SAVE LIVES: Clean Your Hands - who.int

1 SAVE LIVES: Clean Your Hands WHO's Global Annual Campaign Advocacy Toolkit Health care-associated infection is such a big problem, we need to focus the world on something that is truly actionable and can save many, many lives. This action is hand hygiene, a flagship element of WHO's patient safety work. Dr Edward Kelley, Director, Service Delivery and Safety, WHO. Annual 5 May Campaign CONTENTS. Why the SAVE LIVES: Clean Your Hands ' campaign is important 3 This toolkit is aimed at all health care workers who plan to undertake hand hygiene campaign activities on or around 5 May every year. It Campaign objectives 4 provides a framework for advocacy, as well as guidance on how to Key message highlights 5 develop campaign materials at the local level. Call to action 6. WHO has been campaigning on hand hygiene since 2009, and develops new products and resources every year that can be used Join the campaign within health care settings to support local action.

2 How and when to get involved 8-9. Guidance on planning your campaign Make your campaign activities impactful 11. Example of a WHO campaign activity in 2016 12 Hand hygiene campaigning from WHO has helped us to get more people engaged in working towards a change in Creating campaign materials 13 mindset for a better patient safety culture. Types of campaign materials 14. Institute of Social Security, Mexico Legal use of WHO campaign materials 15. More information 16-17. Annual 5 May Campaign 2. WHY THE SAVE LIVES: Clean YOUR Hands '. CAMPAIGN IS IMPORTANT. Hand hygiene is not a luxury. Campaigning gives WHO an amazing opportunity to talk to a worldwide audience. Infection prevention and control (IPC), which includes hand hygiene, is fundamental to safe and effective health care systems. Hand hygiene is relevant to all health workers, patients and their families at every single health care encounter.

3 It contributes to quality universal health coverage, meeting Sustainable Development Goal (SDG) and also strongly supports the water, sanitation, hygiene and health (WASH) and global antimicrobial resistance (AMR) agendas. 5 May Approximately 70% of health Hand hygiene saves millions SAVE LIVES: Clean Your Almost 20 000 health You are invited to join the care workers and 50% of of lives every year when Hands ' is marked on 5 May facilities across nearly 180 campaign every year, to help surgical teams do not performed at the right times every year. countries worldwide (as of improve hand hygiene routinely practice hand in health care. May 2016) have joined the practices and raise hygiene. The campaign aims to highlight awareness of HAIs. campaign. However, sub-optimal infection the importance of hand hygiene Studies have shown that prevention precipitates the in health care, by bringing Health care facilities across Changes are needed at every practising routine hand hygiene spread of germs, including people together' in support of the world have run activities to health care encounter, to achieves a reduction in health those resistant to antibiotics.

4 Hand hygiene improvement support hand hygiene ensure hand hygiene is care-associated infections globally. improvement to ensure patient practised at the right times. To support health care (HAIs). and health worker safety. workers, WHO leads a global WHO marks this day each year Your commitment and energy WHO is committed to improving annual campaign on 5 May, by issuing tools and materials, WHO aims to support all are vital and key to keeping hand hygiene in health care, and working closely with key focused on a different theme, to countries to build on this this campaign successful for working with others to raise stakeholders to support support local activities. success and expand the reach many years to come. awareness to achieve action. improvements in IPC around further into the future. the world. Annual 5 May Campaign 3. CAMPAIGN OBJECTIVES. The following objectives will help explain your campaign work to others.

5 Aim to make hand hygiene Make meaningful engagement Inspire infection prevention Ensure hand hygiene a global priority, viewed as with all health workers (and and hand hygiene campaign recognition through an essential life-saving others) on hand hygiene and advocates in a range of continuity with a SAVE. action in the delivery of emphasize how their role plays clinical settings to support LIVES: Clean Your Hands '. safe, quality care. a part in improving patient sustained behaviour activity each year driving outcomes. change, aligning with the on-going engagement with campaign call to action. the use of campaign resources available on WHO. webpages. Annual 5 May Campaign 4. KEY MESSAGE HIGHLIGHTS. Health care-associated infections Hand hygiene campaigning HAIs, including surgical site infections (SSIs) and device (line) Each year, WHO identifies specific health care needs and proposes a associated infections , occur worldwide, affecting hundreds of theme' for targeted action to tackle the spread of avoidable infections .

