Compliance with Standard Precautions among Midwives during the COVID-19 pandemic
##plugins.themes.academic_pro.article.main##
Abstract
Background:Â While the COVID-19 pandemic has spread across nations in significant terms, midwives who play a crucial role in offering maternal and child care amid the pandemic stand a high risk of being infected. Examining their level of compliance with the standard precautions amid the pandemic is important.
Purpose:Â To assess the level of compliance of midwives in Indonesia with Personal Protective Equipment (PPE) usage and hand washing.
Methods:Â In June 2020, an online cross-sectional survey was conducted on 1520 midwives in Indonesia during the early onset of the COVID-19 pandemic. Data were analyzed using Statistical Package for the Social Sciences version 26. Association between demographic variables and compliance with standard precautions was measured using Chi-square test.Â
Results: Approximately 74% of midwives used PPE and masks when outside while more than 40% of them did not always wash their hands after they touch an object outside home. A significant association was found between level of education (p =.001), region (p =.000) and mask usage. However, association between ethnicity and mask usage; region and handwashing were not significant.  Â
Conclusion:Â Majority of the midwives in Indonesia complied with PPE usage, but majority did not adhere to hand washing. This highlights the need for appropriate interventions to improve compliance to standard precautions in a bid to curtail further spread of the pandemic.##plugins.themes.academic_pro.article.details##
References
- Adams, J. G., & Walls, R. M., Supporting the Health Care Workforce During the COVID-19 Global Epidemic, JAMA, 323(15), 2020, 1439–1440. https://doi.org/10.1001/jama.2020.3972
- Anadolu Agency, Asia-Pacific health workers hit hard by COVID-19, 2020, https://www.aa.com.tr/en/asia-pacific/asia-pacific-health-workers-hit-hard-by-covid-19/1873247
- Anadolu Agency, Coronoavirus kills 647 health workers in Indonesia, 2021, https://www.aa.com.tr/en/asia-pacific/coronavirus-kills-647-health-workers-in-indonesia/2125642
- Ashinyo, M. E., Dubik, S. D., Duti, V., Amegah, K. E., Ashinyo, A., Asare, B. A., Ackon, A. A., Akoriyea, S. K., & Kuma-Aboagye, P., Infection prevention and control compliance among exposed healthcare workers in COVID-19 treatment centers in Ghana: A descriptive cross-sectional study. PloS one, 2020, 16(3), e0248282. https://doi.org/10.1371/journal.pone.0248282
- Bandyopadhyay, S., Baticulon, R. E., Kadhum, M., Alser, M., Ojuka, D. K., Badereddin, Y., Kamath, A., Parepalli, S. A., Brown, G., Iharchane, S., Gandino, S., Markovic-Obiago, Z., Scott, S., Manirambona, E., Machhada, A., Aggarwal, A., Benazaize, L., Ibrahim, M., Kim, D., … Khundkar, R., Infection and mortality of healthcare workers worldwide from COVID-19: A systematic review. BMJ Global Health, 2020, 5(12), e003097. https://doi.org/10.1136/bmjgh-2020-003097
- Cascella, M., Rajnik, M., Aleem, A., Dulebohn, S., & Di Napoli, R., Features, evaluation, and treatment of coronavirus (COVID-19). StatPearls, 2021.
- Centers for Disease Control and Prevention, Show me the science—how to wash your hands, 2020a, Available at: https://www.cdc.gov/handwashing/show-me-the-science-handwashing.html
- Centers for Disease Control and Prevention, GUIDANCE FOR UNVACCINATED PEOPLE- Social Distancing, 2020b, Available at: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/social-distancing.html
- Centers for Disease Control and Prevention, Use of Cloth Masks to Control the Spread of SARS-CoV-2, 2021, Available at: https://www.cdc.gov/coronavirus/2019-ncov/science/science-briefs/masking-science-sars-cov2.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fmore%2Fmasking-science-sars-cov2.html
- Central Bureau of Statistics Indonesia, Badan Pusat Statistik. Retrieved from Hasil Sensus Penduduk 2020, 2021, Available at: https://www.bps.go.id/pressrelease/2021/01/21/1854/hasil-sensus-penduduk-2020.html
- Fashafsheh, I., Ayed, A., Koni, M., Hussein, S. and Thultheen, I., Midwives and Nurses Compliance with Standard Precautions in Palestinian Hospitals. Open Journal of Nursing, 6, 2016, 294-302. https://dx.doi.org/10.4236/ojn.2016.64030
- Gallup, U.S. Face Mask Usage Relatively Uncommon in Outdoor Settings, 2020, Available at: https://news.gallup.com/poll/316928/face-mask-usage-relatively-uncommon-outdoor-settings.aspx
- González-Timoneda, A., Hernández Hernández, V., Pardo Moya, S., & Alfaro Blazquez, R., Experiences and attitudes of midwives during the birth of a pregnant woman with COVID-19 infection: A qualitative study. Women and birth S1871-5192(20), 2020, 30379-6. https://doi.org/10.1016/j.wombi.2020.12.001
- Hearne, B. N., & Niño, M. D., Understanding How Race, Ethnicity, and Gender Shape Mask-Wearing Adherence During the COVID-19 Pandemic: Evidence from the COVID Impact Survey. Journal of racial and ethnic health disparities, 2021, 1–8. https://doi.org/10.1007/s40615-020-00941-1
- Indonesian Midwives Association (IMA), Ikatan Bidan Indonesia- Pendidikan, 2018, Available at: https://www.ibi.or.id/id/article_view/A20150112006/pendidikan.html
- Izhar, R., Husain, S., Tahir, M. A., & Husain, S., Knowledge and practices: Risk perceptions of COVID-19 and satisfaction with preventive measures at workplace among maternity care providers in Pakistan. European journal of midwifery, 2021, 5, 3. https://doi.org/10.18332/ejm/131864
- Johansson, M. A., Quandelacy, T. M., Kada, S., Prasad, P. V., Steele, M., Brooks, J. T., Slayton, R. B., Biggerstaff, M., & Butler, J. C., SARS-CoV-2 Transmission From People Without COVID-19 Symptoms. JAMA Network Open, 4(1), 2021, e2035057–e2035057. https://doi.org/10.1001/jamanetworkopen.2020.35057
- Lai, C.-C., Liu, Y. H., Wang, C.-Y., Wang, Y.-H., Hsueh, S.-C., Yen, M.-Y., Ko, W.-C., & Hsueh, P.-R., Asymptomatic carrier state, acute respiratory disease, and pneumonia due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2): Facts and myths. Journal of Microbiology, Immunology and Infection, 53(3), 2020, 404–412.
