The evaluation design of accomplish: A multi-modal intervention package to improve hand hygiene compliance

Public health authorities have recognized lack of hand hygiene as one of the important causes of preventable mortality and morbidity at population level. The implementation strategy ACCOMPLISH (Actively Creating COMPLIance Saving Health) targets both individual and environmental determinants of hand hygiene. The package was developed in a stepwise behavioural appraoch to behaviour change and is based on the Theory of Planned Bahviour in combination with the Social Ecological Theory. Special attention has been paid to target the determinants of hand hygiene behaviour specific to physicians and nurses.