
D. M. NYAIRO, C. NYABUTO, K. F. MAROA and F. W NANGOLE
Abstract
Background
Wounds are a significant burden in Kenya, with limited knowledge on their prevalence and management. Timely care for acute wounds, including debridement and dressing, is essential to prevent their development into chronic wounds. Managing chronic wounds is more expensive but follows a similar approach, guided by the DIME principle.
Objective
To assess knowledge of healthcare workers engaged in wound management regarding various wound care options and to gauge their satisfaction levels with the existing wound care services offered across different facilities.
Design
A multicenter cross-sectional survey carried out over a period of 2 weeks.
Setting
Selected regional hospitals in Kenya. Healthcare providers across the selected hospitals completed a wound care study questionnaire.
Subjects/Participants
Healthcare practitioners involved in wound care from all cadres including nursing students, nurses, clinical officers, medical officers, surgical residents, and others.
Results
A total of 123 healthcare practitioners, mainly nurses (82.2%), participated. Most were aged 20–30 and 31–40 (41% and 39% respectively). Females represented 67% of respondents.
A significant majority lacked familiarity with modern wound care practices such as maggot therapy (88.3%) and vacuum-assisted closure (VAC) dressings (60.4%).
Overall, high satisfaction was reported with:
Multidisciplinary team (73.8%)
Wound care supplies (59.4%)
Preventive practices (62.4% for complications, 66.4% for infections)
Conclusion
This study revealed deficiencies in wound care training, with over half lacking specialized training. Many healthcare workers also lacked knowledge of modern wound care practices. However, most practitioners demonstrated above-average basic understanding, which can be strengthened through specialized training.