Infection prevention knowledge and practice among health care workers in Primary Health Care centers of Erbil city
Copyright (c) 2025 Shelan Mustafa Ali, Samir Mahmood Othman (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
- Articles
- Submited: October 14, 2024
-
Published: October 22, 2025
Abstract
Background and objective: Infection prevention is the practice of making barriers between susceptible microorganisms and hosts and is crucial for the supply of quality health services and safety at the level of facility. This study aimed to determine the knowledge on infection prevention and practices among health care workers working in primary health care centers in Erbil city.
Methods: A cross-sectional study carried out in 20 primary health care centers in Erbil city from 5th September 2023 to 4th October 2024. A convenience sampling method was used to recruit the sample of (291) health care workers. An electronic questionnaire form (Google form) used for data collection. SPSS version 25 was used for data entry and analysis. P value ≤ 0.05 was regarded as a statistically significant.
Results: A total of 291 health care staffs attended the selected primary health centers were involved in this study. About 35% of the participants were in the age group 41-50 years old. Most of health care workers 173 (59.5%) were females and 118 (40.5%) were males. More than one third (36.1%) of them joined in infection prevention and control training and majority (78%) of them has medium level of knowledge. A statistically significant highest percentage (82.4%) of nurses had medium knowledge about infection prevention control in comparison to other professions (Physicians, Biologist/chemist and radiologist (74.8%), (66.7%) and (80.0%) respectively, P value <0.001.
Conclusion: The knowledge about infection prevention and control among health care workers was medium. Nurses are more knowledgeable compare to other professions.
Metrics
References
- Said AS, Kicha D, Omar M, Gushchina Y, Teka A, Moussa D. Infection prevention practice and associated factors among healt care workers in public health facilities of mogadishu somalia. Archiv Euromedica. 2023; 13(3). http//doi.org/10.35630/2023/13/3.301
- Nalunkuma R, Nkalubo J, Abila DB. Knowledge on Infection Prevention and Control and associated factors among undergraduate health professional students at Makerere University College of Health Sciences, Uganda. PLOS ONE. 2021; 16(8). http://doi.org/10.1371/journal.pone.0255984
- Assefa J, Diress G, Adane S. Infection prevention knowledge, practice, and its associated factors among healthcare providers in primary healthcare unit of Wogdie District, Northeast Ethiopia: a cross-sectional study. Antimicrob Resist Infect Control. 2020; 9(136):1-9. https://doi.org/10.1186/s13756-020-00802-w
- Talukder A, Roy A, Islam MN, Chowdhury MAK, Sarker M, Chowdhury M, et al. Prevalence and correlates of knowledge and practices regarding infection prevention and control, and triage in primary healthcare settings: A cross-sectional study in Bangladesh. Infect Prev Pract. 2023; 5 (1). https://10.1016/j.infpip.2022.100258
- WHO .Healthcare without avoidable infections the critical role of infection preventiom and control. 2016: [Accessed 2023]. available from: https://iris.who.int/handle/10665/246235
- Zenbaba D, Sahiledengle B, Bogale D. Practices of Healthcare Workers regarding Infection Prevention in Bale Zone Hospitals, Southeast Ethiopia. Adv Public Health. 2020; 2020(1). https://10.1155/2020/4198081
- AL-Kerity SHF, Naji AB. Evaluation of Healthcare workers’ Practices Concerning Infection Control Measures at Primary Health Care Centers. Scien J of Med Res. 2017; 1(2):63-8.
- Alemayehu R, Seid K, Sada O. Assessment of Knowledge and Practice on Infection Prevention among Health Care Workers at Dessie Referral Hospital, Amhara Region, South Wollo Zone, North East Ethiopia. J Community Med Health Educ. 2016; 6(6). http://10.4172/2161-0711.1000487.
- Shrestha GDN, Thapa B. Knowledge and practice on infection prevention among nurses of Bir Hospital, Kathmandu. Journal of Nepal Health Research Council. 2018; 16(3):330-35. https://10.33314/jnhrc.v16i3.1466
- Rashid AA, Othman SM. Assessment of Knowledge, Attitude and Practice of Health Staff Toward Infection Control in Teaching Hospitals in Erbil City in Iraq. Bahrain Med Bull. 2023; 45(1).
- Fashafsheh DI, Ayed MA, Eqtait MF, Harazneh ML. Knowledge and Practice of Nursing Staff towards Infection Control Measures in the Palestinian Hospitals. J Educ Pract. 2015; 6(4).
- Abdulqadir ZS, Mohammed AK. Nurses’ Knowledge Regarding Infection Control Standard Precautions at Shar Teaching Hospital in Sulaimani City. Mosul J Nurs Print. 2023; 13(2):17-31. https://10.36321/kjns.vi20232.13299.
- Geberemariyam BS, Donka GM, Wordofa B. Assessment of knowledge and practices of healthcare workers towards infection prevention and associated factors in healthcare facilities of West Arsi District, Southeast Ethiopia: a facility-based cross-sectional study. Arch Public Health. 2018; 76(1):69. https://10.1186/s13690-018-0314-0.
