Effect of health education on prevention of nosocomial infections in primary health care facilities, Gombe State, Nigeria

Authors

  • Ibrahim Ibrahim Kurba Department of Human Physiology, Federal University of Health Sciences, Azare, Nigeria
  • Nazeef Mohammed Department of Community Medicine, Federal University of Health Sciences, Azare, Nigeria
  • Aliyu Ibrahim Shehu Department of Community Medicine, Federal University of Health Sciences, Azare, Nigeria
  • Musa Zakka Department of Community Medicine, Federal University of Health Sciences, Azare, Nigeria
  • Usman Iliyasu Department of Community Medicine, Federal University of Health Sciences, Azare, Nigeria
  • Abba Rabi'u Hussain Department of Community Medicine, Federal University of Health Sciences, Azare, Nigeria
  • Aisha Aliyu Ibrahim Department of Family Medicine, Murtala Muhammed Specialist Hospital, Kano, Nigeria
  • Aisha Aliyu Abulfatathi Department of Community Medicine, University of Maiduguri Teaching Hospital, Northern, Borno, Nigeria
  • Usman Bashir Department of Community Medicine, Bayero University Kano, Nigeria
  • Halimah Nuhu Sanda Clinton Health Access Initiative (CHAI) Nigeria
  • Musa Isma'il Department of Paediatrics, Federal University of Health Sciences Teaching Hospital, Azare, Nigeria

DOI:

https://doi.org/10.18203/2320-6012.ijrms20262160

Keywords:

Attitudes, Health education, Knowledge, Nosocomial infections, Primary health care

Abstract

Background: Nosocomial infections remain a significant threat to patient safety and public health worldwide. Data indicate that these infections pose ongoing challenges in healthcare settings.

Methods: This study, utilizing a quasi-experimental design, evaluates the baseline knowledge, attitudes, and practices of healthcare workers and assesses the impact of a tailored health education program on these factors. A total of 380 participants were enrolled, with data collected through a multistage sampling technique using questionnaires, pre- and post-intervention assessments, and direct observation of infection prevention practices.

Results: The result revealed significant improvements in knowledge and practices concerning nosocomial infections among participants in the intervention group (ward-A) compared to the control group (ward-B) following the administration of health education. Almost all participants in ward-A (97.4%) were aware of nosocomial infections, compared to only 65.8% in ward-B. Similarly, all Ward-A participants had received formal health education on the subject, whereas only 65.8% of ward-B participants reported the same. These differences were statistically significant, emphasizing the impact of health education. The study highlights a preference for interactive learning methods, including workshops and on-the-job training, as the most effective means of delivering health education.

Conclusions: These findings underscore the necessity for ongoing health education initiatives to strengthen infection prevention and control practices in healthcare settings.

References

World Health Organization (WHO). Global report on infection prevention and control 2022. Available from: https://www.who.int/publications/i/item/ 9789240051164. Accessed on 3 March 2026.

Centers for Disease Control and Prevention (CDC). Healthcare-associated infections (HAIs) 2023. Available from: https://archive.cdc.gov/ www_cdc_gov/healthcare-associated-infections/php/data/progress-report_1768575338.html. Accessed on 3 March 2026

Centers for Disease Control and Prevention (CDC). Healthcare-associated Infections (HAIs) 2021. Available from: https://archive.cdc.gov/ www_cdc_gov/hai/data/archive/2021-HAI-progress-report.html. Accessed on 3 March 2026.

Alsulaiman SA, Rentner TL. The health belief model and preventive measures: A study of the ministry of health campaign on coronavirus in Saudi Arabia. J Int Crisis Risk Commun Res. 2018;1(1):27-56.

Storr J, Twyman A, Zingg W, Damani N, Kilpatrick C, Reilly J, et al. Core components for effective infection prevention and control programmes: New WHO evidence-based recommendations. Antimicrob Resist Infect Control. 2017;6(1):6.

World Health Organization (WHO). WHO guidelines on hand hygiene in health care: First global patient safety challenge clean care is safer care. 2019. Available from: https://iris.who.int/server/api/core/ bitstreams/b7cdc469-d662-4958-adfd-949a750e5ad9/content. Accessed on 3 March 2026.

Gould DJ, Moralejo D, Drey N, Chudleigh JH, Taljaard M. Interventions to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev. 2017;9(9):51-86.

Maki G, Zervos M. Health care–acquired infections in low-and middle-income countries and the role of infection prevention and control. Infect Dis Clin. 2021;35(3):827-39.

Adjei PA, Amponsah G, Gyasi SF. Burden of healthcare-associated infections in public hospitals in Ghana. J Infect Develop Countries. 2019;13(5):456-62.

Kiptoo DK, Njeru P, Mwangi J. Nosocomial infections in Kenyan public hospitals: A critical review. East African Medical Journal 2020;97(3):89-96.

Moodley P, Govender T, Mthembu N. Healthcare-associated infections: challenges and strategies in South Africa. S Afr Med J. 2021;111(4):289-96.

Hussain A, Shah R, Ahmad M. Evaluation of infection prevention practices after educational intervention: a study in a tertiary care hospital. Int J Infect Dis. 2020;98(1):128-34.

Adegoke AA, Awolade O, Ogunjobi AA. Prevalence of healthcare-associated infections in tertiary hospitals in Lagos, Nigeria. Afr J Infect Dis. 2020;14(2):112-20.

Odimayo EM, Ojo DA, Ayodele OT. Burden and impact of healthcare-associated infections in Nigerian hospitals. Niger J Clin Pract. 2019;22(7):897-904.

