Ukrainian Journal of Perinatology and Pediatrics. 2026.1(105): 34-37. doi: 10.15574/PP.2026.1(105).3437
Aleksandrin A. V.
Non-governmental organization «Infection control in Ukraine», Kyiv

For citation: Aleksandrin AV. (2026). Conceptual model of an infection prevention and control program at the health facility level: prospects for integrating programs and health services. Ukrainian Journal of Perinatology and Pediatrics. 1(105): 34-37. doi: 10.15574/PP.2026.1(105).3437.
Article received: Oct 11, 2026. Accepted for publication: Feb 16, 2026.

The existence of a functional infection control program is one of the strategic directions of the global strategy for infection control of the World Health Organization. The invasion of the Russian Federation in Ukraine has created new challenges for health care facilities, in particular the destruction of infrastructure and has exacerbated the issue of antimicrobial resistance. To address these complex challenges, the recommended models for building a program on IPC at the level of health care facilities are not fully satisfactory
Aim – the development, scientific substantiation and coordination of key structural components of the conceptual model of the IPC program in healthcare institutions in Ukraine.to study the prerequisites for the creation, scientific substantiation and coordination of key structural components of the conceptual model of the national IPC program in Ukraine.
Materials and methods. The study was conducted in 2024-2025 using systemic, bibliosemantic, sociological and expert-analytical approaches. At the first stage, a review of international and national sources was carried out to analyze modern approaches to building IPC systems. The second stage included 20 in-depth interviews with national experts, which allowed to clarify the context of the development of IPC programs in healthcare institutions and determine their structural elements. The third stage involved a questionnaire survey of 116 specialists using the expert consensus method (agreement threshold ≥75%).
Results. It was found that existing models do not take into account the specific challenges of Ukraine, including water supply, sanitation, energy supply and antimicrobial resistance. A four-level conceptual model of the IPC was formed: 1) water supply, sanitation and hygiene; 2) standard measures; 3) additional measures; 4) integrated antimicrobial stewardship program. The model was supported by more than 80% of the surveyed experts.
Conclusions. Based on the results of the work, it was possible to formulate and substantiate a conceptual model of the IPC program in healthcare facilities in Ukraine, which includes structural levels: Water supply, sanitation and hygiene; Standard infection control measures; Additional infection control measures; Antimicrobial stewardship program.
The authors declare no conflict of interest.
Keywords: infection control, healthcare facilites, healthcare-associated infections.

REFERENCES

1. Aghdassi SJS, Hansen S, Bischoff P, Behnke M, Gastmeier P. (2019, May 8). A national survey on the implementation of key infection prevention and control structures in German hospitals: results from 736 hospitals conducting the WHO Infection Prevention and Control Assessment Framework (IPCAF). Antimicrob Resist Infect Control. 8: 73. https://doi.org/10.1186/s13756-019-0532-4; PMid:31080588 PMCid:PMC6505265

2. Jeong Y, Joo H, Bahk H, Koo H, Lee H, Kim K. (2022, May 13). A nationwide survey on the implementation of infection prevention and control components in 1442 hospitals in the Republic of Korea: comparison to the WHO Infection Prevention and Control Assessment Framework (IPCAF). Antimicrob Resist Infect Control. 11(1): 71. https://doi.org/10.1186/s13756-022-01107-w; PMid:35562838 PMCid:PMC9101985

3. Kuzin I, Matskov O, Bondar R, Lapin R, Vovk T, Howard A et al. (2023, Dec 8). Notes from the Field: Responding to the Wartime Spread of Antimicrobial-Resistant Organisms – Ukraine, 2022. MMWR Morb Mortal Wkly Rep. 72(49): 1333-1334. https://doi.org/10.15585/mmwr.mm7249a5; PMid:38060460 PMCid:PMC10715824

4. WHO. (2016). Guidelines on core components of infection prevention and control programmes at the national and acute healthcare facility level. Geneva: World Health Organization.

5. WHO. (2018). Infection Prevention and Control Assessment Framework. World Health Organization. URL: https://www,who,int/publications/i/item/WHO-HIS-SDS-2018,9.

6. WHO. (2019). Antimicrobial stewardship programmes in health-care facilities in low- and middle-income countries. A practical toolkit. Geneva: World Health Organization.

7. WHO. (2022). Water and Sanitation for Health Facility Improvement Tool (WASH FIT): a practical guide for improving quality of care through water, sanitation and hygiene in health care facilities. Second edition. Geneva: World Health Organization.

8. WHO. (2023). Global strategy on infection prevention and control. Geneva: World Health Organization.