Challenges in developing infection control programmes for Indonesia

This paper aims to heighten awareness of the significant differences between developed and developing countries in relation to infection control practices, and to reflect on the difficulties inherent in adopting infection control guidelines produced in developed nations in those which are less developed. The article, based upon the author's personal experience as a medical officer in Indonesia, describes infection control issues affecting patients and health care staff. Hospital acquired infection (HAI) is discussed against the backdrop of limited financial resources and infrastructure, cultural beliefs regarding infection and differing levels of knowledge and awareness of infection control practices. It describes the challenges faced in implementing an infection control programme in this context. Suggestions for responses to the identified issues include incorporation of infection control education in medical and nursing curricula, introducing appropriate cost effective means to reduce infection risks and surveillance to establish baseline infection rates. The Australian infection control community is invited to participate in this process, as it is through the formation of links and exchange of ideas that the intriguing challenges faced by this developing nation will be resolved.