Adam Abdikarim Abdi, Mohamed Hassan Dahir, Anyiam Felix Emeka
Center for Graduate Studies, Department of Statistics and Data Analytics, Jamhuriya University of Science and Technology (JUST), Mogadishu, Somalia.
Department of Public Health, Federal Ministry of Health and Human Services, Mogadishu, Somalia.
Antimicrob Resist Infect Control. 2025 Sep 2;14(1):103. doi: 10.1186/s13756-025-01584-9.
Improving healthcare-associated infections, fighting antibiotic resistance, and controlling outbreaks are all made possible by infection prevention and control, a significant global public health concern, particularly in Africa. To pinpoint areas that needed improvement, this study aimed to assess Infection Prevention and Control in Somali Healthcare Facilities using the WHO Infection Prevention and Control Assessment Framework.
307 healthcare facilities in Somalia, or 30% of the 1,023 facilities listed by the Federal Ministry of Health, had their IPC practices evaluated by cross-sectional research in October and November 2022. Descriptive statistics were used in the study to examine data categorized by facility type, ownership, and location. The facilities were divided into four IPC levels-inadequate, basic, intermediate, and advanced using the World Health Organization's Infection Prevention and Control Assessment Framework (IPCAF).
The mean overall IPCAF score was 136/800, which indicates inadequate IPC practices. 85% of the institutions were public hospitals, while the majority (68.83%) were primary healthcare centers. CC1 (IPC Program) and CC 5 (Multi-modal Strategies) got the lowest values out of the eight IPC core components, suggesting major improvement. while CC 7 (Workload, Staffing, and Bed Occupancy) and CC 8 (Environments, Materials, and Equipment) had the greatest results. Inadequate IPCAFs were found in all States. The results highlight the urgent need for national and regional policies to give IPC programs and infrastructure funding the Highest priority, mainly in low-performing areas and primary healthcare settings. Regional differences highlight the need for specialized approaches to increase IPC capacity in every state.
The initial IPCAF assessment of Somali healthcare facilities reveals inadequate IPC levels, highlighting the need for urgent intervention to improve practices, ensure patient safety, and support the development of a national IPC policy in Somalia.
预防和控制感染是一项重大的全球公共卫生问题，尤其是在非洲，它对于改善医疗保健相关感染、对抗抗生素耐药性以及控制疫情爆发都至关重要。为了确定需要改进的领域，本研究旨在使用世界卫生组织的感染预防与控制评估框架，对索马里医疗保健机构的感染预防与控制情况进行评估。
2022年10月和11月，通过横断面研究对索马里的307家医疗保健机构（占联邦卫生部列出的1023家机构的30%）的感染预防与控制实践进行了评估。该研究使用描述性统计方法来分析按机构类型、所有权和地点分类的数据。使用世界卫生组织的感染预防与控制评估框架（IPCAF）将这些机构分为四个感染预防与控制水平：不足、基本、中级和高级。
感染预防与控制评估框架（IPCAF）的总体平均得分为136/800，这表明感染预防与控制实践不足。85%的机构是公立医院，而大多数（68.83%）是初级医疗保健中心。在八个感染预防与控制核心组成部分中，CC1（感染预防与控制计划）和CC5（多模式策略）得分最低，表明需要大幅改进。而CC7（工作量、人员配备和床位占用率）和CC8（环境、材料和设备）得分最高。所有州的感染预防与控制评估框架得分均不足。结果突出表明，国家和地区政策迫切需要将感染预防与控制计划和基础设施资金列为最高优先事项，主要是在表现不佳的地区和初级医疗保健机构。地区差异凸显了需要采取专门方法来提高每个州的感染预防与控制能力。
对索马里医疗保健机构的首次感染预防与控制评估框架评估显示感染预防与控制水平不足，这突出表明迫切需要进行干预，以改进实践、确保患者安全并支持索马里制定国家感染预防与控制政策。
