The adaptation of IUD insertion and Vasectomy in Health Centre No.2 of Isfahan with good infection control criteria and related factors

Midwives and physicians can reduce transmission of disease like HIV and Hepatitis by considering infection control criteria. Based on remarkable IUD and vasectomy frequency, existing problems in infection control in Isfahan Health Centre and not many recent studies on infection control in family planning units in literature review, this study was designed to evaluate the status of infection control of this centre according to the infection control criteria in 2013. This was a descriptive and analytical study. Research sample consisted of 78 midwives and skilled physicians who provide IUD insertion and vasectomy in 65 family planning and vasectomy units in health centre. Data gathered by the questionnaire was related to staffs (personal and clients services protection) and checklist was related to unit`s environment (infectious waste removal, work place, cleaning, disinfection and sterilization of instruments). Some of indexes were «MUST to do». Responses, scoring and were evaluated in two ways: 1. Calculation scores and percentage of criterias for rating staffs and units: poor (0-59%), moderate (60-79%) and good (≥80%). 2. Calculation of desirability percentage of staffs and units: accepting at least 75% scores and 80% of «MUST to do» points. In infection control, the staffs and units were rated as followed. The staffs: 12. 8% (n=10) poor, 60. 3% (n=47) moderate, 26. 9% (n=21) good and the units: 35. 2% (n=19) poor, 53. 7% (n=29) moderate and 11. 1% (n=6) good. 11. 5% of the staffs (n=9) and 7. 01% (n=4) units were in desirable conditions for adaptation to infection control criteria. The desirability of adaptation to infection control criteria is not good enough, except in the vaccination of hepatitis B and infectious waste removal. Therefore, it seems that training the staffs and continuous monitoring, as well as the purchasing standard disinfectants should be a priority in healthcare programs.