Introduction
The year 2010 has been very prolific in Tunisia with regard to educational materials and training on hand hygiene: brochures, pamphlets, fact sheets, slide shows, quizzes, ... All these documents were developed by teams of volunteers and designed inspired by the WHO documentation issued in 2009 (adoption after adaptation). They were gathered in a toolbox hand hygiene. The Department of Hygiene Bizerte participated in enriching the content of this toolkit for the development of a CD-ROM training and knowledge assessment of hand hygiene.