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537 Results Found

  • Article
  • Open Access
9 Citations
4,525 Views
9 Pages

Hand Hygiene Habits of Ghanaian Youths in Accra

  • Timothy B. Oppong,
  • Haiyan Yang,
  • Cecilia Amponsem-Boateng and
  • Guangcai Duan

The human palm has been identified as one of the richest habitats for human microbial accommodation making hand hygiene essential to primary prevention of infection. Since the hand is in constant contact with fomites which have been proven to be most...

  • Article
  • Open Access
8 Citations
4,978 Views
17 Pages

15 September 2023

Hand hygiene serves as a critical preventative measure against the spread of acquired infections in healthcare facilities and is an integral component of patient safety programs. While healthcare students in training are typically introduced to the p...

  • Review
  • Open Access
10 Citations
9,771 Views
17 Pages

Hand Sanitizer Gels: Classification, Challenges, and the Future of Multipurpose Hand Hygiene Products

  • Yilei Ma,
  • Jia Yi,
  • Jiahui Ma,
  • Haiyang Yu,
  • Li Luo,
  • Wei Wu,
  • Libo Jin,
  • Qinsi Yang,
  • Ting Lou and
  • Da Sun
  • + 1 author

10 August 2023

Hand hygiene is a crucial measure in the prevention and control of infections, and there is a growing awareness among individuals who are making a conscious effort to maintain hand cleanliness. With the advent of the SARS-CoV-2 outbreak, the demand f...

  • Review
  • Open Access
1 Citations
2,695 Views
10 Pages

Mobile Applications for Learning Hand Hygiene: A Comparative Analysis

  • Dominika Muršec,
  • Adrijana Svenšek,
  • Lucija Gosak,
  • Sonja Šostar Turk,
  • Urška Rozman,
  • Gregor Štiglic and
  • Mateja Lorber

6 August 2024

Infection control is crucial for high-quality patient care. One of the most effective and commonly used infection control procedures is hand hygiene which, it is known, requires repeated refresher training. There are many ways to educate healthcare p...

  • Article
  • Open Access
8 Citations
3,976 Views
13 Pages

Establishing a Learning Model for Correct Hand Hygiene Technique in a NICU

  • Irén A. Kopcsóné Németh,
  • Csaba Nádor,
  • László Szilágyi,
  • Ákos Lehotsky and
  • Tamás Haidegger

22 July 2022

The ability of healthcare workers to learn proper hand hygiene has been an understudied area of research. Generally, hand hygiene skills are regarded as a key contributor to reduce critical infections and healthcare-associated infections. In a clinic...

  • Article
  • Open Access
9 Citations
5,455 Views
11 Pages

Hand Hygiene Compliance at Two Tertiary Hospitals in Freetown, Sierra Leone, in 2021: A Cross-Sectional Study

  • Gladys Nanilla Kamara,
  • Stephen Sevalie,
  • Bailah Molleh,
  • Zikan Koroma,
  • Christiana Kallon,
  • Anna Maruta,
  • Ibrahim Franklyn Kamara,
  • Joseph Sam Kanu,
  • Julian S. O. Campbell and
  • Hemant Deepak Shewade
  • + 2 authors

Hand hygiene actions are essential to reduce healthcare-associated infections and the development of antimicrobial resistance. In this cross-sectional study at two tertiary hospitals, Freetown, Sierra Leone, we observed hand hygiene compliance (defin...

  • Article
  • Open Access
1 Citations
5,965 Views
9 Pages

Observational Study of Hand Hygiene Compliance at a Trauma Hospital in Iraqi Kurdistan

  • Ines Moued,
  • Rawand M. Haweizy,
  • Lawand S. Miran,
  • Mustafa G. Mohammed,
  • Johan von Schreeb and
  • Andreas Älgå

22 November 2021

Healthcare-associated infections, commonly caused by poor hand hygiene, represent a significant source of disease and economic burden for healthcare systems, especially those in resource-limited settings. The few existing studies on hand hygiene comp...