- Rahiman F, Chikte U, Hughes GD. Nursing students’ knowledge, attitude and practices of infection prevention and control guidelines at a tertiary institution in the Western Cape: A cross sectional study. Nurse Educ Today. 2018; 69:20-5. https://10.1016/j.nedt.2018.06.021.
- Salem OA. Knowledge and Practices of Nurses in Infection Prevention and Control within a Tertiary Care Hospital. Ann Med Health Sci Res. 2019; 9(1).
- Dewidar MAS, Abu Salam MS, Anwar El-Shazly H. Infection control awareness among healthcare providers in family health settings in Shebin El-kom district, Menoufia Governorate, Egypt. Menoufia Med J. 2014; 27(4). https://10.4103/1110-2098.149804.
- Hussein S, Estifanos W, Melese E, Moga F. Knowledge, attitude and practice of infection prevention measures among health care workers in wolaitta sodo Otona teaching and referral hospital. J Nurs Care. 2017; 6(4). http//10.4172/2167-1168.1000416.
- Assefa J, Alen GD, Adane S. Infection prevention knowledge, practice, and its associated factors among healthcare providers in primary healthcare unit of Wogdie District, Northeast Ethiopia, 2019: a cross-sectional study. Antimicrob Resist Infect Control. 2020; 9(136).
- Bayleyegn B, Mehari A, Damtie D, Negash M. Knowledge, Attitude and Practice on Hospital-Acquired Infection Prevention and Associated Factors Among Healthcare Workers at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. Infect Drug Resist. 2021; 14:259–66.
- Hilt N, Hulscher MEJL, Antonise-Kamp L, OldeLoohuis A, Voss A. Current practice of infection control in Dutch primary care: Results of an online survey. Am J Infect Control. 2019; 47(6):643–7. https://10.1016/j.ajic.2018.11.010.
- Alhassan AR, Kuugbee ED, Der EM. Surgical Healthcare Workers Knowledge and Attitude on Infection Prevention and Control: A Case of Tamale Teaching Hospital, Ghana. Can J Infect Dis Med Microbiol. 2021; (1). https://10.1155/2021/6619768.
- Wang X, Liu C, Du Y, Wang D, Zhang X. Do Knowledge, Attitudes, and Barrier Perception Affect the Prevention and Control of Healthcare-Associated Infections? A Structural Equation Modelling Approach. Infect Drug Resist. 2023; 16. https://10.2147/IDR.S409398.
- Bekele T, Ashenaf T, Ermias A, Sadore AA. Compliance with standard safety precautions and associated factors among health care workers in Hawassa University comprehensive, specialized hospital, Southern Ethiopia. Plos One. 2020; 15(10). https://10.1371/journal.pone.0239744.
- Abed Alah M, Abdeen S, Selim N, Hamdani D, Radwan E, Sharaf N, et al.. Knowledge and Perceived Effectiveness of Infection Prevention and Control Measures Among Health Care Workers During the COVID-19 Pandemic: A National Survey. J Nurs Care Qual. 2022; 37(2):23-33. http//10.1097/NCQ.0000000000000615.
- WHO. Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected. 2020 [Internet]. [cited 2024]. Available from: https://www.who.int/publications/i/item/10665-331495.
- Almoghrabi R, Aldosari N, Bakhsh A, Garni FA, Alseragi E, Omer T. Standard precaution among nurses in primary health care centers: Knowledge and compliance. J Nurs Heal Sci. 2018; 7(4):57–63. http//10.9790/1959-0704115763.
- Woldegioris T, Bantie G, Getachew H. Nurses’ Knowledge and Practice Regarding Prevention of Surgical Site Infection in Bahir Dar, Northwest Ethiopia. Surg Infect. 2019; 20(1):71–7. http//10.1089/sur.2018.081.
- Feng W, Sae-Sia W, Kitrungrote L. Knowledge, attitude, and practice of surgical site infection prevention among operating room nurses in southwest China. Belitung Nurs J. 2022; 8(2):124–31. http// 10.33546/bnj.2018.
- Abbasi-Kangevari M, Kolahi AA, Ghamari SH, Hassanian-Moghaddam H. Public knowledge, attitudes, and practices related to COVID-19 in Iran: Questionnaire study. JMIR Public Health Surveill. 2021; 7(2). http//10.2196/21415
- Jemal S, Zeleke M, Tezera S, Hailu S, Abdosh A, Biya M, et al. Health care workers’ knowledge, attitude and practice towards infection prevention in Dubti referral hospital, Dubti, north East Ethiopia. Int J Infect Ther. 2019; 3(4):66. https://10.33545/comed.2019.v2.i1a.07.
- Al-Ahmari AM, Alkhaldi YM, Al-Asmari BA. Knowledge, attitude and practice aboutinfection control among primary care professionals in Abha City, kingdom of Saudi Arabia. J Fam Med Prim Care. 2021; 10(2):662-8. http//10.4103/jfmpc.jfmpc_1278_20
- Sherah AS. Assessment of infection control among healthcare workers in healthcare centers Sana’a, Yemen. Int J Public Health Res. 2015; 5(2):597–605.