{"id":"https://openalex.org/W4380303840","doi":"https://doi.org/10.3396/ijic.v19.23183","title":"Impact of a low-cost bundle of interventions on infection prevention and control during labour and delivery in rural health centres in Zambia: results from a quasi-experimental study","display_name":"Impact of a low-cost bundle of interventions on infection prevention and control during labour and delivery in rural health centres in Zambia: results from a quasi-experimental study","publication_year":2023,"publication_date":"2023-06-12","ids":{"openalex":"https://openalex.org/W4380303840","doi":"https://doi.org/10.3396/ijic.v19.23183"},"language":"en","primary_location":{"id":"doi:10.3396/ijic.v19.23183","doi":"https://doi.org/10.3396/ijic.v19.23183","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3396/ijic.v19.23183","pdf_url":"https://ijic.info/article/download/23183/14874","source":{"id":"https://openalex.org/S27340831","display_name":"International journal of infection control","issn_l":"1816-6296","issn":["1816-6296","1996-9783"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Infection Control","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://ijic.info/article/download/23183/14874","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5100615461","display_name":"Jason H. Park","orcid":"https://orcid.org/0000-0001-5234-5965","observed_orcids":["https://orcid.org/0000-0001-5234-5965"]},"institutions":[{"id":"https://openalex.org/I4210114445","display_name":"Michigan Medicine","ror":"https://ror.org/01zcpa714","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210114445"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jason H. Park","raw_affiliation_strings":["Department of Internal Medicine, University of Michigan Health System, Ann Arbor, MI, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Internal Medicine, University of Michigan Health System, Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I4210114445"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001586892","display_name":"Lawrence M Mwananyanda","orcid":"https://orcid.org/0000-0002-3034-749X","observed_orcids":["https://orcid.org/0000-0002-3034-749X"]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]},{"id":"https://openalex.org/I4210150477","display_name":"Right to Care","ror":"https://ror.org/04nw4se09","country_code":"ZM","type":"nonprofit","lineage":["https://openalex.org/I4210150477"]}],"countries":["US","ZM"],"is_corresponding":false,"raw_author_name":"Lawrence Mwananyanda","raw_affiliation_strings":["Department of Global Health, Boston University School of Public Health, Boston, MA, USA; and Right to Care \u2013 Zambia, Lusaka, Zambia","Department of Global Health, Boston University School of Public Health, Boston, MA, USA","Right to Care \u2013 Zambia, Lusaka, Zambia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Global Health, Boston University School of Public Health, Boston, MA, USA; and Right to Care \u2013 Zambia, Lusaka, Zambia","institution_ids":["https://openalex.org/I111088046","https://openalex.org/I4210150477"]},{"raw_affiliation_string":"Department of Global Health, Boston University School of Public Health, Boston, MA, USA","institution_ids":["https://openalex.org/I111088046"]},{"raw_affiliation_string":"Right to Care \u2013 Zambia, Lusaka, Zambia","institution_ids":["https://openalex.org/I4210150477"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039388682","display_name":"Misheck Bwalya","orcid":"https://orcid.org/0000-0002-9879-7067","observed_orcids":["https://orcid.org/0000-0002-9879-7067"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Misheck Bwalya","raw_affiliation_strings":["Mothers2mothers, Lusaka, Zambia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mothers2mothers, Lusaka, Zambia","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030055621","display_name":"Susan E Coffin","orcid":"https://orcid.org/0000-0001-9566-5600","observed_orcids":["https://orcid.org/0000-0001-9566-5600"]},"institutions":[{"id":"https://openalex.org/I1335321130","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48","country_code":"US","type":"funder","lineage":["https://openalex.org/I1335321130"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Susan