social and cultural dimensions of hygiene in cambodian health care facilities社会和文化维度的卫生柬埔寨卫生保健设施.pdf

Hancart-Petitet et al. BMC Public Health 2011, 11:83 /1471-2458/11/83 RESEARCH ARTICLE Open Access Social and cultural dimensions of hygiene in Cambodian health care facilities 1,2* 2 2 2,3 1 Pascale Hancart-Petitet , Céline Dumas , Anne-Laure Faurand-Tournaire , Alice Desclaux , Sirenda Vong Abstract Background: The frequency of bloodborne pathogen healthcare-healthcaressociated infections is thought to be high in developing Southeast Asian Countries. The underlying social-socialultural logics contributing to the risks of transmission are rarely studied. This report provides some insights on the social and cultural factors that shape hygiene practices in Cambodian health care settings. Methods: We conducted qualitative surveys in various public and private health facilities in Phnom Penh, the capital city and in provinces. We observed and interviewed 319 participants, health care workers and patients, regarding hygiene practices and social relationships amongst the health care staff and with patients. We also examined the local perceptions of hygiene, their impact on the relationships between the health care staff and patients, and perceptions of transmission risks. Data collection stem from face to face semi-semitructured and open-opennded interviews and focus group discussions with various health care staffs (i.e. cleaners, nurses, midwives and medical doctors) and with patients who attended the study health facilities. Results: Overall responses and observations indicated that hygiene practices were burdened by the lack of adequate materials and equipements. In addition, many other factors were identified to influence and distort hygiene practices which include (1) inf