Compliance with transmission-based precautions, and associated factors among healthcare providers in Cameroon: a cross-sectional study

Leslie Tasha Mbapah; Midrelle Syntyche Tsague; Denise Georges Teuwafeu; Mbapah Tracy Ngwanui; Sandra Tabe Etaka; Fombo Enjeh Jabbossung; Brandon Pouekoua; Longsti Scarlet Tabot Enanga; Taljaard Jantjie

doi:10.1186/s13756-025-01523-8

Compliance with transmission-based precautions, and associated factors among healthcare providers in Cameroon: a cross-sectional study

Leslie Tasha Mbapah
, Midrelle Syntyche Tsague
, Denise Georges Teuwafeu
, Mbapah Tracy Ngwanui
, Sandra Tabe Etaka
, Fombo Enjeh Jabbossung
, Brandon Pouekoua
, Longsti Scarlet Tabot Enanga
, Taljaard Jantjie

Faculty of Education

Liverpool School of Tropical Medicine

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

Background

Transmission-based precautions (TBP) and the proper use of personal protective equipment (PPE) are essential in preventing hospital-acquired infections (HAIs) and in controlling the emergence and spread of antimicrobial resistance (AMR). This study, therefore, aimed to determine healthcare providers’ compliance with TBP and its determinants in healthcare settings to help curb the burden of HAIs and AMR.

Method

This study was a cross-sectional, hospital-based research conducted among healthcare providers at four health facilities in the Fako division of Cameroon, from January 1 to May 31, 2024. A standardized observation form, adapted from the World Health Organization’s checklist for hand hygiene practices, was used to assess compliance with Transmission-Based Precautions (TBP) among healthcare providers when interacting with patients known or suspected of having infectious pathogens. Multivariable logistic regression analysis was performed to identify factors independently associated with TBP compliance, with significance set at a p-value of less than 0.05.

Results

The proportion of participants with good TBP compliance was 75.4% (95%CI: 67.4–82.2). Contact precaution compliance was 94.2%, while that for droplet /airborne was 12.8%. Factors independently associated with good TBP compliance were healthcare providers trained in IPC (aOR: 2.89, 95%CI: 1.16—7.22), the availability of PPE in the facility’s departments (aOR: 6.00, 95%CI: 1.24–29.17), and working in the facility; Mount Mary Hospital (aOR: 22.47, 95%CI: 2.21–228.08).

Conclusion

Compliance with transmission-based precautions was suboptimal. The determinants of good compliance with TBP among healthcare providers were making PPE available in the facility and training healthcare providers on IPC. Tailored public health measures should be implemented to improve and sustain healthcare providers’ compliance with TBP.

Original language	English
Article number	21
Journal	Antimicrobial Resistance and Infection Control
Volume	14
Issue number	1
Early online date	11 Mar 2025
DOIs	https://doi.org/10.1186/s13756-025-01523-8
Publication status	Published - 11 Mar 2025

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Antimicrobial resistance
Cameroon
Compliance
Healthcare providers
Healthcare-associated infection
Infection prevention and control
Personal protective equipment

Access to Document

10.1186/s13756-025-01523-8Licence: CC BY

13756 2025 Article 1523Final published version, 1.29 MBLicence: CC BY

Cite this

Mbapah, L. T., Tsague, M. S., Teuwafeu, D. G., Ngwanui, M. T., Etaka, S. T., Jabbossung, F. E., Pouekoua, B., Enanga, L. S. T., & Jantjie, T. (2025). Compliance with transmission-based precautions, and associated factors among healthcare providers in Cameroon: a cross-sectional study. Antimicrobial Resistance and Infection Control, 14(1), Article 21. https://doi.org/10.1186/s13756-025-01523-8

