Department of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Midwifery, College of Medicine and Health Sciences, Debre Berhan University, Debre Berhan, Ethiopia.
PLoS One. 2021 Nov 18;16(11):e0260270. doi: 10.1371/journal.pone.0260270. eCollection 2021.
Coronavirus disease 19 (COVID-19) is a newly emerging pandemic affecting more than 120 million people globally. Compliance with preventive practices is the single most effective method to overcome the disease. Although several studies have been conducted regarding COVID-19, data on healthcare provider's adherence to COVID-19 preventive practices during childbirth through direct observation is limited. Therefore, this study aimed to assess healthcare provider's adherence to COVID-19 preventive practices during childbirth in northwest Ethiopia.
A multicenter study was conducted at hospitals in northwest Ethiopia among 406 healthcare providers from November 15 /2020 to March 10 /2021. A simple random sampling technique was employed to select the study subjects. Data were collected via face-to-face interviews and direct observation using a structured questionnaire and standardized checklist respectively. EPI INFO version 7.1.2 and SPSS 25 were used for data entry and analysis respectively. Binary logistic regression analyses were undertaken to identify associated factors. The level of significance was decided based on the adjusted odds ratio (AOR) with a 95% confidence interval at a p-value of ≤ 0.05.
The proportion of healthcare providers having good adherence to COVID-19 preventive practices during intrapartum care was 46.1% (95% CI: 41.2, 50.9). Healthcare providers who had job satisfaction (AOR = 3.18; 95% CI: 1.64, 6.13), had smartphone and/or computer (AOR = 2.75; 95% CI: 1.62, 4.65), ever received training on infection prevention (AOR = 3.58; 95% CI: 2.20, 5.84), earned higher monthly income (AOR = 2.15; 95% CI: 1.30, 3.57), and worked at health facility in the urban area (AOR = 1.72; 95% CI: 1.07, 2.77) had a significant association with adherence to COVID-19 preventive practices. Moreover, the most commonly mentioned barriers for not adhering to the preventive practice of COVID-19 were crowdedness of the delivery room, non-availability of personal protective equipment, and shortage of alcohol or sanitizer.
The healthcare provider's adherence to COVID-19 preventive practices was low. Hence, stakeholders need to pay special attention to increase healthcare provides' job satisfaction. In addition, the provision of continuous training on infection prevention would be helpful. Furthermore, personal protective equipment, alcohol, and sanitizer supply must be provided for healthcare providers.
新型冠状病毒病（COVID-19）是一种新出现的大流行疾病，影响了全球超过 1.2 亿人。遵守预防措施是克服该疾病的最有效方法。尽管已经进行了多项关于 COVID-19 的研究，但通过直接观察评估医护人员在分娩期间遵守 COVID-19 预防措施的数据有限。因此，本研究旨在评估埃塞俄比亚西北部医护人员在分娩期间遵守 COVID-19 预防措施的情况。
在埃塞俄比亚西北部的医院进行了一项多中心研究，研究对象为 2020 年 11 月 15 日至 2021 年 3 月 10 日期间的 406 名医护人员。采用简单随机抽样技术选择研究对象。通过面对面访谈和直接观察，分别使用结构化问卷和标准化检查表收集数据。EPI INFO 版本 7.1.2 和 SPSS 25 分别用于数据输入和分析。采用二元逻辑回归分析确定相关因素。根据调整后的优势比（AOR）和 95%置信区间，以 p 值≤0.05 作为显著性水平。
在分娩期间，医护人员遵守 COVID-19 预防措施的比例为 46.1%（95%CI：41.2，50.9）。对工作满意的医护人员（AOR=3.18；95%CI：1.64，6.13）、拥有智能手机和/或电脑的医护人员（AOR=2.75；95%CI：1.62，4.65）、接受过感染预防培训的医护人员（AOR=3.58；95%CI：2.20，5.84）、月收入较高的医护人员（AOR=2.15；95%CI：1.30，3.57）和在城市地区医疗机构工作的医护人员（AOR=1.72；95%CI：1.07，2.77）与遵守 COVID-19 预防措施显著相关。此外，不遵守 COVID-19 预防措施的最常见障碍是分娩室拥挤、个人防护设备不足以及酒精或消毒剂短缺。
医护人员遵守 COVID-19 预防措施的情况较差。因此，利益相关者需要特别关注提高医护人员的工作满意度。此外，提供持续的感染预防培训将有所帮助。此外，必须为医护人员提供个人防护设备、酒精和消毒剂。
