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Introduction: Hand hygiene (HH) compliance with World Health Organization (WHO) guidelines is essential to prevent bacterial transmission and infections acquired from hospital settings.

Aim: The aim of this study was to evaluate the impact of training tool of World Health Organization's (WHOs) Hand Hygiene multi modal campaign at all public hospitals and at the University Clinical Center in Kosovo (UCCK).

Method: During February 2016, 691 questionnaires were distributed to health care workers.

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