Guidelines on hand hygiene in community settings
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guide Oct 2025 ; 78 pages
Ed. UNICEF - New York WHO - Genève
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Résumé:
Ces lignes directrices portent sur la pratique de l'hygiène des mains afin de protéger la santé de la communauté, en particulier la réduction des maladies diarrhéiques et des infections respiratoires aiguës. L'accent y est mis sur l'hygiène des mains au niveau domestique et dans les lieux publics ou institutionnels.
Ces lignes directrices sont destinées à être utilisées dans le cadre d'un système de santé ordinaire afin d'améliorer la santé de la population, ainsi que lors de situations d'urgence sanitaire, dans le cadre de stratégies d'intervention plus larges.
Ces nouvelles directives offrent une approche unifiée pour aborder la politique d'hygiène des mains dans les milieux communautaires, que les institutions peuvent utiliser pour soutenir les individus et encourager des changements de comportement en matière d'hygiène, en mettant en œuvre des stratégies pratiques qui favorisent le lavage régulier des mains aux moments clés de risque. Abstract:
These Guidelines are concerned with the practice of hand hygiene to protect community health outcomes, in particular, the reduction of diarrhoeal diseases and acute respiratory infections. The focus is on hand hygiene in domestic (households), public and institutional settings.
The Guidelines are intended for use in a routine health system context to improve population health, and also during health emergencies, as part of broader response strategies. Contents:
1. Introduction 1
1.1 Background 1
1.2 Purpose, target audience and scope 3
1.2.1 Purpose 3
1.2.2 Target audience 3
1.2.3 Scope 3
1.3 Guiding principles 5
1.4 Structure 6
2. Hand hygiene in community settings for public health: a government responsibility 7
2.1 Recommendation 1: policy, legal, regulatory and fiscal measures to promote hand hygiene 7
2.2 Remarks 7
2.2.1 An important public health measure 7
2.2.2 Government responsibility 8
2.2.3 Promotion 9
2.3 Rationale 9
3. Effective hand hygiene 10
3.1 Recommendation 2: effective materials, technique and key times for practising hand hygiene in community settings 10
3.2 Remarks 10
3.2.1 Hand hygiene materials 10
3.2.2 Technique 11
3.2.3 Key times 12
3.3 Rationale 13
3.3.1 Hand hygiene materials 13
3.3.2 Technique 14
3.3.3 Key times 14
4. Core requirements for hand hygiene in community settings 15
4.1 Recommendation 3: core requirements for practising hand hygiene in community settings 15
4.2 Remarks 15
4.2.1 Core requirement (a): Minimum material needs 17
4.2.2 Core requirement (b): Information on why, when and how to clean hands. 19
4.2.3 Core requirement (c): A conducive environment 21
4.3 Rationale 25
4.3.1 Identifying the core requirements for hand hygiene in community settings 25
4.3.2 Defining the core requirements 26
5. Government measures to strengthen hand hygiene systems: implementation guidance 27
5.1 Framework for a system to deliver core requirements for hand hygiene 27
5.1.1 Services 29
5.1.2 Enabling environment 29
5.1.3 Institutional and structural factors 31
5.2 System actors and their roles and responsibilities 32
5.2.1 Local administration 32
5.2.2 Service providers 33
5.3 Integration of hand hygiene within related policy areas 36
6. Methods used for developing these Guidelines 37
6.1 Contributors and management of conflicts of interest 37
6.1.1 Guideline Steering Committee 37
6.1.2 Guideline Development Group 37
6.1.3 Systematic review team 38
6.1.4 Guideline methodologist 38
6.1.5 Champion Country Working Group 38
6.1.6 Product Design and Impact team 38
6.1.7 External review group 38
6.1.8 Management of conflicts of interest 38
6.2 Recommendation development process 39
6.2.1 Scoping and question formulation 39
6.2.2 Evidence retrieval, assessment and synthesis 40
6.2.3 Evidence grading 42
6.2.4 EtD framework 42
6.2.5 GDG meetings 43
6.3 Implementation guidance development process 45
6.3.1 Scoping 45
6.3.2 Evidence retrieval and synthesis 45
7. Research needs 46
References 47
Annex 1. Key questions and outcomes for the recommendations 53
Annex 2. Systematic reviews 58
Annex 3. GDG judgements related to the recommendations 60
Annex 4. Recommendation strength and quality of evidence 61
Web annex. Evidence to Decision Tables
Guidelines on Hand Hygiene in Community Settings v
Mot clef: |
Editeurs/Diffuseurs: |
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UNICEF - New York - Etats Unis |
WHO
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World Health Organization - Genève - Suisse |
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