Evidence map›Paper›PMID 42157248›Full record

ArticleAntimicrobial resistance and infection control2026

Hand hygiene compliance among healthcare workers at a tertiary maternity hospital in Sierra Leone: a cross-sectional study.

Sia Morenike Tengbe, Ibrahim Franklyn Kamara, Mary Jane Koroma, Bobson Derrick Fofanah, Desta Betula Ali, Braima Munda Koroma, Joseph Mustapha Macarthy

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Article in Antimicrobial resistance and infection control, 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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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Sia Morenike TengbeMonitoring Evaluation and Learning Officer, Sierra Leone Urban Research Centre, Freetown, Sierra Leone. stengbe@slurc.org.
Ibrahim Franklyn KamaraMonitoring Evaluation and Learning Officer, Sierra Leone Urban Research Centre, Freetown, Sierra Leone.
Mary Jane KoromaMonitoring Evaluation and Learning Officer, Sierra Leone Urban Research Centre, Freetown, Sierra Leone.
Bobson Derrick FofanahMonitoring Evaluation and Learning Officer, Sierra Leone Urban Research Centre, Freetown, Sierra Leone.
Desta Betula AliMonitoring Evaluation and Learning Officer, Sierra Leone Urban Research Centre, Freetown, Sierra Leone.
Braima Munda KoromaMonitoring Evaluation and Learning Officer, Sierra Leone Urban Research Centre, Freetown, Sierra Leone.
Joseph Mustapha MacarthyMonitoring Evaluation and Learning Officer, Sierra Leone Urban Research Centre, Freetown, Sierra Leone.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaternal and neonatal mortality remains a global health problem, with infections accounting for a significant proportion of this burden. Major predisposing factors include poor aseptic techniques and contaminated hands of healthcare workers (HCWs). Hand hygiene (HH) is the most effective and simplest infection prevention and control (IPC) measure to minimise infection transmission. This study aimed to assess HH compliance and identify barriers among HCWs at a tertiary hospital in Sierra Leone.

methodsThis hospital-based cross-sectional study utilised a standardised World Health Organization (WHO) HH observation form to assess HH compliance among HCWs in the labour ward of the Princess Christian Maternity Hospital (PCMH). A root cause analysis was also used to determine the barriers to HH compliance. Data analysis was conducted using Microsoft Excel, with findings presented in frequencies and proportions.

resultsA total of 404 HH opportunities were observed at the labour ward. The overall HH compliance rate was 32%, and HH compliance for nurses, midwives, doctors, and nursing students was 37%, 34%, 27%, and 0%, respectively. Based on the WHO "5 moments" for HH compliance, the highest adherence was observed for moment 3 (83%), followed by moment 4 (68%). Conversely, moment 2 had the lowest compliance (6%). Identified barriers to HH compliance included organisational concerns, availability of IPC materials and equipment, staffing, environmental factors, cultural influences, and existing practices.

conclusionHH compliance among HCWs at PCMH was found to be low. To enhance HH practices and patient safety, promoting HH practices through investing in IPC supplies, strategic placement of workplace reminders, training, mentorship, and coaching should be prioritised.

Indexed as

Cross InfectionGuideline AdherenceHand HygieneHealth PersonnelHospitals, MaternityInfection ControlAdultCross-Sectional StudiesFemaleHumansSierra LeoneTertiary Care CentersHand hygiene complianceHealthcare associated infectionHealth care workersHospitalsInfection prevention and controlSierra Leone

Identifiers

PMID42157248
PMCPMC13353008

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LicenceCC BY-NC-ND
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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.