Assessment of the feasibility of wound care protocols in Mbandaka (DRC)

Abstract

Introduction: Wound care remains a major public health challenge in low-resource healthcare systems, where existing protocols are often overlooked or deemed unsuitable. This study assesses the applicability of nursing protocols dedicated to wound care and identifies the factors associated with their non-use in three healthcare facilities in Mbandaka, in the Democratic Republic of the Congo.

Methodology: A descriptive and analytical cross-sectional survey involved 70 healthcare workers practising at the Wangata Regional General Hospital, the Bolenge Regional General Hospital and the Mama Balako Community Health Centre. Data were collected via a self-administered questionnaire. Descriptive analyses, chi-squared tests and binary logistic regression were carried out.

Results: The study population was predominantly female (67.1 per cent) and aged 30–39 years (41.4 per cent). Level A2 nurses accounted for 85.7 per cent of the sample. Only 44.3 per cent of participants applied the protocol regularly. The most frequently cited barriers were the unavailability of the document (87.2 per cent), a lack of equipment (66.7 per cent) and a lack of training (22.2 per cent). Bivariate analysis revealed significant associations between the protocol’ , its applicability and the structure of practice (p < 0.001), as well as with gender (p = 0.032). In logistic regression analysis, the clarity of the protocol (p = 0.009; OR = 9.19) and the consideration of practical realities (p = 0.030; OR = 5.23) were the most powerful determinants of non-applicability.

Conclusion: The implementation of wound care protocols is inadequate in Mbandaka. Improving their readability, adapting them to the local context and strengthening continuing professional development appear to be priority areas for action.

Keywords: Applicability, care protocol, wounds, nursing, Mbandaka, DRC.

Received Date: April 21, 2026

Accepted Date: May 12, 2026

Published Date: June 01, 2026

Available Online at: https://www.ijsrisjournal.com/index.php/ojsfiles/article/view/750