{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T05:40:23Z","timestamp":1793598023929,"version":"4.5.0"},"reference-count":14,"publisher":"BMJ","issue":"9","funder":[{"DOI":"10.13039\/100004423","name":"World Health Organization","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004423","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2019,8,9]]},"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess the impact of refresher training of healthcare workers (HCWs) in infection prevention and control (IPC), ensuring consistent adequate supplies and availability of IPC kits and carrying out weekly monitoring of IPC performance in healthcare facilities (HCFs)<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This was a before and after comparison study<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings<\/jats:title>\n                    <jats:p>This study was conducted from June to July 2018 during an Ebola virus disease (EVD) outbreak in Equateur Province in the Democratic Republic of the Congo (DRC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>48 HCFs<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>HCWs capacity building in basic IPC, IPC kit donation and IPC mentoring.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary outcome measures<\/jats:title>\n                    <jats:p>IPC score<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>48 HCFs were evaluated and 878 HCWs were trained, of whom 437 were women and 441 were men. The mean IPC score at baseline was modestly higher in hospitals (8%) compared with medical centres (4%) and health centres (4%), respectively. The mean IPC score at follow-up significantly increased to 50% in hospitals, 39% in medical centres and 36% in health centres (p value&lt;0.001). The aggregate mean IPC score at baseline for all HCFs, combined was 4.41% and at follow-up it was 39.51% with a mean difference of 35.08% (p-value&lt;0.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Implementation of HCW capacity building in IPC, IPC kit donation to HCF and mentoring in IPC improved IPC compliance during the ninth EVD outbreak in the DRC.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2019-029717","type":"journal-article","created":{"date-parts":[[2019,9,6]],"date-time":"2019-09-06T05:09:15Z","timestamp":1567746555000},"page":"e029717","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":24,"title":["The impact of\n                    <b>Infection Prevention and control (IPC) bundle implementation<\/b>\n                    on IPC compliance during the Ebola virus outbreak in Mbandaka\/Democratic Republic of the Congo: a before and after design"],"prefix":"10.1136","volume":"9","author":[{"given":"Kevin","family":"Ousman","sequence":"first","affiliation":[{"name":"World Health Organization Regional Office for Africa, Brazzaville, Congo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1762-8550","authenticated-orcid":false,"given":"Landry","family":"Kabego","sequence":"additional","affiliation":[{"name":"Infection Control Africa Network, Bukavu, Democratic Republic of the Congo"},{"name":"Microbiology, Universite Catholique de Bukavu Faculte de Medecine, Bukavu, Democratic Republic of the Congo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6436-3415","authenticated-orcid":false,"given":"Ambrose","family":"Talisuna","sequence":"additional","affiliation":[{"name":"World Health Organization Regional Office for Africa, Brazzaville, Congo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Diaz","sequence":"additional","affiliation":[{"name":"World Health Organization, Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Mbuyi","sequence":"additional","affiliation":[{"name":"Ministry of Health, Kinshasa, Democratic Republic of the Congo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bienvenu","family":"Houndjo","sequence":"additional","affiliation":[{"name":"World Health Organization Regional Office for Africa, Brazzaville, Congo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Paul","family":"Ngandu","sequence":"additional","affiliation":[{"name":"Ministry of Health, Kinshasa, Democratic Republic of the Congo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaston","family":"Omba","sequence":"additional","affiliation":[{"name":"Ministry of Health, Kinshasa, Democratic Republic of the Congo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron","family":"Aruna","sequence":"additional","affiliation":[{"name":"Ministry of Health, Kinshasa, Democratic Republic of the Congo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathias","family":"Mossoko","sequence":"additional","affiliation":[{"name":"Ministry of Health, Kinshasa, Democratic Republic of the Congo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamadou Harouna","family":"Djingarey","sequence":"additional","affiliation":[{"name":"World Health Organization Regional Office for Africa, Brazzaville, Congo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thierno","family":"Balde","sequence":"additional","affiliation":[{"name":"World Health Organization Regional Office for Africa, Brazzaville, Congo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Abok","sequence":"additional","affiliation":[{"name":"World Health 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Health worker Ebola infections in guinea, Liberia and Sierra Leone: a preliminary report 2015."},{"key":"2025121220573570000_9.9.e029717.6","doi-asserted-by":"crossref","DOI":"10.1186\/s12916-015-0548-4","article-title":"Infection prevention and control of the Ebola outbreak in Liberia, 2014\u20132015: key challenges and successes","volume":"14","author":"Cooper","year":"2016","journal-title":"BMC Med"},{"key":"2025121220573570000_9.9.e029717.7","doi-asserted-by":"crossref","DOI":"10.4103\/0974-777X.122010","article-title":"Infection control and practice of standard precautions among healthcare workers in northern Nigeria","volume":"5","author":"Amoran","year":"2013","journal-title":"J Glob Infect Dis"},{"key":"2025121220573570000_9.9.e029717.8","unstructured":"World Health Organization . 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