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Park, Jason H., Lawrence Mwananyanda, Maria Servidone, Jean Sichone, Susan E. Coffin, and Davidson H. Hamer. "Hygiene practices of mothers of hospitalized neonates at a tertiary care neonatal intensive care unit in Zambia." Journal of Water, Sanitation and Hygiene for Development 9, no. 4 (October 3, 2019): 662–70. http://dx.doi.org/10.2166/washdev.2019.140.
Abstract Risk of neonatal mortality secondary to infections such as pneumonia and diarrhoeal diseases can be influenced by maternal hygiene, but little information is known about current maternal hygiene practices in low- and middle-income countries. This study aimed to assess the hygiene practices of mothers of neonatal intensive care unit (NICU) patients in Lusaka, Zambia and associated epidemiological factors. A cross-sectional survey of the mothers of hospitalized neonates at the University Teaching Hospital (UTH) in Lusaka was conducted. Study nurses orally administered questionnaires to mothers in their local languages about their hygiene practices related to newborn care. Of the 201 mothers surveyed, self-reported hygiene practice was associated with literacy (p = 0.013) and income (p < 0.0001). In contrast, adherence to recommended hygienic newborn care was less common, with only 36% of mothers practising recommended cord care practices. Forgetfulness (32%) and lack of hygiene resources (13%) were the major barriers to hygienic behaviours. Surveyed Zambian women who delivered babies requiring NICU care self-reported adequate hygienic practices and apparently faced difficulty practising them due to forgetfulness and a lack of hygiene resources. Future efforts should focus on improving cord care education, reinforcement of the importance of hygienic behaviours, and the supply of affordable antiseptic tools.
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Zalewska-Meler, Agnieszka. "Hygiene practices: reorientation and searching for new solutions in care and education." Problemy Opiekuńczo-Wychowawcze 608, no. 3 (March 31, 2022): 3–20. http://dx.doi.org/10.5604/01.3001.0015.8140.
The problem presented in the article concerns the concept of hygienic care and the reasons for objectifying hygiene practices related to the body. The analysis of hygiene goals made based on a critical analysis of key publications and texts inscribed in the evolution of hygiene and educational activity was used to determine the methods of shaping hygienic body awareness in contemporary educational practice. The article attempts to define the common fields of influence of hygiene and pedagogy, draw attention to the reflective way of reading the canon of vital needs of children and adolescents to give them a pro-health meaning in the life cycle. The main conclusions resulting from the analyses carried out are: 1) departing in the education process from traditional thinking about hygiene, i.e. perceiving it as a set of norms and rules of purely medical origin (giving instructions, recommendations to guarantee hygiene safety, focusing awareness on prevention), 2) overcoming the model of preventive hygiene (negative, passive) for the release of hygiene care and education based on transgressive practices of caring for the body, 3) locating hygienic activity in the area of life skills, 4) inducing hygienic sensitivity based on the resources of the living environment and vital values.
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Abuosi, Aaron Asibi, Samuel Kaba Akoriyea, Gloria Ntow-Kummi, Joseph Akanuwe, Patience Aseweh Abor, Anita Anima Daniels, and Robert Kaba Alhassan. "Hand hygiene compliance among healthcare workers in Ghana’s health care institutions: An observational study." Journal of Patient Safety and Risk Management 25, no. 5 (September 30, 2020): 177–86. http://dx.doi.org/10.1177/2516043520958579.
Objective To assess hand hygiene compliance in selected primary hospitals in Ghana. Design A cross-sectional health facility-based observational study was conducted in primary health care facilities in five regions in Ghana. A total of 546 healthcare workers including doctors, nurses, midwives and laboratory personnel from 106 health facilities participated in the study. Main outcome measures The main outcome measures included availability of hand hygiene materials and alcohol job aids; compliance with moments of hand hygiene; and compliance with steps in hygienic hand washing. These were assessed using descriptive statistics. Results The mean availability of hand hygiene material and alcohol job aids was 75% and 71% respectively. This was described as moderately high, but less desirable. The mean hand hygiene compliance with moments of hand hygiene was 51%, which was also described asmoderately high, but less desirable. It was observed that, generally, hand hygiene was performed after procedures than before. However, the mean compliance with steps in hygienic hand washing was 86%, which was described as high and desirable. Conclusion Healthcare workers are generally competent in performance of hygienic hand washing. However, this does not seem to influence compliance with moments of hand hygiene. Efforts must therefore be made to translate the competence of healthcare workers in hygienic hand washing into willingness to comply with moments of hand hygiene, especially contact with patients.
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Patil, Sharmila, Rupali Pawaskar, and Pushpa Gupte. "Vulvovaginal hygiene and care." Indian Journal of Sexually Transmitted Diseases and AIDS 30, no. 2 (2009): 130. http://dx.doi.org/10.4103/0253-7184.62778.
