Solutions to infection prevention and control challenges in developing countries, do they exist? An integrative review

Sparke, Vanessa L., Diau, Jason, MacLaren, David, and West, Caryn (2020) Solutions to infection prevention and control challenges in developing countries, do they exist? An integrative review. International Journal of Infection Control, 16 (1).

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Implementing sustainable infection prevention and control (IP&C) programs in developing countries is challenging. Many developing countries experience high burdens of disease and political instability. In addition, they are affected by geographical and climatic challenges, and have unique social, cultural and spiritual beliefs, all of which contribute to a higher prevalence of infections. The aim of this integrative review is to identify existing solutions to the challenges faced by developing countries when implementing IP&C programs. An extensive literature review was conducted to explore improvements in infection control in rural hospitals in developing countries. Three electronic databases were searched for relevant articles written between 1980 and 2018, published in peer reviewed English language journals, and relating to hospitals, not community settings. The findings indicate that developing countries continue to face many challenges in implementing IP&C programs. Limited success has been described with some IP&C program components but it is clear that little original research on the topic exists. Notably scarce are studies on the influences that culture, religious and spiritual beliefs have on IP&C program implementation. This review highlights opportunities for further research into healthcare workers perceptions of disease causation and infection transmission, and the role this plays in the effective implementation of an IP&C program. By exploring these opportunities appropriate and culturally sensitive solutions may be identified, which can assist with the design and implementation of culturally relevant IP&C programs in these settings.

Item ID: 63060
Item Type: Article (Research - C1)
ISSN: 1996-9783
Keywords: infection control, professional practice, developing countries
Copyright Information: Copyright conditions: Copyright on any research article in the International Journal of Infection Control (IJIC) is retained by the author(s). Authors grant IJIC permission to publish the article and identify itself as the original publisher. Authors also grant any third party the right to use the article freely as long as its integrity is maintained and its original authors, citation details and publisher are identified. IJIC conforms to the Creative Commons Attribution License ( as terms and conditions of publishing research articles.
Date Deposited: 05 Aug 2020 03:56
FoR Codes: 42 HEALTH SCIENCES > 4203 Health services and systems > 420317 Patient safety @ 50%
47 LANGUAGE, COMMUNICATION AND CULTURE > 4799 Other language, communication and culture > 479999 Other language, communication and culture not elsewhere classified @ 20%
42 HEALTH SCIENCES > 4205 Nursing > 420599 Nursing not elsewhere classified @ 30%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920109 Infectious Diseases @ 30%
95 CULTURAL UNDERSTANDING > 9599 Other Cultural Understanding > 959999 Cultural Understanding not elsewhere classified @ 20%
92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920404 Disease Distribution and Transmission (incl. Surveillance and Response) @ 50%
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