Publications by authors named "Sauda Yapswale"

Article Synopsis
  • The COVID-19 pandemic highlighted the importance of alcohol-based hand rubs (ABHRs) for improving hand hygiene among healthcare workers in Uganda, where production and distribution efforts were implemented.
  • Assessments showed a significant increase in access to hand hygiene materials and adherence to practices, although the extent of improvement varied by district due to differing perceptions of COVID-19 risk.
  • The adjusted odds of hand hygiene adherence increased by 4.6 times after the ABHR intervention, particularly in larger healthcare facilities, indicating a need for targeted strategies to support smaller facilities and specific healthcare roles.
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To understand access to and use of hand hygiene in healthcare facilities (HCFs) and community locations during the COVID-19 pandemic, we evaluated factors associated with hand hygiene in 60 priority HCFs and community locations in two border districts in Uganda. We assessed water and hand hygiene resource availability and observed hand hygiene practice by staff or patrons. Regression modeling estimated factors associated with the availability or use of hand hygiene.

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In response to the COVID-19 pandemic, we established and sustained local production of alcohol-based handrub (ABHR) at district scale for healthcare facilities and community, public locations in four districts in Uganda. District officials provided space and staff for production units. The project renovated space for production, trained staff on ABHR production, and transported ABHR to key locations.

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