Effect of training on performance of obstetrics and midwives in Tabriz in regards to infection control

ABSTRACT
Introduction :Nosocomial infections are increasing in all of the world rapidly .In recent years spread of diseases such as Aids and hepatitis B &C has increased the need for attention to infection prevention and control in our country. Although a lot of advances have been made, but evidences show that it is still necessary to observe methods for prevention of spreading infection in general practice especially for gynecology and dentistry. Thereby it is important to conduct a research project to determine effectiveness of training in performance of gynecology units in Tabriz .

Material and methods :In this interventional study all of the public providers which counts to 75 and one fourth of private sector which includes 75 private service providers were chosen randomly, as a sample. The research tool was questioner and checklist. Educational program conducted for all of the service providers and auxiliary workers of them .Collected of data compared before and after education.

 Results :Only 3% of the study populations had offered training in infection control but after intervention all of them participated in education programs. Performance of 73% of study populations before intervention and 27% of them after intervention was not acceptable. Our results show failures in decontamination, cleaning, sterilization, disinfection improved performance of gynecologists and midwives in most of items .Problems in hand washing and few items remained unchanged after intervention.

 Discussion and conclusion :Results of this intervention are similar to a number of studies that have been published in recent years in Iran and other countries. The main recommendation in all studies was promotion of knowledge and skills of health workers. This study recommendation is exactly policy making in infection prevention in medical universities of Iran and monitoring and assessing of acts in health care setting.  
Key words:Nosocomial infection,training,performance,gynecology service providers,infection control.