Carling, Philip C. "Health Care Environmental Hygiene." Infectious Disease Clinics of North America 35, no. 3 (September 2021): 609–29. http://dx.doi.org/10.1016/j.idc.2021.04.005.
Lekomtseva, O. V., and S. Yu Kosyuga. "Studying of level of hygienic knowledge and skills to care for the oral cavity at the high schoolchildren." Medical Council, no. 2 (February 16, 2019): 220–23. http://dx.doi.org/10.21518/2079-701x-2019-2-220-223.
The article is devoted to the study of the level of dental knowledge and hygiene skills in adolescents studying at the school №176 in Nizhny Novgorod with use of individually designed questionnaire. The questionnaire included twenty-one questions: about individual hygiene of oral cavity, the choice of subjects and means of hygiene of oral cavity, the frequency of hygienic care for oral cavity at home, the presence of inflammatory diseases of oral cavity and dentition anomalies at the time of the survey, sources of hygiene knowledge and skills of students about psycho-emotional relation of children to the procedures for the hygienic care of oral hygiene and periodic visits to the dentist. Based on the survey of 14 year’s adolescents, it can be concluded that the level of knowledge of children’s choice of subjects and means for oral hygiene and the need for regular dental education for the prevention and early detection of risk factors for the development of periodontal diseases in schoolchildren.
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Semwal, Richa, Shiv Kumar Yadav, A. R. Piyush, and Bhola Nath. "Assessment of hand hygiene practices among health care providers in a government tertiary care hospital." International Journal Of Community Medicine And Public Health 6, no. 10 (September 26, 2019): 4357. http://dx.doi.org/10.18203/2394-6040.ijcmph20194494.
Background: Hand hygiene practices either by hand rub by disinfectant or hand washing by soap and water are very important for preventing Health care-associated infections (HCAIs). WHO have devised guidelines for hand rub and hand wash and advocated “My five moments for hand hygiene” as the approach for appropriate performance, teaching and evaluation of hand hygiene. The objective of this study is to observe hand hygiene practices, among health care providers in a tertiary care govt. hospital and document facilities available at the point of patient care for hand hygiene practices.Methods: A cross sectional observation study was conducted in 8 departments of a Government Tertiary care Hospital for observation of hand hygiene practices as Per WHO Guideline on “5 Moment of Care”. Total of 600 observations were made and one Health care provider was observed once at a point of time. Data Entry was done in MS excel and was analysed in Open Epi software.Results: Among 600 moments observed, 354 (59%) moments were those where hand hygiene practices were missed by HCPs. Among various HCPs 63% Doctors, 62% Nurses, 52% Medical students and 59% nursing students missed the hand hygiene practices. Lack of antimicrobial soap, alcohol based agents, sterile towel and hand drier were perceived barriers for hand hygiene Practices.Conclusions: There lies a huge gap in practice of hand hygiene among all cadres of health care providers. The study is able to identify the lack of infrastructure which can be improved to promote hand hygiene in wards.
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Lee, Jee Hye. "An Investigation of Factors that Influence Hygiene Practices at a Small Day Care Center." Journal of Food Protection 81, no. 1 (December 28, 2017): 158–64. http://dx.doi.org/10.4315/0362-028x.jfp-17-163.
ABSTRACT The aim of this study was to explore factors that influence hygiene practices at small day care centers. It examines the effect of food hygiene training on hygiene practices and investigates the correlations between the hygienic status of food handlers' hands and that of kitchen utensils. Furthermore, it determines the influences of demographic and facility-related factors on hygiene practices in small day care centers. A total of 56 food handlers at 49 day care centers in the Gyeongnam area of South Korea participated in hygiene training. The results of the study showed that after two training sessions, the ATP bioluminescence levels of knives (P < 0.01), cutting boards (P < 0.01), food handlers' hands (P < 0.001), and UV disinfection cabinets (P < 0.01) decreased. After training, the total scores on the inspection checklist were significantly improved (P < 0.05). Strong associations between the microbial quality of hands and kitchen utensils were seen. Classification and regression tree analysis identified important factors that influence hygiene practices at small food service kitchens, such as status of registration with the government certification authority, length of food handlers' working experience and their age, and maximum number of people served. This study helps to broaden our knowledge of food hygiene issues in small day care centers.
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Fadel, Daddi, and Mindy Toabe. "Scleral Lens Hygiene and Care." Journal of Contact lens Research and Science 2, no. 1 (April 24, 2018): e30-e37. http://dx.doi.org/10.22374/jclrs.v2i1.20.
Scleral lenses (ScCLs) are developed using the same material as rigid gas permeable corneal lenses yet the care of scleral lenses differs from corneal lenses. These large diameter rigid gas permeable lenses necessitate hygiene, care and compliance protocol that is more complex compared with corneal lenses. Cleaning, disinfection, storing, rinsing and applying ScCL will be discussed. Practitioners will gain confidence in ScCL care which will provide patients with a better understanding of the steps involved in ScCL disinfection leading to increased patient compliance and increased success rates. In turn, patient education will lower the risk for infection and other complications associated with ScCL.
