Birth attendants' hand hygiene compliance in healthcare facilities in low and middle-income countries: a systematic review.
Giorgia GonMícheál de BarraLucia DanseroStephen NashOona M R CampbellPublished in: BMC health services research (2020)
Hand hygiene compliance was low for studies with larger sample sizes and clear definitions. This poses a substantial challenge to infection prevention during birth in LMICs facilities. We also found that the quality of many studies was suboptimal. Future studies of hand hygiene compliance on the labour ward should be designed with better sampling frames, assess inter-observer agreement, use measures to improve the quality of data collection, and report their hand hygiene definitions clearly.