Knowledge, attitude and perceived adherence with universal precaution among health care workers in the obstetrics and gynaecology department of an Indonesian teaching hospital

  • Sri Yusnita Irda Sari Padjadjaran University
  • Kusman Ibrahim Padjadjaran University
  • Hartiah Haroen Padjadjaran University
  • Irvan Afriandi Padjadjaran University
  • Deni Kurniadi Sunjaya Padjadjaran University
  • Zahrotur R Hinduan Padjadjaran University
  • Soehartinah Kramadibrata Antono Hasan Sadikin Hospital
  • Herman Susanto Hasan Sadikin Hospital
  • Sri Haryani Hasan Sadikin Hospital
  • Lucas Pinxten Padjadjaran University/Maastricht University
  • Andre Meheus Antwerpen University

Abstract

Health care workers (HCWs) are at a high risk of occupational blood-borne infections, which may be increased in low and middle income countries by low adherence to Universal Precautions (UP). A baseline survey of Knowledge, Attitudes and Perceived adherence (KAP) was executed to design evidence-based tailor made interventions. A cross-sectional, descriptive study using self-administered questionnaires was conducted among HCWs in the obstetrics and gynecology department of an Indonesian teaching hospital from September-October 2007. The survey included 524 HCWs with a response rate of 72% (n=377). The results indicated that the level of knowledge regarding hand washing, personal protective equipment, medical waste disposal and post exposure prophylaxis was high, over mean score of 71.8. However, level of knowledge regarding instrument processing and medical sharps disposal was low. Perceived adherence was low as reported by majority of respondents (95%). There was significant association between knowledge and attitude (r=0.235; P< 0.001); knowledge and perceived adherence (r=0.314; P< 0.001); attitude and perceived adherence (r=0.233; P< 0.001). This study suggest tailor made interventions were needed to improve adherence to UP.

Author Biographies

Sri Yusnita Irda Sari, Padjadjaran University
Department of Public Health Faculty of Medicine
Kusman Ibrahim, Padjadjaran University
Faculty of Nursing
Hartiah Haroen, Padjadjaran University
Faculty of Nursing
Irvan Afriandi, Padjadjaran University
Department of Public Health Faculty of Medicine
Deni Kurniadi Sunjaya, Padjadjaran University
Department of Public health Faculty of Medicine
Zahrotur R Hinduan, Padjadjaran University
Faculty of Psychology
Soehartinah Kramadibrata Antono, Hasan Sadikin Hospital
Quality of Occupational Health and Safety Committee
Herman Susanto, Hasan Sadikin Hospital
Department of Obstetrics and Gynecology
Sri Haryani, Hasan Sadikin Hospital
Quality of Occupational Health and Safety Committee
Lucas Pinxten, Padjadjaran University/Maastricht University
IMPACT (Integrated Management for Prevention and Care & Treatment of HIV/AIDS) Project, Health Research Unit, Faculty of Medicine, Padjadjaran University, Bandung, West Java, Indonesia
Andre Meheus, Antwerpen University
Department of Epidemiology and Social Medicine
Published
2011-08-31
Section
Practice Forum