Abstract
Background: Hand hygiene (HH) is a fundamental and effective measure in preventing healthcare-associated infections (HAIs). Despite well-established guidelines, compliance among healthcare providers often remains suboptimal, particularly in high-risk clinical settings.
Objective: To evaluate and improve hand hygiene compliance among doctors, nurses, and other healthcare workers (HCWs) in the AICU, Labour Room, and PICU of DRPGMC Hospital, Kangra at Tanda (H.P).
Methods: This observational study was conducted over one year, from January to December 2022. An Infection Control Nurse (ICN) observed 20 hand hygiene opportunities per day in each ward during 6-hour sessions. Compliance was recorded based on WHO’s “Five Moments for Hand Hygiene” criteria. Quarterly trends were analyzed across different categories of healthcare workers.
Results: Initial compliance in the January–March quarter was 50% for doctors, 51% for nurses, and 40.6% for HCWs. A gradual improvement was seen throughout the year, peaking in October–December at 55%, 57%, and 47% for doctors, nurses, and HCWs, respectively. Nurses consistently showed the highest compliance across all quarters.
Conclusion: The study demonstrated a positive trend in hand hygiene compliance across all healthcare worker categories. Regular monitoring, targeted interventions, and continuous training are essential for sustaining high compliance and reducing the risk of HAIs.