Background. Healthcare-associated infections (HCAIs) present a significant global health challenge, with over 25% of hospitalised patients in low- and middle-income countries (LMICs) affected. Standardised infection prevention and control (IPC) assessments are essential to identify weaknesses and guide improvements in healthcare settings.
Methods. This hospital-based, cross-sectional study evaluated IPC compliance at the Federal Medical Centre, Keffi (FMCK), Nasarawa State, Nigeria, using the World Health Organization (WHO) Infection Prevention and Control Assessment Framework (IPCAF) tool. The assessment was conducted in January 2025, and responses were reviewed, validated, scored, and interpreted according to WHO guidelines.
Results. The findings from this study revealed that FMCK’s overall IPC compliance score was 500/800, placing the facility at an intermediate level. Of the eight IPCAF components assessed, the hospital achieved an advanced level of compliance in the IPC programme and guidelines. Despite having an established IPC programme, committee, and dedicated focal person, FMCK exhibited gaps in structured monitoring, budget allocation, and consistent resource availability, including essential IPC materials and a reliable water supply.
Conclusion. Despite partial implementation of IPC components, significant gaps persist. Strengthening these areas through targeted interventions and resource investments is essential to improve IPC and reduce HCAIs in resource-limited settings.