E. Coffin","raw_affiliation_strings":["Division of Infectious Diseases, Children\u2019s Hospital of Philadelphia, Philadelphia, PA, USA; and Department of Pediatrics, Perelman School of Medicine at University of Pennsylvania, Philadelphia, PA, USA","Department of Pediatrics, Perelman School of Medicine at University of Pennsylvania, Philadelphia, PA, USA","Division of Infectious Diseases, Children\u2019s Hospital of Philadelphia, Philadelphia, PA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Infectious Diseases, Children\u2019s Hospital of Philadelphia, Philadelphia, PA, USA; and Department of Pediatrics, Perelman School of Medicine at University of Pennsylvania, Philadelphia, PA, USA","institution_ids":["https://openalex.org/I1335321130","https://openalex.org/I79576946"]},{"raw_affiliation_string":"Department of Pediatrics, Perelman School of Medicine at University of Pennsylvania, Philadelphia, PA, USA","institution_ids":["https://openalex.org/I79576946"]},{"raw_affiliation_string":"Division of Infectious Diseases, Children\u2019s Hospital of Philadelphia, Philadelphia, PA, USA","institution_ids":["https://openalex.org/I1335321130"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051155900","display_name":"William MacLeod","orcid":"https://orcid.org/0000-0001-8003-8874","observed_orcids":["https://orcid.org/0000-0001-8003-8874"]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"William B. MacLeod","raw_affiliation_strings":["Department of Global Health, Boston University School of Public Health, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Global Health, Boston University School of Public Health, Boston, MA, USA","institution_ids":["https://openalex.org/I111088046"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5086520873","display_name":"Davidson Howes Hamer","orcid":"https://orcid.org/0000-0002-4700-1495","observed_orcids":["https://orcid.org/0000-0002-4700-1495"]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Davidson H. Hamer","raw_affiliation_strings":["Department of Global Health, Boston University School of Public Health, Boston, MA, USA; and Section of Infectious Diseases, Department of Medicine, Boston University Aram V. Chobanian & Edward Avedisian School of Medicine, Boston, MA, USA","Department of Global Health, Boston University School of Public Health, Boston, MA, USA","Section of Infectious Diseases, Department of Medicine, Boston University Aram V. Chobanian & Edward Avedisian School of Medicine, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Global Health, Boston University School of Public Health, Boston, MA, USA; and Section of Infectious Diseases, Department of Medicine, Boston University Aram V. Chobanian & Edward Avedisian School of Medicine, Boston, MA, USA","institution_ids":["https://openalex.org/I111088046"]},{"raw_affiliation_string":"Department of Global Health, Boston University School of Public Health, Boston, MA, USA","institution_ids":["https://openalex.org/I111088046"]},{"raw_affiliation_string":"Section of Infectious Diseases, Department of Medicine, Boston University Aram V. Chobanian & Edward Avedisian School of Medicine, Boston, MA, USA","institution_ids":["https://openalex.org/I111088046"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":5,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.4035,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.56705922,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":95,"max":97},"biblio":{"volume":"19","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11000","display_name":"Infection Control in Healthcare","score":0.9750999808311462,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11000","display_name":"Infection Control in Healthcare","score":0.9750999808311462,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.004999999888241291,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.003800000064074993,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/infection-control","display_name":"infection control","score":0.9980000257492065},{"id":"https://openalex.org/keywords/labor-and-delivery","display_name":"labor and