Standard Infection Control Practices among Peripheral Health Care Workers: A Knowledge, Attitude and Practice Study from a Rural Haryana

Sandeep Jain, R.B. Jain, Rajesh Garg


Background: Globally, around 2.5% of HIV and 40% of HBV among Health Care Workers (HCWs) are attributed to occupational exposure with an overall incidence of occupational exposure to blood/body fluids among HCW as 32.3%. There exists a gap between the knowledge and practice of standard infection control practices among HCW. Failure to follow these standard protocols leads to loss of precious work hours of this skilled work force.

Methods: To know the knowledge, attitude and practice regarding standard infection control protocols, a community based, cross- sectional, analytical, non –interventional study was planned among health care workers at a Rural Community Health Centre (CHC) , Dighal of district Jhajjar (Haryana). A total of 50 HCWs were included in the study. The study was conducted during the months of July –August, 2016.

Results: About 56% of HCWs were having the knowledge about the correct steps of hand washing but only 20% were actually practicing hand washing before administrating injections. Only 28% of participants were correctly using hub-cutter and needle destroyers after the injection practices. It was observed that 42% of subjects were still trying to re-cap needles after the injections. 60% of subjects felt that using standard precautions was cumbersome. 74% of the subjects felt that using standard precautions was expensive. 54% of study subjects felt that it was difficult to follow stand precautions in government institutions due to logistics issues. Only 28% of the participants had received complete vaccination against Hepatitis B.

Conclusion: There exists a huge gap between the knowledge and practice of standard infection control protocols. Among most of the HCWs, the attitude was not positive towards using standard precautions despite having knowledge. Lack of initiative from the higher up officials, poor training, poor monitoring further complex the issue. Regular monitoring and supervision, capacity building of HCWs along with regular logistic supply are recommended.


Health Care Workers, Infection control, HIV, HBV, Hand washing, Post exposure prophylaxis

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