ArticleBMJ paediatrics open2026
Caregivers' understanding and response to healthcare-associated infections in hospitalised children in Vietnam: a qualitative study.
Article in BMJ paediatrics open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe presence of family members caring for hospitalised children provides essential support and comfort, but it also poses a significant risk for the transmission of infectious pathogens. Vietnam is facing a growing issue with healthcare-associated infections (HAIs) and increasing antimicrobial resistance, reflecting a global trend. Children, particularly newborns with underdeveloped immune systems, are at increased risk.
aimThis study aims to explore the awareness of HAIs as well as motivational drivers towards infection prevention through the lens of the Health Belief Model (HBM) among family caregivers of patients at a children's hospital in Hanoi, Vietnam.
methodIndividual interviews, focus group discussions and observations were conducted with family caregivers (
resultAwareness of HAIs varied, with some misconceptions about transmission. Recognising HAIs as serious health threats beyond basic hygiene knowledge boosted motivation to follow infection prevention and control (IPC) measures as well as longer hospital stays and social influences. Increased awareness of infection risks was linked to stronger adherence, aligning with HBM principles.
conclusionFamily caregivers play a vital role in infection prevention, yet their awareness of HAIs is inconsistent and sometimes limited by misconceptions. This study highlights that perceiving HAIs as serious health threats is a key motivation of improved hygiene compliance, as in line with the HBM. Family caregivers play a vital role in maintaining a safe hospital environment, and their involvement in IPC strategies should be actively researched, supported and strengthened.
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