  • Article
  • Open Access
6 Citations
7,273 Views
16 Pages

Barriers and Opportunities for Sustainable Hand Hygiene Interventions in Rural Liberian Hospitals

  • Lucy K. Tantum,
  • John R. Gilstad,
  • Fatorma K. Bolay,
  • Lily M. Horng,
  • Alpha D. Simpson,
  • Andrew G. Letizia,
  • Ashley R. Styczynski,
  • Stephen P. Luby and
  • Ronan F. Arthur

Hand hygiene is central to hospital infection control. During the 2014–2016 West Africa Ebola virus disease epidemic in Liberia, gaps in hand hygiene infrastructure and health worker training contributed to hospital-based Ebola transmission. Hand hyg...

  • Proceeding Paper
  • Open Access
2,525 Views
4 Pages

Hand Hygiene among Paediatric Nurses: Evaluation of Practices and Intervention Perspective

  • Júlia Neto,
  • Paula Campos,
  • Francisco Mendes and
  • Celeste Bastos

Hand hygiene is a simple and effective measure to stop the cross-transmission of infectious microorganisms. Hospitalized children are a vulnerable group to infections, and hand hygiene by health professionals ensures safer care. This study aimed to e...

  • Article
  • Open Access
21 Citations
9,594 Views
10 Pages

Background: In 2009, the National Hand Hygiene Initiative (NHHI) was implemented in hospitals across Australia with the aim of improving hand hygiene practices and reducing healthcare-associated infections. Audits conducted post-implementation showed...

  • Article
  • Open Access
2 Citations
1,989 Views
11 Pages

“I Know What I Have to Do, but I Don’t Do It”: The Relationship Between Knowledge and Adherence to Hand Hygiene in Healthcare Settings

  • Joana Silva,
  • Cristina Antunes,
  • Samanta Batista,
  • José Braga,
  • Angélica Gomes,
  • Rosa Guedes,
  • Anabela Barbosa,
  • Pedro Forte and
  • Cristina Imaginário

28 February 2025

Objective: This study aims to analyze the correlation between healthcare professionals’ knowledge of hand hygiene protocols and their actual adherence to these practices. Specifically, we investigate whether higher knowledge levels correspond t...

  • Article
  • Open Access
1 Citations
1,742 Views
15 Pages

The Influence of Improved Access to Alcohol-Based Hand Rub and Hand Hygiene Training in Healthcare Facilities on Hand Hygiene Adherence in Belize During COVID-19: June 2021–August 2022

  • Kelsey McDavid,
  • Anh N. Ly,
  • Nicholas Bivens,
  • Francis Morey,
  • Gerhaldine Morazan,
  • Russell Manzanero,
  • Melissa Musa-Diaz,
  • Alexandra Medley,
  • Kristy O. Murray and
  • Matthew J. Lozier

Access to hand hygiene (HH) resources in clinical settings is important to prevent healthcare-associated infections, including COVID-19. However, many countries, including Belize, have limited national data on the availability of HH resources and hea...

  • Article
  • Open Access
1,577 Views
12 Pages

A Quasi-Experimental Pre-Post Assessment of Hand Hygiene Practices and Hand Dirtiness Following a School-Based Educational Campaign

  • Michelle M. Pieters,
  • Natalie Fahsen,
  • Christiana Hug,
  • Kanako Ishida,
  • Celia Cordon-Rosales and
  • Matthew J. Lozier

Hand hygiene (HH) is essential for preventing disease transmission, particularly in schools where children are in close contact with other children. This study evaluated a school-based intervention on observed HH practices and hand cleanliness in six...

  • Article
  • Open Access
8 Citations
4,919 Views
11 Pages

Effect of Hand Hygiene Intervention in Community Kindergartens: A Quasi-Experimental Study

  • Shiyang Wu,
  • Richard Szewei Wang,
  • Yu-Ni Huang,
  • Thomas T. H. Wan,
  • Tao-Hsin Tung and
  • Bing-Long Wang

This study aimed to evaluate the effect of hand hygiene interventions on the overall hand hygiene (HH) status of teaching instruction of hand hygiene in kindergartens, given the vulnerability of kindergarten children and their high risk due to infect...

