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2. <strong>Hand</strong> <strong>hygiene</strong> as a quality indicator for patient safety .........105<br />

3. Cost–effectiveness of hand <strong>hygiene</strong> .......................107<br />

3.1 Financial strategies to support national programmes .........110<br />

PART IV. PROMOTING HAND HYGIENE ON A LARGE SCALE ...........111<br />

1. Countrywide issues ...................................111<br />

2. The National Patient Safety Agency “cleanyourhands” campaign 112<br />

3. Benefits of national programmes .........................112<br />

4. Risk management .....................................113<br />

5. Barriers to national programmes .........................114<br />

6. Principles of countrywide hand <strong>hygiene</strong> improvement ........115<br />

PART V. PROVIDING INFORMATION TO THE PUBLIC ................117<br />

1. The importance of informing the public ....................117<br />

2. Documenting public information campaigns ................117<br />

3. Examples of WHO public information campaigns ............118<br />

4. Examples of national public information campaigns ..........118<br />

5. The public information component of national campaigns<br />

to prevent health care-associated infection .................119<br />

6. Documenting lessons learnt .............................120<br />

REFERENCES .................................................123<br />

TABLES ......................................................155<br />

APPENDICES .................................................191<br />

1. Definitions of health-care settings and other related terms .....193<br />

2.<strong>Hand</strong> and skin self-assessment tool ........................195<br />

3. Example of a spreadsheet to estimate costs .................197<br />

ABBREVIATIONS ..............................................201<br />

ACKNOWLEDGEMENTS ........................................205

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