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KAMPF, GÜNTER. "HAND HYGIENE IN PATIENT CARE." Fundamental and Clinical Medicine 3, no. 4 (December 2018): 60–72. http://dx.doi.org/10.23946/2500-0764-2018-3-4-60-72.
Dissertations / Theses on the topic "Care and hygiene":
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Njenje, Charles Chukwuemeka. "Improving Hand Hygiene in an Intensive Care Unit." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5914.
Health-care-associated infections (HCAIs) affect hundreds of millions of people worldwide, causing morbidity and mortality among hospitalized patients. About 2 million patients suffer from HCAIs in the United States, and it is estimated that 99,000 of them die each year. Studies have indicated that transmission of health-care-associated microorganisms occurs through contaminated hands of health care workers. Hand hygiene (HH) is the single most effective way to prevent health-care-associated infections, yet health care workers' hand hygiene compliance remains low. One factor responsible for poor compliance with hand hygiene guide-lines are lack of knowledge of good hand hygiene and lack of hand hygiene techniques. This project evaluated the effect of educational program on hand hygiene for intensive care unit (ICU) healthcare workers. The Health Belief Model was applied as the framework in this project. Key components of the model are perceived susceptibility, perceived severity, perceived benefit, and perceived barriers. A convenience sample of 25 ICU healthcare workers participated in the educational program. Pre- and post- education surveys and tests were assessed using descriptive statistics. Results were consistent with existing findings indicating that education is needed to improve HH compliance and that effective HH reduces infections. The findings from this project may contribute to positive social change by promoting increased HH knowledge and infection prevention while decreasing complications of treatments, costs, morbidity, and mortality, thereby promoting a healthy and safe community.
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Magner, MaryBeth. "The Effects of Managed Care on the Quality of Dental Hygiene Care." TopSCHOLAR®, 1998. http://digitalcommons.wku.edu/theses/344.
Managed care has become a prominent mechanism for insuring dental care. Empirical research suggests that managed dental plans provide lower quality care to patients. However, few studies have specifically addressed the effects of managed care on the quality of dental hygiene care. Thus, in this study the researcher examines whether dental hygienists deliver a lower level of treatment to managed care patients than to those who are not subject to managed care. Questionnaire data were gathered from 193 members of the American Dental Hygienists' Association residing in the Chicago area. The primary independent variable, managed care, was measured with an item that asked the respondents to indicate the percentage of patients they treat that are insured by a managed dental plan. The questionnaire also contained items that measured the frequency in which the respondents perform 23 tasks that are indicators of quality of dental hygiene care. Principal components factor analysis of these 23 items yielded the study's two dependent variables: periodontal procedures and appointment time. Regression analysis of the data revealed a significant negative relationship between managed care and appointment time. This relationship may be attributable to an economic incentive on the part of dentist-employers who control the amount of time scheduled for dental hygienists' patients. Dentist-employers may reduce the time available for managed care patients in order to allow longer appointments for more profitable fee-for-service patients. The study results did not support the notion that managed care affects the extent to which dental hygienists perform periodontal procedures. These mixed results suggest that future research should examine the relationships between managed care and other aspects of quality of dental hygiene care not addressed in the current study.
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Lungui, Ilona. "Hand Hygiene and Compliance Rates in an Acute Care Setting." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6454.
Hospital-acquired infections (HAIs) are a significant problem faced by healthcare organizations globally. The Centers for Disease Control reported that in 2014, 722,000 patients acquired an HAI, and of those, 75,000 died as a result. This project focused on reeducating healthcare staff on hand hygiene practices to prevent HAIs. Preintervention hand hygiene compliance rates were compared to postintervention hand hygiene compliance rates on 2 units in an acute care setting to evaluate if reeducation of healthcare staff on hand hygiene protocols and practices would increase hand hygiene compliance rates. The evidence-based practice model used for this project was Nightingale's environmental theory. The research question for the study examined the effectiveness of hand hygiene reeducation on hand hygiene compliance rates. Participants included 97 nurses and ancillary staff. Hand hygiene compliance rates were compared 1 month before and 1 month after healthcare staff reeducation. Results showed an 18% increase in compliance rates following reeducation. These results might effect positive social change by reinforcing that reeducation has an impact on compliance rates for hand hygiene among nursing and ancillary staff in acute care settings.
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Lisauckis, Lisa Elena. "Herbal supplement education in dental hygiene curricula." Morgantown, W. Va. : [West Virginia University Libraries], 2002. http://etd.wvu.edu/templates/showETD.cfm?recnum=2326.
Thesis (M.S.)--West Virginia University, 2002. Title from document title page. Document formatted into pages; contains viii, 63 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 48-50).
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Griffiths, John H. "Verbal regulation of behaviour in children : establishing effective dental care." Thesis, Bangor University, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.357889.
