Performance and acceptability of the STREAM Disinfectant Generator for infection prevention and control practices in primary healthcare facilities in Uganda.
Abstract Background Effective infection prevention and control programs can positively influence quality of care, increase patient safety, and protect health care providers. Chlorine, a widely used and effective chemical disinfectant, is recommended for infection prevention and control in health care settings. However, lack of consistent chlorine availability limits its use. Electrolytic chlorine generators can address limited chlorine supply and stockouts by enabling onsite production of readily usable, high-quality chlorine cost-effectively. We report the feasibility (i.e., performance, acceptability, chlorine availability, and cost) of the electrolytic STREAM Disinfectant Generator (Aqua Research, New Mexico, USA) device for infection prevention and control in primary health care facilities in Uganda. Methods We installed STREAM devices in ten primary health care facilities in central and western Uganda and compared the 12-month chlorine inventory total (from December 2020 through December 2021) with the volume of chlorine generated by the STREAM device to determine its impact on chlorine availability. We collected acceptability data from a purposive sample of device users (n = 16), hospital administrators (n = 10), and district health officers (n = 6). We descriptively analyzed the acceptability data by user group and evaluated qualitative responses manually using a thematic approach. Cost data were normalized and modeled to determine a break-even and cost-savings analysis across a five-year period (the minimum expected lifespan of the STREAM device). Results Chlorine was consistently available without any reported stockouts during the evaluation period. STREAM chlorine production resulted in a 36.9 percent cost-savings over a five year period compared to commercial chlorine. User acceptability of the STREAM device was high among STREAM operators, hospital administrators, and district health officers, with all respondents reporting that STREAM moderately or significantly improved infection prevention and control practices in the health facility. Overall, 88 percent of device users and 100 percent of hospital administrators wished to continue using the STREAM device instead of commercial chlorine products. Conclusion The STREAM device has demonstrated significant potential to strengthen infection prevention and control practices in health care facilities in Uganda. Accordingly, the STREAM device should be scaled up to health care facilities facing similar infection prevention and control challenges in Uganda and elsewhere..
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Preprint| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
ResearchSquare.com - (2024) vom: 02. Feb. Zur Gesamtaufnahme - year:2024 |
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| Sprache: |
Englisch |
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| Beteiligte Personen: |
Drolet, Adam [VerfasserIn] |
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Volltext [kostenfrei] |
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| doi: |
10.21203/rs.3.rs-3915310/v1 |
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XRA042374294 |
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| 520 | |a Abstract Background Effective infection prevention and control programs can positively influence quality of care, increase patient safety, and protect health care providers. Chlorine, a widely used and effective chemical disinfectant, is recommended for infection prevention and control in health care settings. However, lack of consistent chlorine availability limits its use. Electrolytic chlorine generators can address limited chlorine supply and stockouts by enabling onsite production of readily usable, high-quality chlorine cost-effectively. We report the feasibility (i.e., performance, acceptability, chlorine availability, and cost) of the electrolytic STREAM Disinfectant Generator (Aqua Research, New Mexico, USA) device for infection prevention and control in primary health care facilities in Uganda. Methods We installed STREAM devices in ten primary health care facilities in central and western Uganda and compared the 12-month chlorine inventory total (from December 2020 through December 2021) with the volume of chlorine generated by the STREAM device to determine its impact on chlorine availability. We collected acceptability data from a purposive sample of device users (n = 16), hospital administrators (n = 10), and district health officers (n = 6). We descriptively analyzed the acceptability data by user group and evaluated qualitative responses manually using a thematic approach. Cost data were normalized and modeled to determine a break-even and cost-savings analysis across a five-year period (the minimum expected lifespan of the STREAM device). Results Chlorine was consistently available without any reported stockouts during the evaluation period. STREAM chlorine production resulted in a 36.9 percent cost-savings over a five year period compared to commercial chlorine. User acceptability of the STREAM device was high among STREAM operators, hospital administrators, and district health officers, with all respondents reporting that STREAM moderately or significantly improved infection prevention and control practices in the health facility. Overall, 88 percent of device users and 100 percent of hospital administrators wished to continue using the STREAM device instead of commercial chlorine products. Conclusion The STREAM device has demonstrated significant potential to strengthen infection prevention and control practices in health care facilities in Uganda. Accordingly, the STREAM device should be scaled up to health care facilities facing similar infection prevention and control challenges in Uganda and elsewhere. | ||
| 650 | 4 | |a Biology |7 (dpeaa)DE-84 | |
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| 700 | 1 | |a Mugumya, Thomas |4 aut | |
| 700 | 1 | |a Hsu, Shan |4 aut | |
| 700 | 1 | |a Izudi, Jonathan |4 aut | |
| 700 | 1 | |a Ruhweza, Martin |4 aut | |
| 700 | 1 | |a Mugisha, Emmanuel |4 aut | |
| 700 | 1 | |a Bahatungire, Rony |4 aut | |
| 700 | 1 | |a Coffey, Patricia |4 aut | |
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