Table 4 Acceptability of STREAM device for infection prevention and control in health care facilities, by device users (n = 16)
Very easy | Moderately easy | Neutral | Moderately challenging | Very challenging | Comments | |
|---|---|---|---|---|---|---|
Ease of device operation | 63% | 19% | 13% | 6% | 0% | “Almost everything is ok. I just dissolve salt in water, switch on the machine and go away and leave it producing chlorine.” DU02 HCF09 |
Ease of cleaning device | 50% | 25% | 19% | 6% | 0% | “It [cleaning] only required vinegar no other complicated procedures.” DU01 HCF06 |
Ease of integrating the STREAM into current IPC practices | 81% | 13% | 6% | 0% | 0% | “Staff get enough jik [chlorine] as they want and they don’t make requisitions to stores which involves paperwork.” DU01 HCF02 |
Very confident | Moderately confident | Neutral | Moderately concerned | Very concerned | ||
Confidence that other health workers will be able to correctly operate the STREAM | 75% | 19% | 6% | 0% | 0% | “Because operating procedures are clear, short and precise.” DU01 HCF01 “Colored pictures are welcome. The instructions should be pasted on the wall for easy reference.” DU01 HCF10 |
Significantly increased | Moderately increased | No change | Moderately decreased | Significantly decreased | ||
Change in workload compared to previous chlorine preparation and use practices | 38% | 19% | 6% | 13% | 25% | Increase “Increased demand from hospital departments.” DU01 HCF01 “Disinfection is done on a daily basis compared to before when it was done after 3 days.” DU01 HCF03 Decrease “It gives chlorine that does not need dilution therefore it reduces time taken diluting.” DU01 HCF09 “No need to dilute for surfaces compared to the commercial chlorine.” DU02 HCF03 “Less requisitions for jik [chlorine] from store.” DU01 HCF06 |
Significantly improved | Moderately improved | No change | Moderately worsened | Significantly worsened | ||
Effect of STREAM use on IPC practices in the health facility | 81% | 19% | 0% | 0% | 0% | “There has been constant supply of chlorine at the facility.” DU02 HCF03 “It has augmented supply of chlorine during times of scarcity so that we don’t use plain water and soap only.” DU01 HCF08 “Increased availability of chlorine thus improved cleanliness hence patient safety.” DU01 HCF08 “Every corner is cleaned with enough chlorine, less risks for acquiring infections.” DU01 HCF06 |