Conceptual model of an infection prevention and control program at the health facility level: prospects for integrating programs and health services
DOI:
https://doi.org/10.15574/PP.2026.1(105).3437Keywords:
infection control, healthcare facilites, healthcare-associated infectionsAbstract
The existence of a functional infection control program is one of the strategic directions of the global strategy for infection control of the World Health Organization. The invasion of the Russian Federation in Ukraine has created new challenges for health care facilities, in particular the destruction of infrastructure and has exacerbated the issue of antimicrobial resistance. To address these complex challenges, the recommended models for building a program on IPC at the level of health care facilities are not fully satisfactory
Aim - the development, scientific substantiation and coordination of key structural components of the conceptual model of the IPC program in healthcare institutions in Ukraine.to study the prerequisites for the creation, scientific substantiation and coordination of key structural components of the conceptual model of the national IPC program in Ukraine.
Materials and methods. The study was conducted in 2024-2025 using systemic, bibliosemantic, sociological and expert-analytical approaches. At the first stage, a review of international and national sources was carried out to analyze modern approaches to building IPC systems. The second stage included 20 in-depth interviews with national experts, which allowed to clarify the context of the development of IPC programs in healthcare institutions and determine their structural elements. The third stage involved a questionnaire survey of 116 specialists using the expert consensus method (agreement threshold ≥75%).
Results. It was found that existing models do not take into account the specific challenges of Ukraine, including water supply, sanitation, energy supply and antimicrobial resistance. A four-level conceptual model of the IPC was formed: 1) water supply, sanitation and hygiene; 2) standard measures; 3) additional measures; 4) integrated antimicrobial stewardship program. The model was supported by more than 80% of the surveyed experts.
Conclusions. Based on the results of the work, it was possible to formulate and substantiate a conceptual model of the IPC program in healthcare facilities in Ukraine, which includes structural levels: Water supply, sanitation and hygiene; Standard infection control measures; Additional infection control measures; Antimicrobial stewardship program.
The authors declare no conflict of interest.
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