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This bad practice decreased significantly albeit slowly, thereby indicating that individual training focused on this specific issue eventually worked; however, a high proportion of glove usage instead of HR still persisted even after phase 3. It is therefore surprising that despite these clear guidelines, it is hard to convince healthcare workers that gloves do not replace HR [ 11].
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The use of gloves must take into account appropriate selection and training on glove usage, including the provision of cotton liners.
Individual latex exposure was determined by the type of gloves used, number of gloves used per day and duration of glove use.
Optimizing the workflow by implementing SOPs resulted in a reduced number of avoidable opportunities and lower glove usage instead of HR.
Glove usage instead of hand-rubbing was documented as well as HR performed without indication.
Avoidable opportunities as well as glove usage instead of HR significantly decreased by 70%and73%3%, respectively.
"Mostly we gave them porridge and tea so that the mother can have strength, and also I tell them to walk around to make the baby delivered very easily".- IDI with TBA) There was a clear consensus for washing of hands after delivery, but the practice of washing hands before delivery and glove usage was not universally followed.- ID
As been previously demonstrated glove usage was inversely correlated with adequate HH [ 1, 11].
Departmental exposure was defined as glove usage in the past 12 months (1 January–31 December 2011).
Hand washing and glove usage during delivery was rarely mentioned spontaneously by respondents.
The overall departmental exposure was obtained by reviewing monthly glove usage by each department from the stock room register.
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