Table 3.
Determinants of appropriate hand hygiene practices amongst HCWs in surveyed public healthcare facilities of Tamil Nadu (N = 530).
| Characteristics | Total, N | Appropriate hand hygiene, n (%) | Unadjusted Odds Ratio# (95%CI) | P-value |
|---|---|---|---|---|
| Designation | ||||
| Doctors | 90 | 28 (31.1) | 1.73 (0.90–3.54) | 0.19 |
| Nurses | 372 | 157 (42.2) | 2.58 (1.33–5.01) | 0.005* |
| Other allied staff$ | 68 | 15 (22.1) | Ref | – |
| Department | ||||
| General Medicine | 221 | 87 (39.4) | 1.98 (1.09–3.61) | 0.02* |
| General Surgery | 93 | 33 (35.5) | Ref | – |
| Obstetrics & Gynaecology | 106 | 44 (41.5) | 1.78 (0.90–3.54) | 0.09 |
| Paediatrics | 57 | 19 (33.3) | 1.23 (0.56–2.71) | 0.60 |
| Orthopaedics | 53 | 17 (32.1) | 1.29 (0.56–2.95) | 0.55 |
| Section | ||||
| OPD | 175 | 66 (37.7) | {Not included in the model} | |
| IPD | 341 | 129 (37.8) | ||
| Procedure room | 14 | 5 (35.7) | ||
| Five moments of hand hygiene | ||||
| After body fluid exposure | 35 | 18 (51.4) | 1.91 (0.75–4.86) | 0.18 |
| After touching the patients | 247 | 85 (34.4) | 0.95 (0.51–1.79) | 0.88 |
| After touching patient surroundings | 65 | 23 (35.4) | Ref | – |
| Before clean or aseptic procedure | 39 | 18 (46.1) | 1.43 (0.59–3.43) | 0.43 |
| Before touching patients | 144 | 56 (38.9) | 1.15 (0.58–2.27) | 0.69 |
Ref - Reference value.
*p value statistically significant.
$Laboratory technicians, pharmacists.
#Clustering at the level of healthcare facilities was adjusted using random-intercept model.