delivery","score":0.9229999780654907},{"id":"https://openalex.org/keywords/rural-health-centers","display_name":"rural health facilities","score":0.7900000214576721},{"id":"https://openalex.org/keywords/hand-hygiene","display_name":"hand hygiene","score":0.8489999771118164},{"id":"https://openalex.org/keywords/alcohol-based-hand-rub","display_name":"alcohol-based hand rub","score":0.9269999861717224},{"id":"https://openalex.org/keywords/text-message-reminders","display_name":"SMS reminders","score":0.6420000195503235},{"id":"https://openalex.org/keywords/maternal-morbidity","display_name":"maternal morbidity","score":0.7749999761581421},{"id":"https://openalex.org/keywords/neonatal-morbidity","display_name":"neonatal morbidity","score":0.7720000147819519},{"id":"https://openalex.org/keywords/health-worker-workload","display_name":"health worker workload","score":0.5960000157356262}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9042173624038696},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.7469578385353088},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.5776768326759338},{"id":"https://openalex.org/C547646559","wikidata":"https://www.wikidata.org/wiki/Q162297","display_name":"Hygiene","level":2,"score":0.5430272817611694},{"id":"https://openalex.org/C166888038","wikidata":"https://www.wikidata.org/wiki/Q4118322","display_name":"Infection control","level":2,"score":0.48574215173721313},{"id":"https://openalex.org/C2779958979","wikidata":"https://www.wikidata.org/wiki/Q3473027","display_name":"Rural health","level":3,"score":0.4442515969276428},{"id":"https://openalex.org/C2991983881","wikidata":"https://www.wikidata.org/wiki/Q11974939","display_name":"Health worker","level":4,"score":0.4351847767829895},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3694937229156494},{"id":"https://openalex.org/C129047720","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural area","level":2,"score":0.3559954762458801},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3467486500740051},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.34507447481155396},{"id":"https://openalex.org/C2986740045","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health services","level":3,"score":0.25589948892593384},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.17732802033424377},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.10801893472671509},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3396/ijic.v19.23183","doi":"https://doi.org/10.3396/ijic.v19.23183","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3396/ijic.v19.23183","pdf_url":"https://ijic.info/article/download/23183/14874","source":{"id":"https://openalex.org/S27340831","display_name":"International journal of infection control","issn_l":"1816-6296","issn":["1816-6296","1996-9783"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Infection Control","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3396/ijic.v19.23183","doi":"https://doi.org/10.3396/ijic.v19.23183","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3396/ijic.v19.23183","pdf_url":"https://ijic.info/article/download/23183/14874","source":{"id":"https://openalex.org/S27340831","display_name":"International journal of infection control","issn_l":"1816-6296","issn":["1816-6296","1996-9783"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Infection Control","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Clinical Trial","id":"https://openalex.org/study-designs/clinical-trial"}],"awards":[{"id":"https://openalex.org/G9000863500","display_name":"Partnership for Global Health Research Training Program(Renewal)","funder_award_id":"D43TW010543","funder_id":"https://openalex.org/F4320337356","funder_display_name":"Fogarty International Center"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337346","display_name":"National Institute of Mental Health","ror":"https://ror.org/04xeg9z08"},{"id":"https://openalex.org/F4320337356","display_name":"Fogarty International