@article{fdi:010094805,
  title = {{C}ontext specific challenges of the {WHO} infection prevention and control core components in the {F}aranah region : a mixed methods approach},
  author = {{B}orodova, {A}. and {D}iallo, {A}. {A}. and {S}ongbono, {C}. {T}. and {R}ocha, {C}. and {N}abe, {I}. and {L}e {M}arcis, {F}r{\'e}d{\'e}ric and {C}herif, {M}. {S}. and {M}üller, {S}. {A}.},
  editor = {},
  language = {{ENG}},
  abstract = {{I}nfection prevention and control ({IPC}) programs have been reported to reduce healthcare associated infections by up to 70%. {T}hese rates vary globally, with scare data suggesting that the highest prevalence occurs in the {A}frican region exceeding 50% in {G}uinea. {T}he {I}nfection {P}revention and {C}ontrol {A}ssessment {F}ramework facilitates the evaluation of {WHO} guidelines on core components of infection prevention and control programs. {U}sing this framework, selected healthcare facilities in {F}aranah, {G}uinea were evaluated ahead of an implementation of a training of trainer's program. {B}etween {M}ay 2023 and {M}arch 2024, in a mixed method approach, the core components of 25 healthcare facilities were assessed in conjunction with an evaluation of 17 trainer's knowledge and perception on hand hygiene through standardized tools. {F}indings were further triangulated through a deductive analysis consisting of participant observations and semi structured interviews. {T}he overall median of the {I}nfection {P}revention and {C}ontrol {A}ssessment {F}ramework score in the region was basic (242.5, {IQR} 172.5-342.5). {L}owest scores were reported for {IPC} education, whereas {IPC} guidelines and healthcare associated infection surveillance received high scores. {R}ural healthcare centers had the lowest score (210.0, {IQR} 157.5-265.0), confirmed by qualitative assessment indicating a lack of allocated budget in these facilities in addition to generally observed patient and staff overload. {P}articipant observation found that while healthcare associated infection surveillance scored highly and {IPC} guidelines were displayed on posters; their practical application was rare. {T}his was triangulated with healthcare workers self-reporting hand hygiene compliance of up to 90% whereby demonstrating considerable gaps in knowledge of {WHO} hand hygiene standards. {O}ur study provides detailed understanding of a resource limited setting and highlights the importance of continuous {IPC} training together with behavior changes and the improvement of healthcare associated infection surveillance. {I}n settings where a majority reside in rural areas, appointed health centers must be paid special attention to as they may often be underserved. {F}inally, infrastructural challenges such as the allocation of budget, patient and staff overload need to be addressed in order to improve the health and safety of patients and healthcare workers.},
  keywords = {{IPCAF} ; core component ; hand hygiene ; mixed method ; healthcare workers ; {G}uinea ; {GUINEE}},
  booktitle = {},
  journal = {{F}rontiers in {P}ublic {H}ealth},
  volume = {13},
  numero = {},
  pages = {1605425 [12 p.]},
  year = {2025},
  DOI = {10.3389/fpubh.2025.1605425},
  URL = {https://www.documentation.ird.fr/hor/fdi:010094805},
}