Hand hygiene infrastructure and point-of-care resource availability in public hospitals in Sierra Leone: a national multicentre cross-sectional study - Takeaways - MDSpire
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Availability of hand hygiene infrastructure and point-of-care resources in Sierra Leone’s public hospitals: a nationwide multicentre cross-sectional study

  • By

  • Bobson Derrick Fofanah

  • Rugiatu Z. Kamara

  • Ibrahim Franklyn Kamara

  • Nanah Fofanah

  • Augustus Osborne

  • Ralph Williams

  • Emmanuel Marx Kanu

  • Fatmata B. Kargbo

  • Sia Morenike Tengbe

  • George Ameh

  • Binyam Hailu

  • Reham Ragab

  • Landry Kabego

  • Miranda Deeves

  • Frieder Schaumburg

  • Julie Storr

  • Martin P. Grobusch

  • Claire Kilpatrick

  • Sulaiman Lakoh

  • October 8, 2026

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  • 1

    This nationwide multicentre cross-sectional study assessed hand hygiene infrastructure and point-of-care resources in Sierra Leone’s public hospitals.

  • 2

    In February and March 2025, trained national assessors evaluated eligible wards in 19 of Sierra Leone’s 27 public hospitals.

  • 3

    Assessors used a validated WHO instrument, combining interviews with direct inspection and counts of hand hygiene facilities and supplies.

  • 4

    The study included operational inpatient and clinical wards across secondary and tertiary hospitals, regardless of patient occupancy.

  • 5

    Outcomes distinguished ward-level readiness from point-of-care access, using binary indicators, ratios, and proportions.

Original Source(s)

Hand hygiene infrastructure and point-of-care resource availability in public hospitals in Sierra Leone: a national multicentre cross-sectional study

  • by Bobson Derrick Fofanah, Rugiatu Z. Kamara, Ibrahim Franklyn Kamara, Nanah Fofanah, Augustus Osborne, Ralph Williams, Emmanuel Marx Kanu, Fatmata B. Kargbo, Sia Morenike Tengbe, George Ameh, Binyam Hailu, Reham Ragab, Landry Kabego, Miranda Deeves, Frieder Schaumburg, Julie Storr, Martin P. Grobusch, Claire Kilpatrick, Sulaiman Lakoh

  • October 8, 2026

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