Hygiene and sanitation: multicenter study helping to improve their quality in maternity two community and university health centers (Banconi and Konobougou), Mali

Abstract

Introduction: In Mali, an analysis of the basic health and environment situation shows that there is insufficient hygiene and sanitation in hospitals. The objective of this study was to assess the quality of hygiene and sanitation at the maternity unit of the community and university health center of Banconi an urban center at Bamako and Konobougou a rural center in Ségion région in, order to contribute to their improvement. Method and materials: This was a multicentre Susmam action research study carried out in the maternity unit of community and university health centers: Banconi and Konobougou. It covered the period from May 1 to August 31, 2019. The members of community health associations (ASACO) and the staff of consenting maternities were included in the study. Results: After the implementation of the action plan between the initial and final evaluation; hand washing between two patients by nursing staff has increased from 25% to 100% in Konobougou and that of Banconi from 66.67% to 100%. In addition, on average 55% of the staff knew how to prepare the decontamination water against 90% at the end of the study in Konobougou while in Banconi this changed from 76.33% to 100% after the action plan. The sorting of waste was carried out by everyone and a daily emptying of the bins respected by the laborers. Conclusion: Knowledge of dreary hygiene and sanitation and its correct implementation can reduce the risk of nosocomial infections.
Keywords: Hygiene, sanitation, Maternity, Banconi, Konobougou, Mali