WHO Guidelines on Hand Hygiene in Health Care - Safe Care ...

<strong>WHO</strong> GUIDELINES ON HAND HYGIENE IN HEALTH CARE
Table IV.9.1
Framework for action (Cont.)
Step Actions/issues for consideration References <strong>WHO</strong> implementation tools
• Infrastructure and resources:
— Are national data available on the
economic cost of HCAI?
— Are national data available on likely costs
of a hand hygiene programme?
— Is there a HCAI national/local surveillance
system in place or anticipated?
— Is technical infection control expertise
available to coordinate the campaign?
— Are required products affordable/available
(soap and alcohol-based handrub)?
— Is national or donor funding available for
the short, medium or long-term?
— Are partnerships with commercial sectors
feasible?
— How feasible will it be to produce, adapt
and translate (where necessary) the <strong>WHO</strong>
implementation toolkit?
— How feasible will it be to produce the
<strong>WHO</strong> alcohol-based handrub formulation
nationally (if limited, affordable access to
commercial sector products)?
— Does the national infrastructure support
rapid spread of improvement?
Once a decision is made to run a national
programme, proceed to step 2
2. Identify roles and
responsibilities
Actions:
1. Establish a national task force, headed by an
influential, technically competent (in infection
control or patient safety) national lead and
deputy to coordinate and champion the
campaign (credibility of the messenger in
conveying scientific information to the target
audience is key)
2. Develop terms of reference for the task force
relating to implementation of hand hygiene
improvement programmes at local level, as
an integral part of national infection control
strategy
3. Task force membership should comprise
national safety and infection control
professionals and national bodies for infection
control
4. Task force membership should include ministry
of health officials concerned with infection
control/safety
5. Brief/sensitize a task force on all aspects of the
improvement, including local implementation
using the <strong>WHO</strong> Guide and technical and
advocacy toolkit
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• <strong>WHO</strong> <strong>Guidelines</strong> on Hand Hygiene in
Health Care
• <strong>WHO</strong> Guide to Implementation of the
multimodal strategy and associated
toolkit
• Regional advocacy guide on hand
hygiene
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