.