Henry, Rachel K. "A Comparison of Millennial and Non-Millennial Dental Hygiene Student and Faculty Classroom Expectations." The Ohio State University, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=osu1419262693.
Cravens, Cedric A. "Tr?-Vigil, LLC, a hand hygiene company for health care organizations." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10167528.
Nosocomial infections are a significant medical burden to every health care setting in the United States. Also known as health-associated infections or hospital-acquired infections (HAIs), they are infections that people acquire while they are receiving treatment for another condition in a health care setting. To decrease rates of HAIs, Tr?-Vigil, LLC will provide health care facilities with point-of-care hand hygiene capability in the form of portable hand sanitizers that clip onto lab coats or scrubs, along with a monitoring system that tracks medical staff usage of the sanitizers. This business plan will demonstrate how Tr?-Vigil intends to deliver a vital health care service, while being a sustainable and profitable company.
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Chang, Nai-Chung Nelson. "Identifying factors influencing hand hygiene compliance during the patient care sequence." Diss., University of Iowa, 2018. https://ir.uiowa.edu/etd/6390.
Healthcare-associated infections (HAI) are a significant issue in healthcare facilities worldwide. Hand hygiene (HH) remains the most effective method for preventing the incidence of HAI in routine patient care. Past and current interventions focused on the overall improvement of HH compliance, but studies found that the amount of time required to achieve full HH compliance with the existing guidelines may not be practical. Improving HH compliance at critical moments during patient care may be more effective than improving HH compliance at all opportunities. However, there are little to no studies on healthcare workers’ (HCWs) behavior regarding HH during the patient care process.
Secondary data analysis on a prospective dataset from the STAR-ICU trial was completed to identify HCWs’ behavior patterns regarding HH during the patient care process. Multiple logistic regression for transitions with random effects using repeated measures and transition modeling was used to identify possible associations between HH compliance and patient care tasks, the order of tasks, and workload. The models adjusted for the effects of HCW type, glove use, and isolation precautions.
The study identified 28,826 task sequences and 42,349 HH opportunities. HCWs were slightly less likely to do HH before critical tasks compared with other tasks (OR: 0.97, 95% CI: 0.96-0.99), but more likely to do HH after contaminating tasks compared with other tasks (OR: 1.12, 95% CI: 1.10-1.13). HCWs are also more likely to move from task sequences that have a relatively lower risk to patients to task sequences that have a relatively higher risk to patients than vice versa (65.4% versus 34.7%). HCWs are also less likely to do HH after moving from tasks that have a relatively lower risk to patients to tasks that have a relatively higher risk to patients than vice versa (OR: 0.93, 95% CI:0.92-0.95). HCWs’ HH compliance rates decreased as the workload level increased (OR: 0.93, 95% CI: 0.89-0.98). Workload did not appear to affect HH compliance before critical tasks or after contaminating tasks and did not affect the order in which HCWs perform patient care tasks. Increase in workload was associated with an increase in the odds of critical tasks occurring (OR: 1.55, 95% CI: 1.45-1.65).
In conclusion, HCWs are more likely to perform HH after contaminating tasks to prevent contaminating themselves and to reduce the risk of transmission in subsequent task sequences. However, they do not perform tasks in an order that minimizes risk to the patient; instead, it appears that they perform tasks as they come up in routine care. Furthermore, HH is not being performed at critical moments during patient care. Lastly, workload did not affect the order in which HCWs perform patient care tasks, suggesting that HCWs behavior patterns contribute significantly to how they care for patients and perform HH. Interventions targeting the order in which HCWs perform patient care tasks and improving HH compliance before critical tasks may be more effective than those designed to improve HH compliance at all HH opportunities for reducing HAI rates.
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Lau, Chun-ling, and 劉俊玲. "Factors affecting hand hygiene compliance in intensive care units: a systematic review." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48423890.
Hospital-acquired, or nosocomial infections (HAIs) are the major source of mortality and morbidity for hospitalized patients. It is estimated that 7-10% patients developed HAIs during their hospital stays, with most patients got infected from intensive care units (ICU) [1,2]. Hand hygiene (HH) is recognized as the most easy and effective way to prevent HAIs. However, the observed hand hygiene compliance rates among healthcare workers (HCWs) have been regarded as unacceptably low, especially in ICU [3]. This literature review is to discuss the factors influencing the hand hygiene compliance among HCWs in ICU, in both the individual and institutional level, and suggest which factor was important in both levels. Recommendations in comprehensive approach on hand hygiene practices will also be included. published_or_final_version Public Health Master Master of Public Health
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Bauchmoyer, Susan Marie. "Predicting Academic and National Board Dental Hygiene Examination Performance Based on Academic Factors." The Ohio State University, 2002. http://rave.ohiolink.edu/etdc/view?acc_num=osu1418401625.
Moro, Maria Luisa, Marie-Noëlle Chraïti, and Benedetta Allegranzi. "Hand Hygiene in Long-Term Care Facilities and Home Care." In Hand Hygiene, 329–36. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2017. http://dx.doi.org/10.1002/9781118846810.ch42c.
