@article{fdi:010086416, title = {{U}nderstanding hand hygiene behavior in a public hospital in {B}enin {U}sing the theoretical domain frameworks : the first step for designing appropriate interventions}, author = {{Y}ehouenou, {C}. {L}. and {A}bedinzadeh, {A}. and {H}oungnihin, {R}. and {B}axerres, {C}arine and {D}ossou, {F}. {M}. and {S}imon, {A}. and {D}alleur, {O}.}, editor = {}, language = {{ENG}}, abstract = {{B}ackground: {H}and {H}ygiene ({HH}) is widely recognized to be one of the most successful and cost-effective measures for reducing the incidence of healthcare-associated infections ({HAI}s). {T}he hand hygiene behavior of hospital healthcare workers ({HCW}s) is not well-documented in {B}enin. {T}herefore, {T}heoretical {D}omains {F}ramework ({TDF}) was used to identify the behavioral determinants that may impact {HCW}s' hand-hygiene compliance in a public hospital. {M}ethods: {A} qualitative design comprising face-to-face semi-structured interviews with nine {HCW}s. {T}he interviews included questions on transmission of infections, hand-hygiene practices, problems with their implementation; and ways to improve hand hygiene compliance. {T}wo pharmacists independently coded interviews into behavioral domains using the {TDF} and then subdivided them into several themes. {I}nterview transcripts were analyzed following 3-steps approach: coding, generation of specific beliefs, and identification of relevant domains. {R}esults: {A}lmost all interviewees have cited the environmental context and resources (such as lack of water) as a barrier to {HH} practice. {T}hey also believed that role models had a significant impact on the good practices of others {HCW}s. {F}ortunately, they were confident of their capabilities to perform appropriate {HH} behaviors. {T}he majority (7/9) reported having the necessary knowledge and skills and believed they could carry out appropriate {HH} behavior. {I}n all cases, the participants were motivated to carry out {HH} behavior, and it was recognized that {HH} remains the cornerstone to reduce health care associated infections. {C}onclusion: {T}his study identified several behavioral constructs aligned with the {TDF} that can be targeted and help for the development of new hand-hygiene interventions. {T}hese may increase the likelihood of a successful intervention, thereby improving {HH} compliance and patient safety, especially in hospitals.}, keywords = {hand hygiene compliance ; healthcare workers ; implementation science ; theoretical domains framework ; qualitative interviews ; {B}enin ; {BENIN}}, booktitle = {}, journal = {{H}ealthcare}, volume = {10}, numero = {10}, pages = {1924 [12 p.]}, year = {2022}, DOI = {10.3390/healthcare10101924}, URL = {https://www.documentation.ird.fr/hor/fdi:010086416}, }