6 Millions of patients annually. The rate of transmission in the health Hand hygiene campaigning as part of an IPC programme, in any care setting has led to increases in avoidable infections , which can setting, supports IPC and reduces an avoidable burden on health lead to death if not treated. systems. Around 5 million infections occur annually in European hospitals, The SAVE LIVES: Clean Your Hands ' campaign aims to maintain a representing an extra 25 million days in hospital and an economic global profile on the importance of hand hygiene in health care by burden of 13 24 billion. bringing people together' in support of hand hygiene improvement Approximately 70% of health care workers do not routinely practise globally. hand hygiene, with health workers reporting misunderstandings The campaign supports a social movement led by strong advocacy about the relevance and importance of hand hygiene in everyday across the world, helping to keep patients and health workers safe.

7 It clinical practice. is critical that advocates, IPC professionals and WHO continue to Evidence suggests that as little as 50% of surgical teams comply work together to promote and support the campaign's core agenda. with hand hygiene best practice throughout a surgical patient's WHO has celebrated 10 successful years of campaigning on hand hospital stay. hygiene. However, there are still many misconceptions about how SSIs are the most frequent type of infection in low-and middle- practising hand hygiene can impact the reduction of HAIs. income countries, with a pooled incidence of , compared to Commit to making hand hygiene an essential part of quality care by in developed countries. joining the campaign activities every year, as part of your facility's overall hand hygiene multimodal improvement strategy. Annual 5 May Campaign 5. CALL TO ACTION. Hand hygiene campaign advocates have achieved and can continue to achieve great things in support of WHO's call to action.

8 At the start of the year, WHO starts to disseminate information on the chosen theme for 5 May campaign activities. All patients continue to be at risk of HAIs, in particular SSIs and device(line or catheter)-associated infections . Without targeted action each year to maintain the profile of this life saving action, hospitals and health care facilities will continue to be at risk from avoidable infections . Health Workers can Health workers can: Health workers, when performing Policy-makers can: Patients and the general public key interventions known to can: follow evidence-based guidelines support and advocate for greater for hand hygiene. increase infection risks, can: monitoring of HAIs. talk to health workers about hand improve the prevention of infections practise hand hygiene whenever improve the control of infections hygiene. in all health care settings inserting, managing or removing an across all health services regulating visit the WHO website to see what throughout the patient's care intravenous (IV) line, urinary catheter and promoting hand hygiene action they can do to support patient journey by understanding and or endotracheal tube, as per the My 5 as per WHO recommendations.

9 Participation in hand hygiene best applying the WHO My 5 Moments Moments . make information widely available on practice. for Hand Hygiene'. These are practise safe surgical care, for the impact of HAIs, and encourage all critical life-saving actions for every example, for a post-operative wound health workers to play their part. day of the year. (WHO Moments 2 and 3 for Hand reward innovation and development improve IPC by championing hand Hygiene). of programmes to improve the hygiene best practice and educating knowledge, understanding and all health workers on the behaviour change related to hand importance of Clean Hands . hygiene best practice. Annual 5 May Campaign 6. JOIN THE CAMPAIGN. Thank you for pledging to safer patient care every year. We invite all of you to join us and to commit to on-going hand hygiene action. Let's make sure every health worker has safe Hands in health care.

10 Professor Didier Pittet, Director, Infection Prevention and Control Programme & WHO Collaborating Centre on Patient Safety, The University of Geneva Hospitals Annual 5 May Campaign HOW AND WHEN TO GET INVOLVED. HOW? WHEN? Sign up to the SAVE LIVES: Clean Your Hands ' campaign if you have not already done so, Any time. Health facilities can sign up to the WHO. and ask others to join the campaign as well. More information here: campaign any day of the year. Plan your activities early (including necessary budget), and confirm commitment from target At the start of each year. Keep target audiences audiences. informed of your activities and key date(s).. Commit to WHO's campaign theme, look out for regular updates and issue your own At the start of each year. Make sure you announce your information in the months leading up to the campaign. day (or week) of action, which should be on or around 5.