  • Article
  • Open Access
14 Citations
4,417 Views
14 Pages

How Well Are Hand Hygiene Practices and Promotion Implemented in Sierra Leone? A Cross-Sectional Study in 13 Public Hospitals

  • Sulaiman Lakoh,
  • Anna Maruta,
  • Christiana Kallon,
  • Gibrilla F. Deen,
  • James B. W. Russell,
  • Bobson Derrick Fofanah,
  • Ibrahim Franklyn Kamara,
  • Joseph Sam Kanu,
  • Dauda Kamara and
  • Bailah Molleh
  • + 5 authors

Healthcare-associated infections (HAIs) result in millions of avoidable deaths or prolonged lengths of stay in hospitals and cause huge economic loss to health systems and communities. Primarily, HAIs spread through the hands of healthcare workers, s...

  • Article
  • Open Access
3 Citations
3,277 Views
14 Pages

Have Hand Hygiene Practices in Two Tertiary Care Hospitals, Freetown, Sierra Leone, Improved in 2023 following Operational Research in 2021?

  • Matilda Mattu Moiwo,
  • Gladys Nanilla Kamara,
  • Dauda Kamara,
  • Ibrahim Franklyn Kamara,
  • Stephen Sevalie,
  • Zikan Koroma,
  • Kadijatu Nabie Kamara,
  • Matilda N. Kamara,
  • Rugiatu Z. Kamara and
  • Satta Sylvia Theresa Kumba Kpagoi
  • + 8 authors

In 2021, an operational research study in two tertiary hospitals in Freetown showed poor hand hygiene compliance. Recommended actions were taken to improve the situation. Between February–April 2023, a cross-sectional study was conducted in the...

  • Review
  • Open Access
54 Citations
34,176 Views
13 Pages

Hand Hygiene Teaching Strategies among Nursing Staff: A Systematic Review

  • María B. Martos-Cabrera,
  • Emilio Mota-Romero,
  • Raúl Martos-García,
  • José L. Gómez-Urquiza,
  • Nora Suleiman-Martos,
  • Luis Albendín-García and
  • Guillermo A. Cañadas-De la Fuente

Background: Patient safety is a priority of any healthcare system, and one of the most effective measures is hand hygiene. For this, it is important that health staff have correct adherence and perform the technique properly. Otherwise, the incidence...

  • Article
  • Open Access
5 Citations
7,340 Views
15 Pages

Early childhood is a formative period during which healthy habits are developed, including proper hand hygiene practices. The aim of this quasi-experimental study was to determine the effectiveness of a 4-week series of educational sessions that cons...

  • Article
  • Open Access
10 Citations
5,009 Views
11 Pages

Healthcare associated infections (HAIs) are a burden in many countries especially low-income countries due to poor hand hygiene practices in the healthcare settings. Proper hand hygiene in the healthcare setting is an effective way of preventing and...

  • Article
  • Open Access
13 Citations
5,440 Views
15 Pages

Background: Teaching nursing students how to correctly perform hand hygiene procedures may guarantee a reduction in transmitting pathogens through direct contact and, thus, it may lead to a decrease in the number of hospital infections. The aim of th...

  • Article
  • Open Access
1 Citations
3,069 Views
13 Pages

Hand Hygiene Practices and Promotion in Public Hospitals in Western Sierra Leone: Changes Following Operational Research in 2021

  • Matilda N. Kamara,
  • Sulaiman Lakoh,
  • Christiana Kallon,
  • Joseph Sam Kanu,
  • Rugiatu Z. Kamara,
  • Ibrahim Franklyn Kamara,
  • Matilda Mattu Moiwo,
  • Satta S. T. K. Kpagoi,
  • Olukemi Adekanmbi and
  • Marcel Manzi
  • + 2 authors

Hand hygiene is the most important intervention for preventing healthcare-associated infections and can reduce preventable morbidity and mortality. We described the changes in hand hygiene practices and promotion in 13 public hospitals (six secondary...

