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Knowledge, Attitude and Self-Reported Performance and Challenges of Hand Hygiene Using Alcohol-Based Hand Sanitizers Among Healthcare Workers During COVID-19 Pandemic at a Tertiary Hospital: A Cross-Sectional Study

Authors Assefa D, Melaku T, Bayisa B, Alemu S

Received 12 November 2020

Accepted for publication 19 January 2021

Published 29 January 2021 Volume 2021:14 Pages 303—313

DOI https://doi.org/10.2147/IDR.S291690

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Professor Suresh Antony


Desta Assefa, Tsegaye Melaku, Bodena Bayisa, Sintayehu Alemu

School of Pharmacy, Jimma University, Jimma, Oromia, Ethiopia

Correspondence: Desta Assefa
School of Pharmacy, Jimma University, P.O. Box: 378, Jimma, Oromia, Ethiopia
Fax +251 4711114 50
Email desta4best@gmail.com

Background and Objective: Understanding and consistent hand hygiene practice by alcohol-based hand sanitizer is a cardinal step to stay safe from the coronavirus disease (COVID-19) pandemic. This study aimed to assess the self-reported level of knowledge, attitude, practice, and challenges to practice hand hygiene by alcohol-based hand sanitizers among healthcare workers during the COVID-19 pandemic in Jimma Medical Center, Ethiopia.
Methods: Between April and June 2020, a questionnaire-based descriptive cross-sectional study was conducted using 96 study participants. Data were analyzed using SPSS version 21 and described.
Results: All of the study participants (96) were at the forefront of the fight against COVID-19. Most of the study participants were nurses (27) and pharmacists (21). Their mean age was 28.69± 4.048 years. All of them were practicing different COVID-19 prevention methods. In this study, 95.8% of the respondents used alcohol-based hand sanitizers. The majority of the respondents were knowledgeable (93.8%), had a favorable attitude (74%), and good hand hygiene practices (76%) by alcohol-based hand sanitizers. However, 84.5% of the respondents were confronted with challenges during alcohol-based hand sanitizer use due to it is unavailable 66 (68.8%), expensive 50 (52.1%), forgetting 11 (11.5%), experiencing health-associated risks (skin irritation (28.1%), skin dryness (62.5%), ocular irritation (11.5%)), etc.
Conclusion: The majority of respondents had good knowledge, attitude, and practices of alcohol-based hand sanitizer. But there were some items of their evaluation with relatively low scores that revealed some room for improvements. Additionally, the respondents reported various challenges. Therefore, to achieve and sustain changes, the hand hygiene promotion strategic plan needs a great concern.

Keywords: coronavirus disease, hand hygiene, alcohol-based hand sanitizer, healthcare worker

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