Compliance in maintaining hand cleaning on health care workers in neonatology unit in tertiary referral hospital indonesia: The usage of cctv for supervision

Background: Hand hygiene is an effort to overcome Healthcare-associated Infections especially in the neonatology unit but the implementation in various hospitals is still not in accordance with the standards. Aim: The study is aimed to determine the health care workers compliance in maintaining hand cleaning monitored through CCTV as a media of supervision. Method: An observational descriptive study was conducted with a cross sectional approach in the highest referral hospital in East Java Indonesia. All health care workers in the Neonatology Unit, who was on duty and recorded by CCTV, was involved in the research during the observation, both nurses, doctors, college students, health care workers, and cleaning services. Hand hygiene compliance was assessed using the WHO observation sheet. Result: The study revealed that hand hygiene compliance on health care workers in the Neonatology Unit as a whole was 74.5%. Based on five moments for hand hygiene, 83.3% were obtained before contact with patients, 100% before taking aseptic action, 90% after risk of exposure to body fluids, 74.5% after contact with patients, and 42.2% after contact with the environment patient. Of the five indicators, one indicator did not meet the hospital’s target. Based on the profession category, the hand hygiene compliance was found 78.4% in nurses, 30% in doctors, 78% in college students, and 22.2% in others. Conclusion: Hand hygiene compliance on health care workers are found to vary based on five moments for hand hygiene and professional categories of health care workers.