Center","ror":"https://ror.org/02xey9a22"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4380303840.pdf","grobid_xml":"https://content.openalex.org/works/W4380303840.grobid-xml"},"referenced_works_count":21,"referenced_works":["https://openalex.org/W65839816","https://openalex.org/W1974467672","https://openalex.org/W2088982661","https://openalex.org/W2093769879","https://openalex.org/W2098414383","https://openalex.org/W2101992409","https://openalex.org/W2107176979","https://openalex.org/W2116830347","https://openalex.org/W2133918285","https://openalex.org/W2150069228","https://openalex.org/W2159710880","https://openalex.org/W2548000951","https://openalex.org/W2621226982","https://openalex.org/W2741714932","https://openalex.org/W2778234183","https://openalex.org/W2897321986","https://openalex.org/W2906749296","https://openalex.org/W2939638408","https://openalex.org/W2940517998","https://openalex.org/W2945792041","https://openalex.org/W3011374085"],"related_works":["https://openalex.org/W2800944961","https://openalex.org/W2967294895","https://openalex.org/W4388616883","https://openalex.org/W3087182494","https://openalex.org/W4405171140","https://openalex.org/W2964980245","https://openalex.org/W4280522174","https://openalex.org/W7214322396","https://openalex.org/W4416590203","https://openalex.org/W7138964999"],"abstract_inverted_index":{"Infection":[0,71],"remains":[1],"an":[2],"important":[3],"cause":[4],"of":[5,31,53,66,109,216,234,244],"maternal":[6,98,237],"and":[7,10,25,76,83,89,97,99,120,123,155,169,203,236,247],"newborn":[8,100,235],"morbidity":[9],"mortality":[11],"globally":[12],"despite":[13],"evidence":[14],"that":[15],"it":[16],"can":[17],"be":[18],"reduced":[19],"with":[20],"adherence":[21],"to":[22,49,86],"infection":[23],"prevention":[24],"control":[26],"(IPC)":[27],"practices.":[28],"The":[29,102,127],"implementation":[30],"IPC":[32,95,224],"has":[33],"been":[34],"especially":[35],"challenging":[36],"in":[37,63,152,174,192,226],"rural":[38,60,227],"health":[39,61],"centres.":[40],"This":[41],"pilot":[42],"study":[43,125,209],"used":[44,69],"a":[45,54,149,170,213],"non-randomised":[46],"quasi-experimental":[47],"design":[48],"examine":[50],"the":[51,70,78,136,153,175,198,204,208,232],"impact":[52],"low-cost":[55,214],"intervention":[56,103,137],"bundle":[57,104,215],"at":[58],"five":[59],"facilities":[62],"Southern":[64],"Province":[65],"Zambia.":[67],"We":[68],"Control":[72],"Assessment":[73],"Tool":[74],"(ICAT)":[75],"surveyed":[77],"incharge":[79],"nurse,":[80],"observed":[81],"deliveries":[82],"reviewed":[84],"logbooks":[85],"collect":[87],"pre-":[88,193],"post-intervention":[90,195],"data":[91],"on":[92],"healthcare":[93,222,256],"worker":[94],"practices":[96,157,225],"outcomes.":[101],"included":[105,241],"education":[106],"sessions,":[107],"provision":[108],"alcohol":[110],"hand":[111,176],"rubs":[112],"(AHRs),":[113],"short":[114],"message":[115],"service":[116],"(SMS)":[117],"text":[118],"messages":[119],"poster":[121],"reminders,":[122],"monthly":[124],"visits.":[126],"overall":[128,220],"ICAT":[129],"score":[130,142,159,164,183],"did":[131,218],"not":[132],"significantly":[133,230],"increase":[134,151],"after":[135],"(64.0":[138],"vs.":[139,161,180],"71.8,":[140],"maximum":[141,163,182],"133,":[143],"P":[144,166,185],"=":[145,167,186],"0.28).":[146],"There":[147,188],"was":[148],"significant":[150],"labour":[154],"delivery":[156],"module":[158,178],"(12.5":[160],"16.6,":[162],"27,":[165],"0.04)":[168],"trend":[171],"towards":[172],"improvement":[173],"hygiene":[177],"(9.1":[179],"13.6,":[181],"23,":[184],"0.08).":[187],"were":[189],"no":[190],"differences":[191],"or":[194],"outcomes":[196],"amongst":[197],"654":[199],"mothers":[200],"who":[201],"delivered":[202],"655":[205],"newborns":[206],"during":[207],"period.":[210],"In":[211],"conclusion,":[212],"interventions":[217],"neither":[219],"improve":[221],"workers\u2019":[223],"Zambia":[228],"nor":[229],"change":[231],"rates":[233],"complications.":[238],"Identified":[239],"challenges":[240],"inconsistent":[242],"supplies":[243],"AHRs,":[245],"protective":[246],"sterile":[248],"equipment,":[249],"as":[250,252],"well":[251],"heavy":[253],"workload":[254],"for":[255],"workers,":[257],"which":[258],"inhibited":[259],"preventative":[260],"behaviours.":[261]},"counts_by_year":[{"year":2026,"cited_by_count":2}],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2023-06-13T00:00:00"}
