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Train-the-Trainers in hand hygiene facilitate the implementation of the WHO hand hygiene multimodal improvement strategy in Japan: evidence for the role of local trainers, adaptation, and sustainability.

Antimicrob Resist Infect Control · 2023 · PMC10250848 · PMID 37296481

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Such HHSAF improvement did not reach statistical significance possibly due to the small number of facilities (N = 13); however, our findings strongly suggest trainers’ strong dedication to hand hygiene promotion at their own facilities.

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