impact of six multimodal country-wide campaigns to promote hand hygiene in belgian hospitals

Six campaigns sponsored by the Belgian federal government were organized to promote hand hygiene(HH) in Belgian hospitals between 2005 and 2015. The campaigns combined educational sessions for healthcare workers (HCWs), promotion of alcohol-based hand rubs, patient awareness and audits with performance feedback. Each campaign consisted of a pre-campaign data collection period, an awareness period with training and a post-campaign data collection period.