1.Knowledge, Attitude, and Practice of Personal Protective Equipment Use in Healthcare: Findings from the Coronavirus Disease 2019 Era
Khalidah Maruan ; Divya Nair Narayanan ; Samsiah Awang
International Journal of Public Health Research 2025;15(1):2114-2123
The Coronavirus Disease 2019 (COVID-19) pandemic has increased the demand for personal protective equipment (PPE), prompting a need to assess its usage among healthcare workers following established guidelines and ensure its rational use. This study aimed to assess the knowledge, attitude, and practice (KAP) of PPE use among healthcare workers (HCWs) in Ministry of Health (MOH) facilities during the COVID-19 pandemic and to determine the predictors associated with good KAP.MethodsThis cross-sectional study was conducted from February to March 2021. The study utilized an online, anonymous, self-administered questionnaire which was pretested and content-validated. The final questionnaire consisted of 28 items and was distributed among HCWs working directly with patients/specimens/close contacts in the MOH facilities. Descriptive and inferential analyses were performed using Statistical Package for Social Sciences 26.0.ResultsA total of 3132 respondents were included in the analysis after the exclusion criteria. 87.7% of HCWs possessed a good knowledge of PPE, 71.1% had a positive attitude, and 10.2% showed good practice. Formal training and having a good attitude and knowledge were significant predictors for good knowledge and positive attitude, respectively, while age, gender, state region and HCWs’ designation were the significant predictors of good practice.ConclusionsMost HCWs possessed good knowledge and positive attitude on PPE use but low magnitude on practice in terms of following guidelines, suggesting a gap between the level of knowledge and attitude and the actual practice. This necessitates additional education and training approaches to promote compliance with guidelines and ensure the rational use of PPE.
2.QUALITY INDICATORS FOR DIABETES MELLITUS: A RAPID EVIDENCE SYNTHESIS
Normaizira Hamidi ; Divya Nair Narayanan ; Samsiah Awang ; Khalidah Maruan ; Izzatur Rahmi Mohd Ujang
Journal of University of Malaya Medical Centre 2024;27(2):31-45
QUALITY INDICATORS FOR DIABETES MELLITUS: A RAPID EVIDENCE SYNTHESIS
Diabetes is a serious public health problem in Malaysia with the prevalence of type 2 diabetes at 18.3% among adults above the age of 18, affecting 3.9 million individuals as reported by NHMS (2019). Monitoring of diabetes necessitates a set of quality measures comparable with other countries; thus, identifying meaningful indicators is pivotal. This rapid review aimed to identify the quality of care indicators for adults with type 2 diabetes across the continuum of care. A comprehensive MEDLINE search was conducted using PubMed for relevant studies. This search was supplemented by an examination of relevant government and international organisation websites. Records were included if the paper had quality indicators, complete with its numerator and denominator. Non-English articles
were excluded. Records were screened and data were extracted into a pre-determined data extraction form. We found 130 records using various search techniques. A total of 27 records were eligible to be included for analysis. The collected indicators were then classified using Donabedian’s structure-process-outcome framework, and assigned to six diabetes care categories. The final list of diabetes quality indicators included 65 indicators, with 69% of them being process indicators, 29% outcome indicators and only 2% structure indicators. Two diabetes care categories with the highest number of indicators were risk factors for diabetes complication (n = 14, 22%) and diabetes education (n = 12, 18%). This review aided the establishment of an inventory of international diabetes quality indicators,
complete with numerators and denominators, focusing on different aspects of diabetes monitoring across quality domains and levels of health care. This may facilitate our relevant stakeholders in indicator selections, adoption and adaptation in the local context.

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