RESUMEN
This quasi-experimental study aimed to identify the impact of a promotion programme on hand hygiene practices and its effect on nosocomial infection rates in a neonatal intensive care unit of a university hospital in Thailand. The study populations were 26 nursing personnel. After implementing a hand hygiene promotion programme, compliance with hand hygiene among nursing personnel improved significantly from 6.3% before the programme to 81.2% 7 months after the programme. Compliance rate did not correlate with the intensity of patient care. Nosocomial infection rate did not decrease after the intervention, probably because of the multifactorial nature of infections. All participants agreed that promotion programme implemented in this project motivated them to practise better hand hygiene. This study indicated that multiple approaches and persistent encouragement are key factors leading to a sustained high level of appropriate hand hygiene practices among nursing personnel.
Asunto(s)
Infección Hospitalaria/prevención & control , Desinfección de las Manos/métodos , Promoción de la Salud/organización & administración , Higiene/educación , Adulto , Actitud del Personal de Salud , Distribución de Chi-Cuadrado , Enfermería de Urgencia , Femenino , Humanos , Recién Nacido , Transmisión de Enfermedad Infecciosa de Profesional a Paciente/prevención & control , Capacitación en Servicio/organización & administración , Unidades de Cuidado Intensivo Neonatal , Masculino , Persona de Mediana Edad , Probabilidad , Evaluación de Programas y Proyectos de Salud , Medición de Riesgo , TailandiaRESUMEN
This article describes the development and evaluation of an HIV prevention program developed for early adolescents through participatory action research. The HIV prevention program included a curriculum that was delivered by trained younger youth leaders through a youth and adult partnership with 10 schools in Chiang Mai Province, Thailand. The curriculum used participatory learning experiences, "edutainment" approaches, and skills-building strategies for enhancing youth leaders' capacities. Results of the evaluation showed that the senior-junior peer education program was effective in leadership role preparation, in improving youth leaders' ability to share sexual and reproductive health knowledge, and in promoting positive attitudes toward themselves. Success also rested on the fact that adults took a critical role in providing the opportunities, assistance, and guidance so that young people could develop their leadership capacity in an atmosphere of trust and respect.