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Table 2 Knowledge about Hand Hygiene Key Principles: Pre- and Post-Course Evaluation among Train-The-Trainers Participants by Country and Regions

From: Train-the-Trainers in hand hygiene: a standardized approach to guide education in infection prevention and control

Country

Sample size

Percentage (Pre)

Percentage (Post)

z-score

P-value

Knowledge

 Thailand

53

62.70%

77.90%

3.059

0.002

 Malaysia

81

48.40%

65.30%

4.344

0

 Spain

21

84.50%

90.10%

1.07

0.285

 Iran

36

72.90%

87.10%

2.638

0.008

 South Africa

30

60.60%

83.40%

3.885

0

 Mexico (Puebla)

35

54.40%

79.40%

3.806

0

 Mexico (Jalisco)

49

49.50%

70.20%

4.226

0

Hand hygiene WHO methodology

 Thailand

53

52.50%

77.50%

4.688

0

 Malaysia

81

61.80%

89.10%

5.635

0

 Spain

21

71.90%

93.80%

2.07

0.038

 Iran

36

76.90%

94.60%

2.884

0.004

 South Africa

30

48.00%

69.70%

2.414

0.016

 Mexico (Puebla)

35

65.70%

88.30%

3.22

0.001

 Mexico (Jalisco)

49

55.90%

77.60%

3.186

0.001

Clinical Scenarios

 Thailand

53

33.80%

52.90%

5.114

0

 Malaysia

81

43.90%

67.20%

5.083

0

 Spain

21

61.90%

71.40%

0.655

0.516

 Iran

36

44.60%

65.10%

2.744

0.006

 South Africa

30

23.30%

30.80%

0.826

0.407

 Mexico (Puebla)

35

37.10%

55.00%

2.203

0.028

 Mexico (Jalisco)

49

25.20%

51.40%

4.676

0

  1. Footnote: Pre- and post-course percentages of correct answers on three sections of the questionnaire 1) Knowledge about microbial transmission, healthcare-associated infections and key principles for hand hygiene best practices, 2) WHO methodology for hand hygiene observation, 3) clinical scenarios based on My 5 Moments for Hand Hygiene