  • Article
  • Open Access
1 Citations
4,197 Views
10 Pages

Hand hygiene is the most effective strategy to prevent infectious diseases. This study investigated and compared the hand hygiene practices of adults with diabetes and an age- and gender-matched comparison group. Adults with diabetes (n = 22,920) who...

  • Article
  • Open Access
17 Citations
8,717 Views
12 Pages

Background: Most research on hand hygiene compliance in community settings indicates that compliance is poor. It is not conclusive as to whether poster interventions are effective at improving compliance. Methods: An independent, self-designed poster...

  • Article
  • Open Access
1 Citations
2,959 Views
12 Pages

Evaluation of a Video-Based Concept for Hand Hygiene Education of Parents in a Neonatal Intensive Care Unit

  • Judith Rittenschober-Böhm,
  • Johanna Strassl,
  • Maria Kletecka-Pulker,
  • Péter Szerémy,
  • Tamás Haidegger,
  • Tamás Ferenci,
  • Angelika Berger and
  • Michael Wagner

4 September 2024

Background: Current clinical guidelines support family-centered care in Neonatal Intensive Care Units (NICUs). This implies parents should also be involved in the most critical patient safety measures. Hand hygiene is the single most important tool t...

  • Article
  • Open Access
15 Citations
8,672 Views
14 Pages

Global Variation in Hand Hygiene Practices Among Adolescents: The Role of Family and School-Level Factors

  • Santosh Jatrana,
  • Md. Mehedi Hasan,
  • Abdullah A. Mamun and
  • Yaqoot Fatima

While appropriate hand hygiene practices (HHP) are protective against infections, the paucity of evidence on global estimates and determinants of HHP in adolescents limits effective design and planning of intervention to improve HHP in young people....

  • Article
  • Open Access
3 Citations
6,411 Views
13 Pages

SafeHANDS: A Multimodal Hand Hygiene Intervention in a Resource-Limited Neonatal Unit

  • Angela Dramowski,
  • Louisa M. Erasmus,
  • Marina Aucamp,
  • Aaqilah Fataar,
  • Mark F. Cotton,
  • Susan E. Coffin,
  • Adrie Bekker and
  • Andrew C. Whitelaw

Background: Hand hygiene (HH) is a cornerstone of programmes to prevent healthcare associated infections (HAI) globally, but HH interventions are seldom reported from African neonatal units. Methods: We conducted a quasi-experimental study evaluating...

  • Article
  • Open Access
7,772 Views
14 Pages

8 October 2024

Background: Hands are critical vectors for microorganisms that cause healthcare-associated infections (HAIs). Hand hygiene, being done the right way, at the right time, and being given the right priority in a healthcare setting is an effective strate...

  • Article
  • Open Access
23 Citations
10,529 Views
9 Pages

Comparison of Perceived and Observed Hand Hygiene Compliance in Healthcare Workers in MERS-CoV Endemic Regions

  • Modhi Alshammari,
  • Kelly A. Reynolds,
  • Marc Verhougstraete and
  • Mary Kay O’Rourke

This study investigated healthcare workers’ perceptions of hand hygiene practices by comparing personal reports, as assessed by questionnaires, to direct observations of the workers’ hand hygiene practices. The study employed a cross-sectional resear...

  • Article
  • Open Access
6 Citations
3,171 Views
12 Pages

Every year, thousands of people from the UK travel to other countries for work and leisure. Europe, and particularly Spain, is one of the most popular travel destinations for people from the UK. However, it is known that travel to other countries can...

  • Article
  • Open Access
3,145 Views
18 Pages

How Did the COVID-19 Pandemic Change the Hand and Mobile Phone Hygiene Behaviors of Greek Undergraduate Students?

