Apropriate hand hygiene before patient contact is a fundamental tool for the prevention of cross-transmited infections. In aim to improve HH among HCWs, IMHHA was implemented from January 2014 in University Clinic for Neprhology in Skopje. An observational, interventional, prospective study was conducted from the same time, and follow up in next six months. The IMHHA includes following elements: administrative support, supplies
availability, education and training, reminders in workplaces, process surveillances and performance feedback. Training was provided at the beginig of each month, poster reminders with 5 step-procedure of proper HH were displayed around hospital settings. HH practice was monitored by an observers without awarness of HCWs respecting “Five moments for HH” by WHO (sex, professional category, work shift, type of contact, type of ICU). Study achived 100% administrative support and educated HCWs. According the results study there was a
higher compliance, in nurses v.s. medical doctors, an invasive contact v.s. non-invasive contact and morning shift versus afternoon and evening shift. There was no significant difference in compliance in females v.s. males
