Clean Care is Safer Care

Countries or areas running hand hygiene campaigns


Philippines is actively in promoting hand hygiene in all the hospitals through Ministry of Health and Philippines Hospital Association.


  • Hand hygiene in Portugal
    The programme emphasizes monitoring health-care worker hand hygiene compliance before and after the implementation of the WHO multi-modal strategy.


Qatar has developed and implemented hand hygiene tools and protocols, with alcohol-based handrub being used in all hospitals, health-care centres and Ministry of Health buildings.

Republic of Korea

  • Campaign web site
    The Korean Ministry of Health and Welfare and Centers for Disease prevention and Control have run Hand Hygiene campaigns since 2005 in partnership with the Korean Medical Association. In order to improve awareness and compliance with hand hygiene, various programs have come into force including a media campaign, posters, hand hygiene play and game, animation video for education and a survey for the compliance and awareness of the general public.

Saudi Arabia

Saudi Arabia has achieved a significant increase in hand hygiene compliance. A strong education programme, widely diffused, has been crucial to this success.

Scotland, United Kingdom

  • Germs. Wash your hands of them.
    Scotland's National Hand Hygiene Campaign was launched in January 2007 and delivered by Health Protection Scotland on behalf of the Scottish Government Health and Social care Directorates. The main aim of the Campaign was to improve hand hygiene and reduce avoidable illness.
    From April 2011 the work of the campaign transferred from a dedicated project team into the Health Protection Scotland Infection Control Team. All materials produced by the National Hand Hygiene Campaign can be viewed in the resources section of the website. These will continue to be available in the coming months, and subject to annual review thereafter.


Programme National de Lutte contre les Infections Nosocomiales (PRONALIN)
Since 2004, Senegal has implemented a national programme to fight health care-associated infections, called PRONALIN. A national hand hygiene improvement programme is a significant element of this. It is being implemented at facility level with training and advocacy activities, including the participation in the celebration of the global day on hand hygiene promoted by WHO every 5 May. For 5 May 2012 PRONALIN is focusing on the scale up of the ABHR local production in all the hospitals in Senegal, through partnership with USAID. The scope of PRONALIN is also progressively expanding to other patient safety topics with the participation of a pilot hospital already involved in the WHO African Partnerships for Patient Safety programme.


The Serbian hand hygiene national campaign is named “Čiste ruke - bezbedne ruke“ and is coordinated by the National Committee for Healthcare-associated Infections. A range of WHO tools were translated and made available on the Ministry of Health web site. The HHSAF is used for national assessment.



The Sudanese hand hygiene campaign was launched in January 2009 with training and awareness-raising as its key components. The WHO alcohol-based handrub was distributed to all federal hospitals and its use monitored. In addition, hand hygiene posters in Arabic were distributed in all hospitals describing the hand hygiene technique and the “5 Moments for Hand Hygiene”.


The aim of the Swedish campaign is to halve the number of health care-associated infections by the end of 2009 compared to 2006.




A hand hygiene national campaign was launched by the Tunisian Ministry of Health in 2009. A range of WHO tools were translated and made available on the campaign’s official web page. Campaign hospitals participate in 5 May activities promoted by the Ministry of Health every year with the participation of all hospitals and regions.

United States of America

  • Grime Scene Investigators: South Carolina (GSI:SC)
    As a leader in the US, the South Carolina Hospital Association works with all 67 acute care member hospitals and 10 other healthcare groups using many WHO recommendations and tools including the 5 Moments. The Campaign has several partners covering both health care and educational institutions and involves the whole region of South Carolina.


Vietnam has national level coordination promoting hand hygiene and evaluations to understand state of progress.