Assessment of Hand Hygiene Practice and associated factors among undergraduate medical students in the College of Health Sciences; Addis Ababa University, Tikur Anbessa Specialized Hospital, Ethiopia

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Addis Ababa University


Back ground: Hand hygiene is an important measure to prevent and control infection particularly in developing countries, the identification of several risk factors associated with poor hand hygiene compliance is of extreme importance. Objective: to assess hand hygiene practices and associated factors among undergraduate medical students on clinical year in Addis Ababa University; Tikur Anbessa Specialized Hospital, Ethiopia. Method: Institution based quantitative cross sectional study design was used to assess the practice and associated factors that influence hand hygiene practices among undergraduate clinical year medical students. A total of 257 medical students were included and selected by simple random sampling. Data collection was made by using self-administered structured and pre-tested questionnaire. EPI INFO version 3.5.1 epidemiological software package was used for editing, cleaning and coding. Descriptive statistics, logistic regression analysis were done to see association of dependent and independent variable and confounding factors and analysis of variance (one- way ANOVA) were done to see variation in hand hygiene practice. Variables with 95% confidence interval and P value < 0.25 during the bivariate analysis were included in the multivariate logistic regression analysis. Result: A total of 257 questionnaires were completed. Only 48% indicated that alcohol based hand rub is effective for less than 60 seconds. Overall compliance of hand hygiene was found to be 59% (95 % CI (53.3, 65.0). Demographic and most environmental factors had no association with hand hygiene compliance among medical students only factors: knowledge (AOR [95%CI] = 2.1 [1.06, 4.14]), sex‘female (AOR [95%CI] = 1.88 [1.05, 3.35]) and beliefs: (AOR [95%CI] = 2.71 [1.5, 4.87]) were significantly associated with the hand hygiene compliance. Conclusion: Good hand hygiene compliance was indicated "after" caring for a patient; whereas poor hand hygiene compliance was reported "before" having direct contact with a patient and there were no variation in hand hygiene practice and were significant difference in knowledge and belief among groups of medical students in different educational year. I. Key word:



hand hygiene practice; beliefs, knowledge; medical student