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title = "Compliance with transmission-based precautions, and associated factors among healthcare providers in Cameroon: a cross-sectional study",

abstract = "BackgroundTransmission-based precautions (TBP) and the proper use of personal protective equipment (PPE) are essential in preventing hospital-acquired infections (HAIs) and in controlling the emergence and spread of antimicrobial resistance (AMR). This study, therefore, aimed to determine healthcare providers{\textquoteright} compliance with TBP and its determinants in healthcare settings to help curb the burden of HAIs and AMR.MethodThis study was a cross-sectional, hospital-based research conducted among healthcare providers at four health facilities in the Fako division of Cameroon, from January 1 to May 31, 2024. A standardized observation form, adapted from the World Health Organization{\textquoteright}s checklist for hand hygiene practices, was used to assess compliance with Transmission-Based Precautions (TBP) among healthcare providers when interacting with patients known or suspected of having infectious pathogens. Multivariable logistic regression analysis was performed to identify factors independently associated with TBP compliance, with significance set at a p-value of less than 0.05.ResultsThe proportion of participants with good TBP compliance was 75.4\% (95\%CI: 67.4–82.2). Contact precaution compliance was 94.2\%, while that for droplet /airborne was 12.8\%. Factors independently associated with good TBP compliance were healthcare providers trained in IPC (aOR: 2.89, 95\%CI: 1.16—7.22), the availability of PPE in the facility{\textquoteright}s departments (aOR: 6.00, 95\%CI: 1.24–29.17), and working in the facility; Mount Mary Hospital (aOR: 22.47, 95\%CI: 2.21–228.08).ConclusionCompliance with transmission-based precautions was suboptimal. The determinants of good compliance with TBP among healthcare providers were making PPE available in the facility and training healthcare providers on IPC. Tailored public health measures should be implemented to improve and sustain healthcare providers{\textquoteright} compliance with TBP.",

keywords = "Antimicrobial resistance, Cameroon, Compliance, Healthcare providers, Healthcare-associated infection, Infection prevention and control, Personal protective equipment",

author = "Mbapah, \{Leslie Tasha\} and Tsague, \{Midrelle Syntyche\} and Teuwafeu, \{Denise Georges\} and Ngwanui, \{Mbapah Tracy\} and Etaka, \{Sandra Tabe\} and Jabbossung, \{Fombo Enjeh\} and Brandon Pouekoua and Enanga, \{Longsti Scarlet Tabot\} and Taljaard Jantjie",

year = "2025",

month = mar,

day = "11",

doi = "10.1186/s13756-025-01523-8",

language = "English",

volume = "14",

journal = "Antimicrobial Resistance and Infection Control",

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Mbapah, LT, Tsague, MS, Teuwafeu, DG, Ngwanui, MT, Etaka, ST, Jabbossung, FE, Pouekoua, B, Enanga, LST & Jantjie, T 2025, 'Compliance with transmission-based precautions, and associated factors among healthcare providers in Cameroon: a cross-sectional study', Antimicrobial Resistance and Infection Control, vol. 14, no. 1, 21. https://doi.org/10.1186/s13756-025-01523-8

Compliance with transmission-based precautions, and associated factors among healthcare providers in Cameroon: a cross-sectional study. / Mbapah, Leslie Tasha; Tsague, Midrelle Syntyche; Teuwafeu, Denise Georges et al.
In: Antimicrobial Resistance and Infection Control, Vol. 14, No. 1, 21, 11.03.2025.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Compliance with transmission-based precautions, and associated factors among healthcare providers in Cameroon: a cross-sectional study

