Risk of “On Job Non Compliance” towards Various COVID-19 Standard & Transmission Based Infection Prevention & Control Measures/Precautions among the Healthcare Workers Working in OPD Settings of Public Sector Tertiary Care Hospitals of Quetta Balochistan (Prospective Cohort Study)

Background: COVID-19 Pandemic is still circulating within the human population and proving to be a deadlier disease with mortality rate ranging from 0.5% 7%. Since highly transmissible disease; there always probability for its outward spread towards general public community hospitals healthcare facilities where they come seek treatment. Methodology: A prospective cohort study design was used, considering limited available resources time—a total of 200 workers (including doctors, nurses, para-medical staff, janitorial reception staff & pharmacists) working in OPDs two major sector Quetta were made part this study. The participants selected using simple random sampling technique selection daily attendance register. “Hospital-A” first all educated trained on various IPC measures later COVID-19-IEC materials; written Urdu language, displayed clearly everywhere OPD. Similarly, handwashing stations along hand sanitizers/soaps surgical face masks also free cost Hospital-A. Moreover importance effectiveness continuously announced OPD gallery Hospital-A, these announcements used wording local languages (i.e., Urdu, Pashto, Balochi Brahvi). On other hand, “Hospital-B”, no such interventions made. both followed one month observations like which group showed more on-job noncompliance recorded. data recorded basis (from 1st May-to-31st May 2021) after observing compliance masks, shields, personal protective gowns, gloves, sanitizers, maintaining 6 feet social distancing implanting triage at his or her counter. Any participant proper practice least sanitizer SOPs during duty hours outdoor patients department considered compliant individual if even minimum required has not practiced participant, he/she classified as non-compliant individual. checklist record findings every by collectors. Lastly, analyzed Microsoft Excel 2007 version. Results: are almost line set objectives, results showing Risk Ratio (RR) 0.27, indicating that intervention only 27% likely develop non-compliance compare non-intervention group. Discussion Conclusion: It recommended specific infection prevention control trainings, IEC BCC materials especially department. Moreover, audio Brahvi could really serve constant reminder tools an next patient queue present different infectious bug.