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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