What are the resources needed for achieving hand hygiene improvement according to the WHO multimodal strategy?
The WHO Multimodal Strategy for Hand Hygiene Improvement is a low-cost health-care intervention. Resources required will depend on the position occupied by the country or facility on the hand hygiene improvement continuum and on the sophistication of the chosen approach. In a situation where hand hygiene improvement has never before been addressed, and based on the minimum criteria for implementation contained within the Guide to Implementation, likely costs are as follows: • Human Resource • A responsible person to coordinate activity. This person should have a clinical background at a senior level and this can be incorporated within an existing role incurring no up-front cost; however, a dedicated person is preferable. • Start-up costs • Alcohol-based handrub • Point-of-care handrub varies in cost and availability. • If commercial product is available, the cheapest product, which complies with international standards, should be sourced. The product should be well tolerated and accept
