Skip to main content

Table 1 Details of the activities corresponding to the five strategy components implemented each year

From: The effect of a 5-year hand hygiene initiative based on the WHO multimodal hand hygiene improvement strategy: an interrupted time-series study

  Activities of the initiative Year 1 Year 2 Year 3 Year 4 Year 5
Component 1 Distribution of personal shoulder bags for ABHR bottles × × × × ×
Automatic ABHR dispensers at the door of each room   × × × ×
Forms of ABHR (gel, foam, aroma, etc.)   × × × ×
Hand moisturizer     × ×
Component 2 HH leader training sessions ×     
WHO HH guidelines and tool kits in all computers × × × × ×
Regular HH training sessions for all staff × × ×   
Mandatory HH training sessions for all staff     × ×
Original HH training video made by the ICT & ICMs   × × × ×
E-learning using the original training video    × × ×
On-the-job direct observation training for ICMs & LNs    × × ×
Hands on training sessions      ×
Component 3 ABHR consumption monitoring by the ICT (monthly) × × × × ×
ABHR consumption monitoring by LNs of each ward   × × × ×
Personal ABHR consumption monitoring by LNs     × ×
HH events per day survey by LNs × × × × ×
Direct observation by the ICT (twice a year per ward) × × × × ×
Direct observation by LNs    × × ×
Perception survey for senior executive managers ×     
Perception survey for all staff ×    ×  
Knowledge survey for all staff ×   ×   
Component 4 5 Moments reminders on ABHR bottles × × × × ×
HH procedure posters × × × × ×
Posters for each HH campaign   × × × ×
5 Moments posters with hand drawn pictures    × × ×
Hand rub procedure reminders with hand drawn pictures      ×
Reminders made by LNs for each ward      ×
Component 5 Letter to the director ×     
Letters to the head of each department and ward ×     
Assignment of ICMs as HH champions × × × × ×
Selection of “HH masters” as role models    × × ×
HH campaign twice a year (May & October) × × × × ×
Campaign poster with a picture of the director    × × ×
Campaign poster with a picture of the staff members     × ×
Institutional target × × × × ×
Presentation sessions to share activities on HH    × × ×
Newsletters with issues on HH    × × ×
Inclusion of HH as part of the buddy training system      ×
  1. ABHR alcohol-based hand rub, Component 1 System Change, Component 2 Training and Education, Component 3 Evaluation and Feedback, Component 4 Reminders in the Workplace, Component 5 Institutional Safety Climate for Hand Hygiene, HH hand hygiene, ICT infection control team, ICM infection control manager, LN link nurse