Table 2.
Weighted scores for the five elements of the Hand Hygiene Self-Assessment Framework (HHSAF) survey 2019, overall and stratified
| System Change | Training and Education | Evaluation and Feedback | Reminders in the Workplace | Institutional Safety Climate | Total score | ||
|---|---|---|---|---|---|---|---|
| Overall | 3165; 85 (55–100) | 3161; 75 (45–90) | 3137; 70 (40–85) | 3153; 70 (50–95) | 3102; 55 (35–75) | 3048; 350 (248–430) | |
| Region | |||||||
| Africa | 641; 70 (35–95) | 644; 60 (35–85) | 639; 55 (20–80) | 640; 60 (43–90) | 632; 55 (30–65) | 624; 292 (165–384) | |
| Eastern Mediterranean | 543; 90 (65–100) | 536; 80 (60–90) | 534; 75 (55–85) | 534; 90 (70–100) | 531; 65 (40–80) | 527; 388 (297–460) | |
| Europe | 649; 100 (80–100) | 647; 75 (60–90) | 643; 70 (50–85) | 646; 70 (58–85) | 642; 55 (40–71) | 635; 363 (305–413) | |
| Americas | 514; 75 (50–100) | 511; 70 (45–90) | 504; 70 (50–85) | 507; 63 (48–83) | 502; 55 (30–80) | 498; 330 (245–423) | |
| South East Asia | 72; 80 (45–85) | 71; 63 (25–70) | 71; 60 (30–85) | 71; 63 (22–87) | 70; 30 (10–75) | 70; 276 (157–411) | |
| Western Pacific | 746; 100 (55–100) | 752; 85 (55–100) | 746; 80 (55–95) | 755; 80 (65–90) | 725; 55 (50–80) | 694; 390 (303–440) | |
| Income level | |||||||
| Low income | 119; 45 (30–71) | 121; 40 (32–60) | 119; 33·8 (15–65) | 118; 50 (30–70) | 113; 50 (30–59) | 112; 233 (152–303) | |
| Lower-middle income | 747; 65 (40–91) | 752; 65 (40–85) | 747; 60 (20–80) | 756; 65 (40–85) | 738; 50 (25–65) | 708; 295 (184–375) | |
| Upper-middle income | 1220; 85 (55–100) | 1221; 75 (45–90) | 1211; 75 (50–90) | 1216; 77·5 (60–95) | 1209; 60 (35–85) | 1194; 366 (263–445) | |
| High income | 1079; 100 (85–100) | 1067; 85 (65–95) | 1060; 75 (55–90) | 1063; 75 (60–95) | 1042; 65 (45–85) | 1034; 395 (315–440) | |
| Nationally coordinated | |||||||
| Yes | 617; 75 (35–100) | 619; 65 (40–90) | 616; 55 (30–75) | 621; 62·5 (48–85) | 600; 40 (25–65) | 587; 300 (183–390) | |
| No | 2548; 85 (55–100) | 2542; 75 (50–90) | 2521; 72·5 (45–85) | 2532; 72·5 (50–95) | 2502; 60 (35–80) | 2461; 354 (255–433) | |
| Facility type | |||||||
| Private | 655; 100 (80–100) | 653; 80 (65–100) | 642; 80 (55–90) | 646; 80 (63–95) | 633; 65 (50–85) | 624; 395 (325–450) | |
| Public | 2390; 65 (40–95) | 2392; 60 (35–85) | 2381; 55 (25–80) | 2389; 60 (43–85) | 2354; 45 (25–65) | 2312; 280 (183–388) | |
| Other* | 120; 80 (55–100) | 116; 60·8 (55–80) | 114; 80 (60–85) | 118; 70 (54–95) | 115; 55 (50–80) | 112; 331 (287–424) | |
| Facility level | |||||||
| Primary | 1233; 85 (55–100) | 1235; 75 (45–90) | 1223; 70 (45–85) | 1230; 70 (50–95) | 1209; 55 (30–80) | 1179; 350 (255–433) | |
| Secondary | 891; 75 (45–100) | 895; 60 (35–90) | 888; 65 (25–83) | 891; 65 (47·5–85) | 874; 50 (35–70) | 865; 300 (193–398) | |
| Tertiary | 720; 85 (50–100) | 718; 75 (50–90) | 714; 65 (30–85) | 716; 70 (58–98) | 708; 60 (30–75) | 701; 350 (215–435) | |
| Other† | 321; 100 (75–100) | 313; 90 (60–100) | 312; 80 (58–85) | 316; 82·5 (65–95) | 311; 65 (55–80) | 303; 415 (323–435) | |
Data are n; weighted median (IQR). n includes per element all facilities that completed that survey part.
*
Includes mixed private and public facilities, mission hospitals, or unspecified.
†
Specialised centres (eg, cardiology, HIV, nephrology, neurology, oncology, obstetrics, plastic surgery, palliative care, rehabilitation, tuberculosis).