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. 2022 Jun;22(6):835–844. doi: 10.1016/S1473-3099(21)00618-6

Table 3.

Association between the overall score for the Hand Hygiene Self-Assessment Framework (HHSAF) survey 2019 and country and health-care facility characteristics by generalised estimating equation; country was included as cluster and post-stratification weights were applied

Coefficient (95% CI) p value
World Bank Income level (ref high)
Upper-middle income −20·0 (−69·4 to 29·4) 0·42
Lower-middle income −75·7 (−134·6 to −16·7) 0·012
Low income −137·9 (−195·9 to −79·9) <0·0001
WHO region (ref Africa)
Americas −11·5 (−74·4 to 51·3) 0·72
Eastern Mediterranean 13·8 (−41·6 to 69·2) 0·63
Europe −30·1 (−97·8 to 37·7) 0·39
South East Asia −45·5 (−121·2 to 30·2) 0·24
Western Pacific 10·5 (−55·2 to 76·3) 0·75
Nationally coordinated data collection (ref no)
Yes −18·4 (−49·5 to 12·8) 0·25
Facility level (ref primary)
Secondary −33·2 (−85·0 to 18·6) 0·21
Tertiary 0·00 (−51·7 to 51·7) 1·00
Other* 12·8 (−12·9 to 38·5) 0·33
Type of facility (ref public)
Private 79·6 (44·0 to 115·1) 0·0001
Other 61·9 (18·0 to 105·7) 0·0057

Only includes complete surveys (n=3048).

*

This includes mixed private-public facilities, mission hospitals, or unspecified.

Specialised centres (eg, cardiology, HIV, nephrology, neurology, oncology, obstetrics, plastic surgery, palliative care, rehabilitation, tuberculosis).