Effectiveness of Infection Prevention and Control Training in Improving Cognitive Competence among Primary Healthcare Workers

Authors

  • Ajeng Choirin Balai Pelatihan Kesehatan Semarang
  • Kurrota Aini Universitas Trunodjoyo Madura

DOI:

https://doi.org/10.70062/globalhealth.v2i4.267

Keywords:

Cognitive Improvement, Effect Size, Infection Prevention and Control, Primary Healthcare Facilities, Training Effectiveness

Abstract

Primary Healthcare Facilities (Fasilitas Kesehatan Tingkat Pertama, FKTP) represent the first level of contact in the healthcare system and play a central role in infection prevention and control. Despite mandatory Infection Prevention and Control (IPC) training in Indonesia, evidence regarding its effectiveness in improving cognitive abilities among primary healthcare workers remains limited. This study aimed to evaluate the effectiveness of IPC training in enhancing the cognitive abilities of healthcare workers in FKTP. A quasi-experimental study with a one-group pretest–posttest design was conducted involving 91 healthcare workers who participated in IPC training across three cohorts in 2024. The training was delivered online through a Learning Management System and consisted of structured learning modules accompanied by a pre-test and a final quiz. Cognitive improvement was assessed using paired samples t-tests, while the magnitude of training impact was evaluated using Cohen’s dz effect size. The results showed statistically significant improvements in cognitive scores across all cohorts (p < 0.001), with mean score increases ranging from 16.10 to 23.35 points. Effect size analysis revealed large to very large effects, with an overall Cohen’s dz of 1.19, indicating substantial and practically meaningful cognitive gains. In conclusion, IPC training was effective in improving cognitive competence among FKTP healthcare workers. These results reinforce the value of well-structured training programs as an essential component of efforts to strengthen infection prevention capacity in primary healthcare settings.

References

Alhumaid, S., Al Mutair, A., Al Alawi, Z., Alsuliman, M., Ahmed, G. Y., Rabaan, A. A., Al-Tawfiq, J. A., & Al-Omari, A. (2021). Knowledge of infection prevention and control among healthcare workers and factors influencing compliance: A systematic review. Antimicrobial Resistance & Infection Control, 10(1), 86. https://doi.org/10.1186/s13756-021-00957-0

Allegranzi, B., & Pittet, D. (2009). Role of hand hygiene in healthcare-associated infection prevention. Journal of Hospital Infection, 73(4), 305–315. https://doi.org/10.1016/j.jhin.2009.04.019

Anderson, J. R. (1996). ACT: A simple theory of complex cognition. American Psychologist, 51(4), 355–365. https://doi.org/10.1037/0003-066X.51.4.355

Anderson, L. W., & Krathwohl, D. R. (2001). A taxonomy for learning, teaching, and assessing: A revision of Bloom’s taxonomy of educational objectives. Longman.

Baumgartner, L. M., & Carr‐Chellman, D. (2024). Adult learning: A multifaceted endeavor. New Directions for Adult and Continuing Education, 2024(184), 92–96. https://doi.org/10.1002/ace.20550

Bloom, B. S. (1956). Taxonomy of educational objectives: The classification of educational goals (1st ed.). Longman Group.

Erasmus, V., Daha, T. J., Brug, H., Richardus, J. H., Behrendt, M. D., Vos, M. C., & van Beeck, E. F. (2010). Systematic review of studies on compliance with hand hygiene guidelines in hospital care. Infection Control & Hospital Epidemiology, 31(3), 283–294. https://doi.org/10.1086/650451

Graves, N., Halton, K., & Lairson, D. (2007). Economics and preventing hospital-acquired infection: Broadening the perspective. Infection Control & Hospital Epidemiology, 28(2), 178–184. https://doi.org/10.1086/510787

Illeris, K. (2007). How we learn. Routledge. https://doi.org/10.4324/9780203939895

Kirkpatrick, D. L., & Kirkpatrick, J. D. (2006). Evaluating training programs: The four levels (3rd ed.). Berrett-Koehler Publishers.

Knapke, J. M., Hildreth, L., Molano, J. R., Schuckman, S. M., Blackard, J. T., Johnstone, M., Kopras, E. J., Lamkin, M. K., Lee, R. C., Kues, J. R., & Mendell, A. (2024). Andragogy in practice: Applying a theoretical framework to team science training in biomedical research. British Journal of Biomedical Science, 81. https://doi.org/10.3389/bjbs.2024.12651

Knowles, M. S., Holton III, E. F., Swanson, R. A., & Robinson, P. A. (2020). The adult learner: The definitive classic in adult education and human resource development (9th ed.). Routledge. https://doi.org/10.4324/9780429299612

Mayer, R. E. (2002). Rote versus meaningful learning. Theory Into Practice, 41(4), 226–232. https://doi.org/10.1207/s15430421tip4104_4

Merriam, S. B., & Bierema, L. L. (2014). Adult learning: Linking theory and practice. Jossey-Bass.

Savul, S., Ikram, A., Khan, M. A., & Khan, M. A. (2021). Evaluation of infection prevention and control training workshops using Kirkpatrick’s model. International Journal of Infectious Diseases, 112, 76–80. https://doi.org/10.1016/j.ijid.2021.09.005

Shanavas, S. P. (2025). The invisible labour of language: Adult language learners as intercultural mediators in India’s medical tourism sector. Studies in the Education of Adults, 1–18. https://doi.org/10.1080/02660830.2025.2595761

Taylor, E. W., & Cranton, P. (2012). The handbook of transformative learning: Theory, research, and practice. Jossey-Bass.

World Health Organization. (2006). Health workers: A global profile. https://sarpn.org/documents/d0002010/WHO_health-report2006_3.pdf

World Health Organization. (2016). Guidelines on core components of infection prevention and control programmes: At the national and acute health care facility level.

Yuan, M., Xiao, X., Wang, Y., Han, Y., Zhang, R., Fu, H., & Fang, Y. (2021). Design and evaluation of a cognitive health education pilot program according to the RE-AIM framework. PLOS ONE, 16(12), e0260934. https://doi.org/10.1371/journal.pone.0260934

Downloads

Published

2025-12-30

How to Cite

Ajeng Choirin, & Kurrota Aini. (2025). Effectiveness of Infection Prevention and Control Training in Improving Cognitive Competence among Primary Healthcare Workers. Global Health: Journal of Health Sciences, Public Health and Pharmacy, 2(4), 55–63. https://doi.org/10.70062/globalhealth.v2i4.267