Harr, Jeffrey N., Philip F. Stahel, Phillip D. Levy, Antoine Vieillard-Baron, Yang Xue, Muhammad N. Iqbal, Jeffrey Chan, et al. "Hand Hygiene." In Encyclopedia of Intensive Care Medicine, 1009. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-00418-6_3128.
Hu, Yi. "National Defense and Hygiene." In Rural Health Care Delivery, 37–50. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-39982-4_5.
Trierweiler-Hauke, B. "Hygiene auf der IMC-Station." In Pflegewissen Intermediate Care, 115–46. Berlin, Heidelberg: Springer Berlin Heidelberg, 2016. http://dx.doi.org/10.1007/978-3-662-49511-7_8.
Trierweiler-Hauke, B. "Hygiene auf der IMC-Station." In Pflegewissen Intermediate Care, 109–39. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-30001-1_8.
Andersen, Bjørg Marit. "Personal Hygiene and Care of Patients." In Prevention and Control of Infections in Hospitals, 255–64. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-99921-0_22.
Graupp, Patrick, and Martha Purrier. "Hand Hygiene Training Case Study." In Getting to Standard Work in Health Care, 43–64. 2nd ed. New York: Productivity Press, 2021. http://dx.doi.org/10.4324/9781003035305-4.
Rothen, Marilynn L. "Oral Hygiene and Prevention for CSHCN." In Dental Care for Children with Special Needs, 141–66. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-10483-2_7.
Conference papers on the topic "Care and hygiene":
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Cowin, P. "124. Industrial Hygiene Career Development Program." In AIHce 1996 - Health Care Industries Papers. AIHA, 1999. http://dx.doi.org/10.3320/1.2764784.
Paik, N. "37. Practice of Industrial Hygiene in Korea." In AIHce 1996 - Health Care Industries Papers. AIHA, 1999. http://dx.doi.org/10.3320/1.2765058.
Nawakowski, A. "250. Industrial Hygiene Initiatives in Eastern Europe." In AIHce 1996 - Health Care Industries Papers. AIHA, 1999. http://dx.doi.org/10.3320/1.2764919.
Petosa, L. "102. IAQ and Mechanical Hygiene: The Nuts and Bolts." In AIHce 1996 - Health Care Industries Papers. AIHA, 1999. http://dx.doi.org/10.3320/1.2764763.
Esposito, P., and T. Stich. "127. Integrating Performance Measures with Industrial Hygiene Program Evaluations." In AIHce 1996 - Health Care Industries Papers. AIHA, 1999. http://dx.doi.org/10.3320/1.2764787.
Groover, D. "128. Behavioral Analysis: Bringing Good Science to Industrial Hygiene." In AIHce 1996 - Health Care Industries Papers. AIHA, 1999. http://dx.doi.org/10.3320/1.2764788.
Higley, R., and G. Gruenwald. "45. Practical Aspects of Performing Industrial Hygiene Surveys at Embalming Operations." In AIHce 1996 - Health Care Industries Papers. AIHA, 1999. http://dx.doi.org/10.3320/1.2765146.
Babayan, E., M. Manrikian, R. Hovanesian, V. Kaphian, and L. A. Saryan. "452. Industrial Hygiene and Worker Health During Rock Salt Mining in Armenia." In AIHce 1996 - Health Care Industries Papers. AIHA, 1999. http://dx.doi.org/10.3320/1.2765138.
Zeimet, D., and J. Withers. "424. Respiratory Irritation from Floor Waxing, Buffing, and Burnishing: An Industrial Hygiene Evaluation." In AIHce 1996 - Health Care Industries Papers. AIHA, 1999. http://dx.doi.org/10.3320/1.2765107.
Leibowitz, A. "122. ISO and Beyond: Implications of Global Standards for Established Industrial Hygiene Programs." In AIHce 1996 - Health Care Industries Papers. AIHA, 1999. http://dx.doi.org/10.3320/1.2764782.
Souza, Elaine Oliveira, Poliana Leal Silva, Rudval Souza Silva, Flávia Catarino Conceição Ferreira, and Larissa Chaves Pedreira. Self-care for oral hygiene in adults and the elderly in nursing: scope review protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, February 2022. http://dx.doi.org/10.37766/inplasy2022.2.0034.
Review question / Objective: This scoping review will use the following question: What is the concept of self-care for oral hygiene in adults and elderly individuals in nursing care settings? Subsequent questions will be used in order to achieve better results, as follows: What does the demand for self-care for oral hygiene require? What is self-care for oral hygiene? What results stem from the self-care deficit for oral hygiene? The objective of this scoping review is to map the evidence available in the field of nursing on the antecedents, attributes and consequences of self-care for oral hygiene in adults and elderly individuals. Information sources: Medline/Pubmed, CINAHL, Scopus, Web of Science, LILACS and IBECS will be used. As gray literature, the CAPES Digital Library of Theses and Dissertations and the OpenGrey platform will be evaluated.
