Clean Care is Safer Care

Tools for evaluation and feedback

Evaluation of hand hygiene practices and related perception and knowledge at a health-care facility is one vital element of the strategy to improve hand hygiene. Continuous monitoring is very helpful in measuring the changes induced by implementation and to ensure that the interventions have been effective in improving hand hygiene practices, perception and knowledge among health-care workers.

Key tools

Guide to Implementation of the WHO Multimodal Hand Hygiene Improvement Strategy (revised August 2009)
Guide to implementation cover image

Access this complete guide to initiating a hand hygiene improvement strategy and how to use the other tools.

Template Action Plan
Template Action Plan cover image

A guide to help you create an Action Plan specific for your health-care facility

Tools for evaluation and feedback

Hand Hygiene Technical Reference Manual

A manual to train health-care workers on practising, teaching and observing hand hygiene.

Observation Form (revised August 2009)

A form to complete when monitoring hand hygiene.

Ward Infrastructure Survey (revised August 2009)

To collect data about structures and resources at ward level.

Soap/Handrub Consumption Survey (revised August 2009)

To capture data on usage of hand hygiene resources.

Perception Survey for Health-Care Workers (revised August 2009)

To assess perceptions of health care-associated infection and hand hygiene.

Perception Survey for Senior Managers (revised August 2009)

To assess perceptions of health care-associated infection and hand hygiene.

Hand Hygiene Knowledge Questionnaire for Health-Care Workers (revised August 2009)

To assess knowledge on the essential aspects of hand hygiene.

Protocol for Evaluation of Tolerability and Acceptability of Alcohol-based Handrub in Use or Planned to be Introduced: Method 1 (revised August 2009)

To evaluate alcohol-based handrub usage and the skin condition following use.

Protocol for Evaluation and Comparison of Tolerability and Acceptability of Different Alcohol-based Handrubs: Method 2 (revised August 2009)

To compare the acceptability of different alcohol-based handrubs.

Data Entry Analysis Tools

The data entry analysis tools, instructions and data summary report framework are all inherently linked to the evaluation tools presented here as they provide helpful support in generating and presenting results electronically. These can therefore be used all together or the evaluation tools can be used alone, with data analysis and presentation managed at the local level.

NB: Those using old (pre-5 May 2009) versions of the evaluation tools will not now be able to use these in conjunction with the revised data analysis tools. We encourage you to use the most up-to-date versions of our tools.

Instructions for Data Entry and Analysis

Instructions for data-entry and data-analysis using Epi Info™

Data Summary Report Framework (revised October 2009)

Examples of how best to present the results of the surveys performed during the evaluation phases of the implementation of the hand hygiene improvement strategy.

Key documents

Hand hygiene guidelines cover

WHO Guidelines on Hand Hygiene in Health Care (revised Aug 2009)

Guide to implementation of the WHO multimodal hand hygiene improvement strategy (revised Aug 2009)

Videos and podcasts

Contact us

For more information about Clean Care is Safer Care, please contact the team at savelives@who.int.