Bangladesh has some impressive achievement in the maternal and child health sector, but the quality of clinical services provided at most of the health facilities remains a formidable challenge. The inadequate human and financial resources, the insufficient medical supplies, and lack of coordination are important factors contributing to the poor quality of clinical services.
One of the areas MaMoni HSS Project is focusing on involves improving infection prevention measures at the UH&FWCs in selected districts of Bangladesh. One recent case in point is Murakuri UH&FWC in Habiganj where the project in consultation with district and UH&FWC staff set infection prevention standards that include the following:
• The facility is clean, has supply of clean water and an appropriate process in place to keep the clinical areas clean.
• Proper hand hygiene measures (hand washing, use of gloves) are observed.
• The equipment are properly decontaminated, cleaned and dried before reuse or storage.
• The concentration and use of antiseptics (for skin and/or mucous membrane) are correct.
• The sterilization process is performed properly.
• Waste segregation is performed properly to minimize the volume of contaminated waste.
The staff of the Murakuri facility then compared the actual practices with the infection prevention standards to identify gaps and actions needed to address them. The major actions identified included improving waste management, facility cleaning, the use of chlorine solution for decontamination of instruments, and the application of proper hand hygiene. A subsequent quality check found the level of compliance of Murakuri UH&FWC with the set infection prevention standards notably improved, from 54% to 80% to be exact.