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Jenkins, J. Lee, Edbert B. Hsu, Anna Russell, Allen Zhang, Lisa M. Wilson, and Eric B. Bass. Infection Prevention and Control for the Emergency Medical Services and 911 Workforce. Agency for Healthcare Research and Quality (AHRQ), November 2022. http://dx.doi.org/10.23970/ahrqepctb42.
Objectives. To summarize current evidence on exposures to infectious pathogens in the emergency medical services (EMS) and 911 workforce, and on practices for preventing, recognizing, and controlling occupationally acquired infectious diseases and related exposures in that workforce. Review methods. We obtained advice on how to answer four Guiding Questions by recruiting a panel of external experts on EMS clinicians, State-level EMS leadership, and programs relevant to EMS personnel, and by engaging representatives of professional societies in infectious diseases and emergency medicine. We searched PubMed®, Embase®, CINAHL®, and SCOPUS from January 2006 to March 2022 for relevant studies. We also searched for reports from State and Federal Government agencies or nongovernmental organizations interested in infection prevention and control in the EMS and 911 workforce. Results. Twenty-five observational studies reported on the epidemiology of infections in the EMS and 911 workforce. They did not report demographic differences except for a higher risk of hepatitis C in older workers and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in minorities. EMS clinicians certified/licensed in Advanced Life Support have a high risk for blood and fluid exposure, and EMS clinicians had a higher risk of hospitalization or death from SARS-CoV-2 than firefighters whose roles were not primarily related to medical care. Eleven observational studies reported on infection prevention and control practices (IPC), providing some evidence that hand hygiene, standard precautions, mandatory vaccine policies, and on-site vaccine clinics are effective. Research on IPC in EMS and 911 workers has increased significantly since the SARS-CoV-2 pandemic. Conclusions. Moderate evidence exists on the epidemiology of infections and effectiveness of IPC practices in EMS and 911 workers, including hand hygiene, standard precautions, mandatory vaccine policies, and vaccine clinics. Most evidence is observational, with widely varying methods, outcomes, and reporting. More research is needed on personal protective equipment effectiveness and vaccine acceptance, and better guidance is needed for research methods in the EMS and 911 worker setting.
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Meeuwissen, Talia, Mable Chanzu, Julie Aubriot, Jimmy Kariuki, Carolyne Odhiambo, Hillary Okumu, Peter Karichu, and Emmah Mwende. How Sanitation and Hygiene Champions Emerged in Siaya County. Institute of Development Studies (IDS), September 2021. http://dx.doi.org/10.19088/slh.2021.019.
This case study was developed to inform subsequent research and analysis of local government leadership and prioritisation of sanitation and hygiene (S&H) in East Africa. Consolidated learning from across the three countries involved can be found in the Sanitation Learning Hub (SLH) Learning Brief: Strengthening sub-national systems for area-wide sanitation and hygiene. From late 2020 to early 2021, the SLH collaborated with local government actors and development partners from three sub-national areas to explore ways of increasing local government leadership and prioritisation of S&H to drive progress towards area-wide S&H. For some time, local government leadership has been recognised as key to ensuring sustainability and scale and it is an important component of the emerging use of systems strengthening approaches in the sanitation sector. It is hoped that this work will provide practical experiences to contribute to this thinking. Three case studies were developed to capture local government and development partners’ experiences supporting sub-national governments increase their leadership and prioritisation of S&H in Siaya County (Kenya), Nyamagabe District (Rwanda), and Moyo District (Uganda), all of which have seen progress in recent years. The development partners involved were UNICEF in Kenya, WaterAid in Rwanda, and WSSCC/Uganda Sanitation Fund in Uganda. The cases were then analysed through three online workshops facilitated with staff from the local governments, central government ministries and development partners involved to explore them in further detail, review experiences and identify levers and blockages to change. Lessons from the workshops are documented in the SLH learning brief mentioned above. This is the case study developed by Siaya County and UNICEF documenting their experiences and reflections from working together to increase prioritisation of S&H in Siaya County, Kenya.
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Melloni, Gian. Local Government Leadership in Sanitation and Hygiene: Experiences and Learnings from West Africa. Institute of Development Studies (IDS), January 2022. http://dx.doi.org/10.19088/slh.2022.001.
Between July and October 2021, the Sanitation Learning Hub worked with government representatives and development partners to develop, share, and cross-analyse case studies looking at local system and government strengthening in four local government areas across West Africa: Benin (N’Dali commune), Ghana (Yendi municipal district), Guinea (Molota commune), and Nigeria (Logo LGA). The initiative focused on examples of local leadership in sanitation and hygiene (S&H), with case studies developed in collaboration with development partners (Helvetas in Benin, UNICEF in Ghana and Guinea, United Purpose in Nigeria) and the local governments they partner with. The goal was to cross-analyse examples of local government leadership in S&H, looking at what led to the prioritisation of S&H, and identifying commonalities and transferable knowledge through a participatory cross-learning process. The case studies identified positive change occurred in local government leadership in S&H, and analysed the contributions to change, via document review, key informant interviews and focus group discussions. This learning brief shares the learnings and recommendations that emerged from the case studies and through the three participatory workshops that followed.