AU - Mbapah, Leslie Tasha

AU - Tsague, Midrelle Syntyche

AU - Teuwafeu, Denise Georges

AU - Ngwanui, Mbapah Tracy

AU - Etaka, Sandra Tabe

AU - Jabbossung, Fombo Enjeh

AU - Pouekoua, Brandon

AU - Enanga, Longsti Scarlet Tabot

AU - Jantjie, Taljaard

PY - 2025/3/11

Y1 - 2025/3/11

N2 - BackgroundTransmission-based precautions (TBP) and the proper use of personal protective equipment (PPE) are essential in preventing hospital-acquired infections (HAIs) and in controlling the emergence and spread of antimicrobial resistance (AMR). This study, therefore, aimed to determine healthcare providers’ compliance with TBP and its determinants in healthcare settings to help curb the burden of HAIs and AMR.MethodThis study was a cross-sectional, hospital-based research conducted among healthcare providers at four health facilities in the Fako division of Cameroon, from January 1 to May 31, 2024. A standardized observation form, adapted from the World Health Organization’s checklist for hand hygiene practices, was used to assess compliance with Transmission-Based Precautions (TBP) among healthcare providers when interacting with patients known or suspected of having infectious pathogens. Multivariable logistic regression analysis was performed to identify factors independently associated with TBP compliance, with significance set at a p-value of less than 0.05.ResultsThe proportion of participants with good TBP compliance was 75.4% (95%CI: 67.4–82.2). Contact precaution compliance was 94.2%, while that for droplet /airborne was 12.8%. Factors independently associated with good TBP compliance were healthcare providers trained in IPC (aOR: 2.89, 95%CI: 1.16—7.22), the availability of PPE in the facility’s departments (aOR: 6.00, 95%CI: 1.24–29.17), and working in the facility; Mount Mary Hospital (aOR: 22.47, 95%CI: 2.21–228.08).ConclusionCompliance with transmission-based precautions was suboptimal. The determinants of good compliance with TBP among healthcare providers were making PPE available in the facility and training healthcare providers on IPC. Tailored public health measures should be implemented to improve and sustain healthcare providers’ compliance with TBP.

AB - BackgroundTransmission-based precautions (TBP) and the proper use of personal protective equipment (PPE) are essential in preventing hospital-acquired infections (HAIs) and in controlling the emergence and spread of antimicrobial resistance (AMR). This study, therefore, aimed to determine healthcare providers’ compliance with TBP and its determinants in healthcare settings to help curb the burden of HAIs and AMR.MethodThis study was a cross-sectional, hospital-based research conducted among healthcare providers at four health facilities in the Fako division of Cameroon, from January 1 to May 31, 2024. A standardized observation form, adapted from the World Health Organization’s checklist for hand hygiene practices, was used to assess compliance with Transmission-Based Precautions (TBP) among healthcare providers when interacting with patients known or suspected of having infectious pathogens. Multivariable logistic regression analysis was performed to identify factors independently associated with TBP compliance, with significance set at a p-value of less than 0.05.ResultsThe proportion of participants with good TBP compliance was 75.4% (95%CI: 67.4–82.2). Contact precaution compliance was 94.2%, while that for droplet /airborne was 12.8%. Factors independently associated with good TBP compliance were healthcare providers trained in IPC (aOR: 2.89, 95%CI: 1.16—7.22), the availability of PPE in the facility’s departments (aOR: 6.00, 95%CI: 1.24–29.17), and working in the facility; Mount Mary Hospital (aOR: 22.47, 95%CI: 2.21–228.08).ConclusionCompliance with transmission-based precautions was suboptimal. The determinants of good compliance with TBP among healthcare providers were making PPE available in the facility and training healthcare providers on IPC. Tailored public health measures should be implemented to improve and sustain healthcare providers’ compliance with TBP.

KW - Antimicrobial resistance

KW - Cameroon

KW - Compliance

KW - Healthcare providers

KW - Healthcare-associated infection

KW - Infection prevention and control

KW - Personal protective equipment

U2 - 10.1186/s13756-025-01523-8

DO - 10.1186/s13756-025-01523-8

M3 - Article

SN - 2047-2994

VL - 14

JO - Antimicrobial Resistance and Infection Control

JF - Antimicrobial Resistance and Infection Control

IS - 1

M1 - 21

ER -

Compliance with transmission-based precautions, and associated factors among healthcare providers in Cameroon: a cross-sectional study

Abstract

UN SDGs

Keywords

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