Impact of Multimodal Strategies on Infection Prevention and Control Capacity at the Primary Healthcare Level in Nigeria
Tracks
Meeting Room 1.61 - 1.62
| Tuesday, July 1, 2025 |
| 5:15 PM - 5:30 PM |
Overview
Speaker: Dr Aisha Faruk
Speaker
Dr Aisha Sani Faruk
AFENET
Impact of Multimodal Strategies on Infection Prevention and Control Capacity at the Primary Healthcare Level in Nigeria.
Abstract
Background: The COVID-19 pandemic highlighted significant gaps in infection prevention and control (IPC), emphasising the need for strengthened IPC programs. The World Health Organisation recommends multimodal strategies as a core component for effective IPC programs. We assessed the effectiveness of an IPC multimodal intervention program aimed at strengthening IPC and improving Healthcare Worker (HCW) and patient safety at primary healthcare facilities (PHCs) in Nigeria amidst the COVID-19 pandemic.
Methods: From April 2021 to July 2023, we implemented an IPC multimodal intervention program across six states in Nigeria in a phased approach. Interventions included IPC training, facility upgrades, onsite mentorship, facility monitoring, and supportive supervision. A total of 653 PHCs received the interventions, while 289 served as comparison sites. The PHCs were monitored monthly on a range of IPC indicators across five domains using a standardised checklist. We computed a composite IPC score from these indicators and compared performance in the intervention versus non-intervention PHCs at baseline and end-line.
Results: Overall, we assessed 625 intervention and 195 non-intervention PHCs. In the initial phase, the composite IPC score improved by 12.5% (95% CI 11.4-13.4) in intervention PHCs compared to 8.5% (95% CI 6.2-10.8) in non-intervention PHCs. Similarly, in the second phase, improvement in the IPC score was higher in the intervention compared to non-intervention PHCs; 34.9% (95% CI 34.0-35.8) versus 13.2% (95% CI: 11.4-15.1) respectively.
Conclusion: This multimodal intervention program recorded significant improvements in IPC standards at the PHC level. Scaling up such interventions could strengthen disease outbreak preparedness and response.
Methods: From April 2021 to July 2023, we implemented an IPC multimodal intervention program across six states in Nigeria in a phased approach. Interventions included IPC training, facility upgrades, onsite mentorship, facility monitoring, and supportive supervision. A total of 653 PHCs received the interventions, while 289 served as comparison sites. The PHCs were monitored monthly on a range of IPC indicators across five domains using a standardised checklist. We computed a composite IPC score from these indicators and compared performance in the intervention versus non-intervention PHCs at baseline and end-line.
Results: Overall, we assessed 625 intervention and 195 non-intervention PHCs. In the initial phase, the composite IPC score improved by 12.5% (95% CI 11.4-13.4) in intervention PHCs compared to 8.5% (95% CI 6.2-10.8) in non-intervention PHCs. Similarly, in the second phase, improvement in the IPC score was higher in the intervention compared to non-intervention PHCs; 34.9% (95% CI 34.0-35.8) versus 13.2% (95% CI: 11.4-15.1) respectively.
Conclusion: This multimodal intervention program recorded significant improvements in IPC standards at the PHC level. Scaling up such interventions could strengthen disease outbreak preparedness and response.
Biography
