11 research outputs found

    Solutions to infection prevention and control challenges in developing countries, do they exist? An integrative review

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    Implementing sustainable infection prevention and control (IP&C) programs in developing countries is challenging. Many developing countries experience high burdens of disease and political instability. In addition, they are affected by geographical and climatic challenges, and have unique social, cultural and spiritual beliefs, all of which contribute to a higher prevalence of infections. The aim of this integrative review is to identify existing solutions to the challenges faced by developing countries when implementing IP&C programs. An extensive literature review was conducted to explore improvements in infection control in rural hospitals in developing countries. Three electronic databases were searched for relevant articles written between 1980 and 2018, published in peer reviewed English language journals, and relating to hospitals, not community settings. The findings indicate that developing countries continue to face many challenges in implementing IP&C programs. Limited success has been described with some IP&C program components but it is clear that little original research on the topic exists. Notably scarce are studies on the influences that culture, religious and spiritual beliefs have on IP&C program implementation. This review highlights opportunities for further research into healthcare workers perceptions of disease causation and infection transmission, and the role this plays in the effective implementation of an IP&C program. By exploring these opportunities appropriate and culturally sensitive solutions may be identified, which can assist with the design and implementation of culturally relevant IP&C programs in these settings

    Exploring infection prevention and control knowledge and beliefs in the Solomon Islands using Photovoice

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    Healthcare associated infections are the most common complication of a person’s hospital stay. Contemporary infection prevention and control programs are universally endorsed to prevent healthcare associated infections. However, western biomedical science on which contemporary infection prevention and control is based, is not the only way that staff and patients within healthcare settings understand disease causation and/or disease transmission. This results paper reports on one aspect of a study which ascertains perceptions of disease transmission and how these influence infection prevention and control practice at Atoifi Adventist Hospital Solomon Islands. Photovoice was used as the primary data collection method with staff and patients. The germ theory and hospital hygiene processes were only one of many explanations of disease transmission at the hospital. Many social, cultural and spiritual influences played an important role in how people understood disease to be transmitted. Although infection prevention and control models based on western science continue to form the premise of reducing healthcare associated infections in Solomon Islands and locations across the globe, local social, cultural and spiritual beliefs need to be considered when planning and implementing infection prevention and control programs to ensure success

    KP18 (It’s important to have uniform).

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    KP18 (It’s important to have uniform).</p

    WSP3 (No good, it’s bad).

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    WSP3 (No good, it’s bad).</p

    CP5 (A dirty toilet).

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    CP5 (A dirty toilet).</p

    Themes emerging from data analysis.

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    Themes emerging from data analysis.</p

    PhP4 (The potato and the rats).

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    PhP4 (The potato and the rats).</p

    F2P3 (Polluted air).

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    F2P3 (Polluted air).</p

    SNP02 (Same hand towel, more hands, more infection).

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    SNP02 (Same hand towel, more hands, more infection).</p

    Improving infection prevention and control practices in a culturally, linguistically and spiritually diverse environment

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    [Extract] Atoifi Adventist Hospital (AAH) in the Solomon Islands serves a population of 80,000 people, many living in small remote villages. Atoifi is situated on the east side of the island of Malaita in the East Kwaio region. Kwaio is one of 12 language groups on Malaita and most people engage in the subsistence economy
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