Ahmado Mohamed Alaa, Alghajar Muaaz, Olabi Amina, Meagher Kristen, Patel Preeti, Ekzayez Abdulkarim
Research for Health System Strengthening in Northern Syria (R4HSSS), Mehad, Erbil Mission, Iraq.
Mehad, The Headquarters, Paris, France.
IJID Reg. 2024 Jul 29;12:100412. doi: 10.1016/j.ijregi.2024.100412. eCollection 2024 Sep.
In northeastern Syria (NES), the adherence of health care facilities to infection prevention and control (IPC) standards remains underexplored. This study evaluates the IPC performance of various health facilities against World Health Organization (WHO) benchmarks using the IPC Assessment Framework (IPCAF) and the Hand Hygiene Self-Assessment Framework (HHSAF).
We conducted a cross-sectional survey of 33 health care facilities, including primary (PHC), secondary (SHC), and tertiary health care centres (THC). Data were collected via on-site evaluations using the IPCAF and HHSAF tools.
A significant 91% of facilities did not meet half of the WHO IPC minimum requirements. Specifically, 57% of PHCs met 26-50% of the standards, while none exceeded 75%. Among SHCs, 71% met 26-50% of the standards, while 44% of THCs fell within this range. Notably, 81.8% of facilities were classified as 'inadequate' per the IPCAF, with none achieving 'intermediate' or 'advanced' levels. The HHSAF results were similarly concerning, with 34.4% deemed 'inadequate' and 65.6% at the 'basic' level. A weak positive correlation (0.137) was found between IPCAF and HHSAF scores.
NES health care facilities demonstrate substantial deficiencies in IPC compliance, with critical gaps in IPC programmes, health care-associated infection surveillance, and training. Urgent interventions are required to enhance IPC practices, leveraging local strengths and fostering international collaborations to improve patient safety and health care quality in the region.
在叙利亚东北部地区，医疗保健机构对感染预防与控制（IPC）标准的遵守情况仍未得到充分探索。本研究使用IPC评估框架（IPCAF）和手卫生自我评估框架（HHSAF），对照世界卫生组织（WHO）的基准，评估各类医疗机构的IPC绩效。
我们对33家医疗保健机构进行了横断面调查，包括初级保健中心（PHC）、二级保健中心（SHC）和三级保健中心（THC）。通过使用IPCAF和HHSAF工具进行现场评估来收集数据。
显著有91%的机构未达到WHO IPC最低要求的一半。具体而言，57%的初级保健中心达到了26%-50%的标准，而没有一家超过75%。在二级保健中心中，71%达到了26%-50%的标准，而44%的三级保健中心在此范围内。值得注意的是，根据IPCAF，81.8%的机构被归类为“不足”，没有一家达到“中级”或“高级”水平。HHSAF的结果同样令人担忧，34.4%被认为“不足”，65.6%处于“基本”水平。在IPCAF和HHSAF得分之间发现了微弱的正相关（0.137）。
叙利亚东北部的医疗保健机构在IPC合规方面存在重大缺陷，在IPC计划、医疗保健相关感染监测和培训方面存在严重差距。需要采取紧急干预措施来加强IPC实践，利用当地优势并促进国际合作，以提高该地区的患者安全和医疗保健质量。