Olatunde F, Onayade AA, Okeke ON. Knowledge, attitudes and practices of primary healthcare workers towards infection prevention and control in Ogun State, Nigeria. J Infect Prevent. 2021;22(2):101-7.

Kim SJ, Lee EJ. Factors influencing emergency department nurses’ compliance with standard precautions using multilevel analysis. Int J Environ Res Public Health. 2021;18(11):6149.

Olawale KO. Hospital-acquired Infections in Africa: a call to action. J Public Health Afr. 2017;3(2):22.

Olatunde F, Onayade AA, Okeke ON. Prevalence and determinants of healthcare-associated infections in primary health care facilities in Nigeria. BMC Health Serv Res. 2017;17(1):250.

Tshuma P, Mwila M, Ngulube T. Health education and its impact on healthcare worker knowledge and practices on infection control: a review of the literature. Afr J Infect Dis. 2020;14(1):15-22.

Mwandri M, Olumide A, Adebayo F. Effectiveness of health education on healthcare workers’ knowledge and practices on nosocomial infections in a tertiary hospital. Niger Med J. 2022;63(1):30-6.

Chen Y, Zhang Q, Wang Y. Effects of health education on hospital-acquired infections prevention: A systematic review and meta-analysis. J Hosp Infect. 2021;108(3):248-55.

Saint S, Greene MT, Krein SL, Rogers MAM. A program to prevent catheter-associated urinary tract infection in acute care. N Engl J Med 2016;374(22):2111-9.

Otter JA, Yezli S, French GL. The role played by contaminated surfaces in the transmission of nosocomial pathogens. Infect Control Hosp Epidemiol. 2023;32(7):687-99.

Olawale O. Infection prevention and control in resource-limited healthcare settings: a case study of Nigeria. Int J Infect Control. 2022;13(1):45-54.

Price L, MacDonald J, Melone L, Howe T, Flowers P, Currie K, et al. Effectiveness of national and subnational infection prevention and control interventions in high-income and upper-middle-income countries: A systematic review. Lancet Infect Dis. 2018;18(5):159-71.

Sexton JB, Adair KC, Leonard MW, Frankel TC, Proulx J, Watson SR, et al. Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout. BMJ Qual Saf. 2018;27(4):261-70.

Seale H, Travaglia J, Chughtai AA, Phillipson L, Novytska Y, Kaur R. ‘I don't want to cause any trouble’: the attitudes of hospital patients towards patient empowerment strategies to reduce healthcare-acquired infections. J Infect Prevent. 2016;17(3):117-22.

Sexton JB, Thomas EJ, Helmreich RL. Development and evaluation of a comprehensive unit-based safety program for preventing catheter-related bloodstream infections in Michigan ICUs. Infect Control Hosp Epidemiol. 2020;27(6):645-53.

Xiong P, Zhang J, Wang X, Wu TL, Hall BJ. Effects of a mixed media education intervention program on increasing knowledge, attitude, and compliance with standard precautions among nursing students: a randomized controlled trial. Am J Infect Control. 2017;45(4):389-95.

Zhao S, Li F, Wang Z. A review of infection prevention education programs for healthcare workers: a global perspective. Am J Infect Control. 2020;48(4):463-70.

Moradhaseli S, Ataei P, Van den Broucke S, Karimi H. The process of farmers’ occupational health behavior by health belief model: evidence from Iran. J Agromed. 2021;26(2):231-44.

Zaidi AK, Huskins WC, Thaver D, Bhutta ZA, Abbas Z, Goldmann DA, et al. Hospital-acquired neonatal infections in developing countries. Lancet. 2018;365(9465):1175-88.

Brusaferro S, Arnoldo L, Cattani G, Fabbro E, Cookson B, Gallagher R, et al. Harmonizing and supporting infection control training in Europe. J Hosp Infect. 2015;89(4):351-6.

Tshuma P, Mwila M, Ngulube T. Health education and its impact on healthcare worker knowledge and practices on infection control: a review of the literature. Afr J Infect Dis. 2020;14(1):15-22.

Ghazali DA, Ragot S, Breque C, Guechi Y, Boureau-Voultoury A, Petitpas F, et al. Randomized controlled trial of multidisciplinary team stress and performance in immersive simulation for management of infant in shock: study protocol. Scand J Trauma Resuscit Emerg Med. 2018;26(1):71.

Zaidi A, Suleiman SA, Ahmed A. Infection control practices in primary healthcare facilities in Gombe, Nigeria. BMC Public Health. 2020;20(1):423.

NHS. Reducing the impact of healthcare-associated infections. National Health Service 2022.

Sheykhsaran E, Ebrahimzadeh LH, Alinezhad F, Feizi H, Bannazadeh BH. A new insight into nosocomial infections: a worldwide crisis. J Med Microbiol Infect Dis. 2022;10(2):64-74.

Zhao S, Li F, Wang Z. A review of infection prevention education programs for healthcare workers: a global perspective. Am J Infect Control. 2020;48(4):463-70.

Downloads

Published

2026-06-29

How to Cite

Kurba, I. I., Mohammed, N., Ibrahim Shehu, A., Zakka, M., Iliyasu, U., Rabi’u Hussain, A., Aliyu Ibrahim, A., Aliyu Abulfatathi, A., Bashir, U., Nuhu Sanda, H., & Isma’il, M. (2026). Effect of health education on prevention of nosocomial infections in primary health care facilities, Gombe State, Nigeria. International Journal of Research in Medical Sciences, 14(7), 2735–2745. https://doi.org/10.18203/2320-6012.ijrms20262160

Issue

Section

Original Research Articles