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Kwizera, Maurice, Kwizera, Maurice, Lambert Karangwa, Jeannette Murekatete, Gilbert Rukundo Mutabaruka, Jean Paul Mbarushimana, Tariya Yusuf, Inbar Hanna Yaffe, et al. Making Sanitation and Hygiene a Human Security Issue: The case of Nyamagabe District, Rwanda. Institute of Development Studies (IDS), September 2021. http://dx.doi.org/10.19088/slh.2021.017.
This case study was developed to inform subsequent research and analysis of local government leadership and prioritisation of sanitation and hygiene (S&H) in East Africa. Consolidated learning from across the three countries involved can be found in the Sanitation Learning Hub (SLH) Learning Brief: Strengthening sub-national systems for area-wide sanitation and hygiene. From late 2020 to early 2021, the SLH collaborated with local government actors and development partners from three sub-national areas to explore ways of increasing local government leadership and prioritisation of S&H to drive progress towards area-wide S&H. For some time, local government leadership has been recognised as key to ensuring sustainability and scale, it is an important component of the emerging use of systems strengthening approaches in the sanitation sector. It is hoped that this work will provide practical experiences to contribute to this thinking. Three case studies were developed to capture local government and development partners’ experiences supporting sub-national governments increase their leadership and prioritisation of S&H in Siaya County (Kenya), Nyamagabe District (Rwanda), and Moyo District (Uganda), all of which have seen progress in recent years. The development partners involved were UNICEF in Kenya, WaterAid in Rwanda, and WSSCC/ Uganda Sanitation Fund in Uganda. The cases were then analysed through three online workshops facilitated with staff from the local governments, central government ministries and development partners involved to explore them in further detail, review experiences and identify levers and blockages to change. Lessons from the workshops are documented in the SLH learning brief mentioned above. This is the case study developed by Nyamagabe District and WaterAid documenting their experiences and reflections from working together to increase prioritisation of S&H in Nyamagabe District, Rwanda.
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Coultas, Mimi. Strengthening Sub-national Systems for Area-wide Sanitation and Hygiene. Institute of Development Studies (IDS), May 2021. http://dx.doi.org/10.19088/slh.2021.007.
From late 2020 to early 2021, the Sanitation Learning Hub (SLH) collaborated with local government actors and development partners from three sub-national areas to explore ways of increasing local government leadership and prioritisation of sanitation and hygiene (S&H) to drive progress towards area-wide S&H. For some time, local government leadership has been recognised as key to ensuring sustainability and scale and it is an important component of the emerging use of systems strengthening approaches in the S&H sector. It is hoped that this work will provide practical experiences to contribute to this thinking. Case studies were developed to capture local government and development partners’ experiences supporting sub-national governments increase their leadership and prioritisation of S&H in Siaya County (Kenya, with UNICEF), Nyamagabe District (Rwanda, with WaterAid) and Moyo District (Uganda, with WSSCC), all of which have seen progress in recent years. The cases were then explored through three online workshops with staff from the local governments, central government ministries and development partners involved to review experiences and identify levers and blockages to change. This document presents key findings from this process.
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Coultas, Mimi. Strengthening Sub-national Systems for Area-wide Sanitation and Hygiene. Institute of Development Studies (IDS), May 2021. http://dx.doi.org/10.19088/slh.2021.013.
From late 2020 to early 2021, the Sanitation Learning Hub (SLH) collaborated with local government actors and development partners from three sub-national areas to explore ways of increasing local government leadership and prioritisation of sanitation and hygiene (S&H) to drive progress towards area-wide S&H. For some time, local government leadership has been recognised as key to ensuring sustainability and scale and it is an important component of the emerging use of systems strengthening approaches in the S&H sector. It is hoped that this work will provide practical experiences to contribute to this thinking. Case studies were developed to capture local government and development partners’ experiences supporting sub-national governments increase their leadership and prioritisation of S&H in Siaya County (Kenya, with UNICEF), Nyamagabe District (Rwanda, with WaterAid) and Moyo District (Uganda, with WSSCC), all of which have seen progress in recent years. The cases were then explored through three online workshops with staff from the local governments, central government ministries and development partners involved to review experiences and identify levers and blockages to change. This document presents key findings from this process.
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Iyer, Ruhil, and Léa Pare Toe. Impact of Climate Hazards on Rural Sanitation and Hygiene Practices in Burkina Faso. The Sanitation Learning Hub, Institute of Development Studies, August 2022. http://dx.doi.org/10.19088/slh.2022.016.
