Table 5 Challenges in implementing IPC per CC identified through interviews with the IPC committee/team of 38 hospitals
CC3. Education and training | N (%) | CC4. Surveillance of HAIs | N (%) | CC5. MMS | N (%) |
|---|---|---|---|---|---|
Lack of funding | 29 (76.3) | Microbiology laboratory and culture unavailable | 13 (34.2) | Difficulties in changing behavior | 18 (47.4) |
Awareness of and compliance in implementing IPC | 13 (34.2) | Awareness and compliance (i.e., lag in data collection and reporting) | 11 (28.9) | Lack of funding | 14 (36.8) |
Lack of human resources; double job and there is no full time IPCN | 11 (28.9) | Lack of opportunities to join surveillance training | 10 (26.3) | Awareness and compliance (e.g., hand hygiene and safety injection) | 14 (36.8) |
Difficulty in changing behavior | 10 (26.3) | Lack of coordination between IPCN, IPCLN, management, and quality committee | 7 (18.4) | Lack of support from management | 8 (21.1) |
Limited time to join training and low attendance | 8 (21.1) | Lack of funding | 6 (15.8) | Facilities and infrastructure are still inadequate | 8 (21.1) |
Facilities and infrastructure are inadequate | 7 (18.4) | Lack of data collection and reporting | 6 (15.8) | Limited knowledge about MMS | 5 (13.2) |
Lack of support from management | 6 (15.8) | Facilities and infrastructure are still inadequate | 5 (13.2) | Lack of human resources (double job) | 5 (13.2) |
Lack of IPC training opportunities | 6 (15.8) | Lack of support from management | 5 (13.2) | Lack of IPC training opportunities | 5 (13.2) |
Lack of trainer (internal or external) | 6 (15.8) | No full-time IPCN | 5 (13.2) | No full-time IPCN | 4 (10.5) |
No full-time IPCN | 5 (13.2) | Discrepancy between clinician and IPCN in diagnosing HAIs | 5 (13.2) | Lack of coordination between hospital departments and IPC committee | 4 (10.5) |