- Liang, M., Gao, L., Cheng, C., et al. Efficacy of face mask in preventing respiratory virus transmission: A systematic review and meta-analysis. Travel Medicine and Infectious Disease, 2020, 101751. doi:10.1016/j.tmaid.2020.101751
- Lotfinejad, N., Peters, A., & Pittet, D. Hand hygiene and the novel coronavirus pandemic: the role of healthcare workers. The Journal of hospital infection, 105(4), 2020, 776–777. https://doi.org/10.1016/j.jhin.2020.03.017
- Moghadas, S. M., Fitzpatrick, M. C., Sah, P., Pandey, A., Shoukat, A., Singer, B. H., & Galvani, A. P., The implications of silent transmission for the control of COVID-19 outbreaks. Proceedings of the National Academy of Sciences, 117(30), 2020, 17513. https://doi.org/10.1073/pnas.2008373117
- MoH, INFORMASI SDM KESEHATAN INDONESIA. Retrieved from Badan PPSDM Kesehatan Informasi SDM Kesehatan, 2018, Available at : https://bppsdmk.kemkes.go.id/info_sdmk/
- MoH, Profil kesehatan Indonesia tahun 2019, Retrieved from Kementrian Kesehatan, 2020, Available at: https://pusdatin.kemkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-indonesia-2019.pdf
- Renfrew, M. J., McFadden, A., Bastos, M. H., Campbell, J., Channon, A. A., Cheung, N. F., . . . Declercq, E., Midwifery and quality care: Findings from a new evidence-informed framework for maternal and newborn care. The Lancet, 384(9948), 2014, 1129-1145. doi:10.1016/S0140-6736(14)60789-3
- Rothan, H. A., & Byrareddy, S. N. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. Journal of Autoimmunity, 109, 2020, 102433.
- SATGASCOVID-19, Peta Sebaran, 2021, Available at: https://covid19.go.id/peta-sebaran
- Stevens, M. P., Doll, M., Pryor, R., Godbout, E., Cooper, K., & Bearman, G. Impact of COVID-19 on traditional healthcare-associated infection prevention efforts. Infection Control & Hospital Epidemiology, 41(8), 2020, 946–947. https://doi.org/10.1017/ice.2020.141
- Tadesse, T., Tesfaye, T., Alemu, T., Haileselassie, W., Healthcare Worker’s Knowledge, Attitude, and Practice of Proper Face Mask Utilization, and Associated Factors in Police Health Facilities of Addis Ababa, Ethiopia. Journal of Multidisciplinary Healthcare, 13; 2020, 1203—1213. https://www.dovepress.com/getfile.php?fileID=62788
- The World Bank, Maternal mortality ratio (modeled estimate, per 100,000 live births), 2019, Available at: https://data.worldbank.org/indicator/SH.STA.MMRT?locations=ID
- Utz, B., & Halim, A., Improving midwifery care worldwide. The Lancet, 385(9962), 2015, 26-27. doi:10.1016/S0140-6736(14)62473-9
- Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C., Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. International Journal of Environmental Research and Public Health, 17(5), 2020, https://doi.org/10.3390/ijerph17051729
- WHO, Transmission of SARS-CoV-2: implications for infection prevention precautions, 2020a, Available at: https://www.who.int/publications/i/item/modes-of-transmission-of-virus-causing-covid-19-implications-for-ipc-precaution-recommendations
- WHO, WHO Coronavirus (COVID-19) Dashboard, 2020b, Available at: https://covid19.who.int
- WHO, Sustainable Development Goal 3: Health. Retrieved from World Health Organization, 2021, Available at: https://www.who.int/topics/sustainable-development-goals/targets/en/
- World Medical Association, WMA Declaration Of Helsinki – Ethical Principles For Medical Research Involving Human Subjects, 1964, Available at: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/