Despite climate change being a major concern for the sanitation sector, rural sanitation remains neglected in the wider discussions of climate impacts on WASH services. Also, the voices of vulnerable individuals, households, and communities who are experiencing the effects of climate change in relation to sanitation issues are missing. The aim of the case study was to expand the evidence base on climate impacts on rural sanitation and hygiene practices and programmes in Burkina Faso and on practical adaptations to increase resilience and ensure communities are better able to maintain improved sanitation behaviours during and after times of climate stress. There was a focus on the social dimensions of impacts, exploring vulnerabilities and behavioural aspects of sanitation access and use. Additionally, the research identified the impacts climate change is already having on current programming efforts in rural settings.
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Boyes, Allison, Jamie Bryant, Alix Hall, and Elise Mansfield. Barriers and enablers for older people at risk of and/or living with cancer to accessing timely cancer screening, diagnosis and treatment. The Sax Institute, July 2022. http://dx.doi.org/10.57022/ieoy3254.
• Older adults have complex and unique needs that can influence how and when cancer is diagnosed, the types of treatment that are offered, how well treatment is tolerated and treatment outcomes. • This Evidence Check review identified 41 studies that specifically addressed barriers and enablers to cancer screening, diagnosis and treatment among adults aged 65 years and older. • Question 1: The main barriers for older people at risk of and/or living with cancer to access and participate in timely cancer screening relate to lack of knowledge, fear of cancer, negative beliefs about the consequences of cancer, and hygiene concerns in completing testing. The main enablers to participation in timely cancer screening include positive/helpful beliefs about screening, social influences that encourage participation and knowledge. • Question 2: The main barriers for older people at risk of and/or living with cancer to access and/or seek timely cancer diagnosis relate to lack of knowledge of the signs and symptoms of cancer that are distinct from existing conditions and ageing, healthcare accessibility difficulties, perceived inadequate clinical response from healthcare providers, and harmful patient beliefs about risk factors and signs of cancer. The main enablers to accessing and/or seeking a timely cancer diagnosis include knowledge of the signs and symptoms of cancer, and support from family and friends that encourage help-seeking for symptoms. • Question 3: The main barriers for older people at risk of and/or living with cancer in accessing and completing cancer treatment include discrimination against patients in the form of ageism, lack of knowledge, patient concern about the adverse effects of treatment, predominantly on their independence, healthcare accessibility difficulties including travel and financial burden, and patients’ caring responsibilities. The main enablers to accessing and completing cancer treatment are social support from peers in a similar situation, family and friends, the influence of healthcare providers, and involving patients in treatment decision making. • Implications. The development of strategies to address the inequity of cancer outcomes in people aged 65 years and older in NSW should consider: Increasing community members’ and patients’ knowledge and awareness by providing written information and decision support tools from a trusted source Reducing travel and financial burden by widely disseminating information about existing support schemes and expanding remote patient monitoring and telehealth Improving social support by promoting peer support, and building the support capacity of family carers Addressing ageism by supporting patients in decision making, and disseminating education initiatives about geriatric oncology to healthcare providers Providing interdisciplinary geriatric oncology care by including a geriatrician as part of multidisciplinary teams and/or expanding geriatric oncology clinics.
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Katwere Ssemwanga, David, Dominic Lomongin Aballa, Steven Amoko, and Sheila Nduhukire. A Holistic Approach to Accelerated Attainment of Open-Defecation Free Status in Moyo District. Institute of Development Studies (IDS), September 2021. http://dx.doi.org/10.19088/slh.2021.018.
This case study was developed to inform subsequent research and analysis of local government leadership and prioritisation of sanitation and hygiene (S&H) in East Africa. Consolidated learning from across the three countries involved can be found in the Sanitation Learning Hub (SLH) Learning Brief: Strengthening sub-national systems for area-wide sanitation and hygiene. From late 2020 to early 2021, the SLH collaborated with local government actors and development partners from three subnational areas to explore ways of increasing local government leadership and prioritisation of S&H to drive progress towards area-wide S&H. For some time, local government leadership has been recognised as key to ensuring sustainability and scale and it is an important component of the emerging use of systems strengthening approaches in the sanitation sector. It is hoped that this work will provide practical experiences to contribute to this thinking. Three case studies were developed to capture local government and development partners’ experiences supporting sub-national governments increase their leadership and prioritisation of S&H in Siaya County (Kenya), Nyamagabe District (Rwanda), and Moyo District (Uganda), all of which have seen progress in recent years. The development partners involved were UNICEF in Kenya, WaterAid in Rwanda, and WSSCC/ Uganda Sanitation Fund in Uganda. The cases were then analysed through three online workshops facilitated with staff from the local governments, central government ministries and development partners involved to explore them in further detail, review experiences and identify levers and blockages to change. Lessons from the workshops are documented in the SLH learning brief mentioned above. This is the case study developed by Moyo District and WSSCC/Uganda Sanitation Fund documenting their experiences and reflections from working together to increase prioritisation of S&H in Moyo District, Uganda.
