Perceptions of healthcare professionals regarding the main challenges and barriers to effective hospital infection control in Mongolia: a qualitative study

Ider, BE; Adams, J; Morton, A; Whitby, M; Clements, A

Perceptions of healthcare professionals regarding the main challenges and barriers to effective hospital infection control in Mongolia: a qualitative study

Ider, BE Adams, J

Morton, A Whitby, M Clements, A

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Publication Type:: Journal Article
Citation:: BMC Infectious Diseases, 2012, 12
Issue Date:: 2012-07-31

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Field	Value	Language
dc.contributor.author	Ider, BE	en_US
dc.contributor.author	Adams, J https://orcid.org/0000-0002-9901-5717	en_US
dc.contributor.author	Morton, A	en_US
dc.contributor.author	Whitby, M	en_US
dc.contributor.author	Clements, A	en_US
dc.date.available	2012-07-17	en_US
dc.date.issued	2012-07-31	en_US
dc.identifier.citation	BMC Infectious Diseases, 2012, 12	en_US
dc.identifier.uri	http://hdl.handle.net/10453/18124
dc.description.abstract	Background: It is not fully understood why healthcare decision-makers of developing countries often give low priority to infection control and why they are unable to implement international guidelines. This study aimed to identify the main perceived challenges and barriers that hinder the effective implementation of infection control programmes in Mongolia.Methods: In 2008, qualitative research involving 4 group and 55 individual interviews was conducted in the capital city of Mongolia and two provincial centres.Results: A total of 87 health professionals participated in the study, including policy and hospital-level managers, doctors, nurses and infection control practitioners. Thematic analysis revealed a large number of perceived challenges and barriers to the formulation and implementation of infection control policy. These challenges and barriers were complex in nature and related to poor funding, suboptimal knowledge and attitudes, and inadequate management. The study results suggest that the availability of infection control policy and guidelines, and the provision of specific recommendations for low-resource settings, do not assure effective implementation of infection control programmes.Conclusions: The current infection control system in Mongolia is likely to remain ineffective unless the underlying barriers and challenges are adequately addressed. Multifaceted interventions with logistical, educational and management components that are specific to local circumstances need to be designed and implemented in Mongolia. The importance of international peer support is highlighted. © 2012 Ider et al.; licensee BioMed Central Ltd.	en_US
dc.relation	http://purl.org/au-research/grants/nhmrc/APP1009451
dc.relation.ispartof	BMC Infectious Diseases	en_US
dc.relation.isbasedon	10.1186/1471-2334-12-170	en_US
dc.subject.classification	Microbiology	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Cross Infection	en_US
dc.subject.mesh	Attitude of Health Personnel	en_US
dc.subject.mesh	Infection Control	en_US
dc.subject.mesh	Professional Competence	en_US
dc.subject.mesh	Health Personnel	en_US
dc.subject.mesh	Hospitals	en_US
dc.subject.mesh	Mongolia	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Interviews as Topic	en_US
dc.title	Perceptions of healthcare professionals regarding the main challenges and barriers to effective hospital infection control in Mongolia: a qualitative study	en_US
dc.type	Journal Article
utslib.citation.volume	12	en_US
utslib.for	1108 Medical Microbiology	en_US
utslib.for	0605 Microbiology	en_US
utslib.for	1103 Clinical Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	open_access
dcterms.license	This work is distributed under a Creative Commons Attribution license (CC BY) http://creativecommons.org/licenses/by/2.0
pubs.publication-status	Published	en_US
pubs.volume	12	en_US

Abstract:

Background: It is not fully understood why healthcare decision-makers of developing countries often give low priority to infection control and why they are unable to implement international guidelines. This study aimed to identify the main perceived challenges and barriers that hinder the effective implementation of infection control programmes in Mongolia.Methods: In 2008, qualitative research involving 4 group and 55 individual interviews was conducted in the capital city of Mongolia and two provincial centres.Results: A total of 87 health professionals participated in the study, including policy and hospital-level managers, doctors, nurses and infection control practitioners. Thematic analysis revealed a large number of perceived challenges and barriers to the formulation and implementation of infection control policy. These challenges and barriers were complex in nature and related to poor funding, suboptimal knowledge and attitudes, and inadequate management. The study results suggest that the availability of infection control policy and guidelines, and the provision of specific recommendations for low-resource settings, do not assure effective implementation of infection control programmes.Conclusions: The current infection control system in Mongolia is likely to remain ineffective unless the underlying barriers and challenges are adequately addressed. Multifaceted interventions with logistical, educational and management components that are specific to local circumstances need to be designed and implemented in Mongolia. The importance of international peer support is highlighted. © 2012 Ider et al.; licensee BioMed Central Ltd.

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http://hdl.handle.net/10453/18124