Cross-Sectional Analysis of Infection Control Knowledge and Practices Among Community Healthcare Workers

Abstract

Background: Community healthcare workers (CHWs) play a vital role in infection control, particularly in underserved areas. However, their knowledge and adherence to infection control practices can vary due to limited resources and training. This study aims to assess the infection control knowledge and practices among CHWs in Al-Ahsa, Saudi Arabia.

Methods: A cross-sectional study was conducted with 200 CHWs affiliated with King Faisal University. Data were collected using a structured, self-administered questionnaire, which included demographic information, infection control knowledge, and self-reported practices. Descriptive statistics and bivariate analyses were performed to examine relationships between demographic characteristics and infection control knowledge and practices.

Results: The mean knowledge score was 65.7% (SD = 12.4), with high knowledge observed in hand hygiene practices but lower scores in PPE use and waste disposal. Self-reported practice scores averaged 72.3% (SD = 15.7), with strong adherence to hand hygiene but inconsistent PPE usage. Key barriers identified included lack of PPE (42%), time constraints (35.5%), and insufficient training (30.5%). Bivariate analysis showed that higher education and more than five years of experience were significantly associated with better infection control practices (p < 0.05).

Conclusion: While CHWs in Al-Ahsa demonstrate moderate infection control knowledge and reasonable adherence to recommended practices, gaps remain, particularly in PPE use and waste disposal. Addressing these gaps through structured training, resource provision, and institutional support is essential for improving infection control in community healthcare settings.