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

PART IV. TOWARDS A GENERAL MODEL OF CAMPAIGNING FOR BETTER HAND HYGIENE – A NATIONAL APPROACH TO HAND HYGIENE IMPROVEMENT
Table IV.9.1
Framework for action (Cont.)
Step Actions/issues for consideration References <strong>WHO</strong> implementation tools
3. Develop a
framework for
monitoring and
evaluation
4. Establish
and strengthen
partnerships,
community
mobilization, and
the media
Considerations:
• What will the realistic deadline be for action?
• What realistic targets will be used (e.g.
reduction in infection, increase in compliance
and product usage)
• What parameters/baseline data are available to
measure the impact of the programme?
• Is there a system for accreditation and
regulation? How will the hand hygiene
improvement fit into this system?
Considerations:
• Which agencies/professional bodies,
coalitions, voluntary organizations, partners,
and nongovernmental organizations will be
involved?
• Will patient and public engagement feature in
the programme?
• How will marketers and the mass media be
involved to ensure local hygiene practices and
beliefs are taken into account?
• Will behavioural/industrial psychologists
be involved in the communications and
promotions activity to ensure alignment with
local culture?
1074,1075,1088
• <strong>WHO</strong> Guide to Implementation and
associated toolkit
• Evaluation tools (facility situation
analysis; hand hygiene compliance;
health care-associated infection
rates; soap consumption; alcoholbased
handrub consumption;
knowledge surveys; perception
surveys; ward structure surveys)
1072,1086,1098
• Regional Advocacy Guide for Hand
Hygiene Improvement Strategies
5. Implementation: National
Actions:
1. Prepare a national action plan, based on steps
1 to 4, including all issues raised in the <strong>WHO</strong>
Guide to Implementation
1074,1094
• Regional Advocacy Guide for Hand
Hygiene Improvement Strategies
• <strong>WHO</strong> Guide to Implementation
2. Establish a process for refining the plan in
response to learning during implementation
Considerations:
• Consider a national and sub-national meetings
for hospital directors, managers, and other key
decision-makers (for sensitization, awarenessraising,
and building commitment)
• Consider awareness-raising activities
from national to local: including preparing
communications/briefings to circulate to
hospitals presenting an outline of the strategy
and its benefits
• Develop and execute a plan to communicate
and implement the strategy
• How many and what type of facilities will be
involved?
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