  • Dimitrios Delitzakis,
  • Vilelmine Carayanni,
  • Panagiota Giakkoupi and
  • Kyriakoula Merakou

16 February 2023

The aim of this study is to assess the influence of the COVID-19 pandemic on undergraduate students’ knowledge, attitudes, and behaviors on hand and mobile phone hygiene. An anonymous self-reported questionnaire was distributed among 100 Greek...

  • Article
  • Open Access
8 Citations
3,876 Views
15 Pages

Inadequate hand washing among chefs is a major contributor to outbreaks of foodborne illnesses originating in restaurants. Although many studies have evaluated hand hygiene knowledge (HHK) and self-reported hand washing behaviors (HWBs) in restaurant...

  • Article
  • Open Access
154 Views
10 Pages

9 January 2026

Background and Objectives: The growing number of patients seeking medical care in the internal medicine departments over the past decades has been accompanied by an increase in the bed occupancy rate. This is associated with a heavier work burden amo...

  • Article
  • Open Access
33 Citations
10,492 Views
10 Pages

Wearable Sensors for eLearning of Manual Tasks: Using Forearm EMG in Hand Hygiene Training

  • Ekaterina Kutafina,
  • David Laukamp,
  • Ralf Bettermann,
  • Ulrik Schroeder and
  • Stephan M. Jonas

3 August 2016

In this paper, we propose a novel approach to eLearning that makes use of smart wearable sensors. Traditional eLearning supports the remote and mobile learning of mostly theoretical knowledge. Here we discuss the possibilities of eLearning to support...

  • Article
  • Open Access
21 Citations
6,338 Views
11 Pages

Hand Hygiene Knowledge and Practices among Domestic Hajj Pilgrims: Implications for Future Mass Gatherings Amidst COVID-19

  • Hashim Mahdi,
  • Amani Alqahtani,
  • Osamah Barasheed,
  • Amjad Alemam,
  • Mohammed Alhakami,
  • Ibrahim Gadah,
  • Hadeel Alkediwi,
  • Khadijah Alzahrani,
  • Lujain Fatani and
  • Lamis Dahlawi
  • + 4 authors

This study examined Hajj pilgrims’ knowledge and reported practice of hand hygiene. In Hajj 2019, a cross-sectional survey was undertaken in Mina, Makkah, Saudi Arabia, of domestic Saudi pilgrims aged ≥18 years by using a self-administered A...

  • Article
  • Open Access
8 Citations
5,464 Views
27 Pages

Effectiveness and Efficiency of Persuasive Space Graphics (PSG) in Motivating UK Primary School Children’s Hand Hygiene

  • Sophie Rutter,
  • Catherine Stones,
  • Jane Wood,
  • Colin Macduff and
  • Margarita Gomez-Escalada

Good hand hygiene is necessary to control and prevent infections, but many children do not adequately wash their hands. While there are classroom communications targeted at children, the toilet space, the location of many hand hygiene activities, is...

  • Article
  • Open Access
5 Citations
2,298 Views
17 Pages

Next to the known nosocomial infections, the COVID-19 pandemic was an example for the need for the immediate implementation of functioning hygiene concepts and knowledge transfer. The aim of this study was to evaluate the self-assessment of ehealth l...

  • Article
  • Open Access
32 Citations
8,528 Views
22 Pages

Objective: Hand washing and sleep hygiene are two important health behaviors. The purpose of the current study was to identify the motivational and volitional antecedents of college students’ hand washing and sleep hygiene behaviors based on an...

  • Feature Paper
  • Article
  • Open Access
56 Citations
13,724 Views
17 Pages

17 June 2020

Due to the COVID-19 pandemic, the World Health Organization and other major authorities recommend frequent hand washing and applying proper hand hygiene procedures as one of the cheapest, easiest, and most important ways to prevent the spread of a vi...

  • Article
  • Open Access
2 Citations
3,772 Views
16 Pages

Evaluation of the Efficiency of Hand Hygiene Technique with Hydroalcoholic Solution by Image Color Summarize

  • Catalina Iulia Saveanu,
  • Daniela Anistoroaei,
  • Stefan Todireasa,
  • Alexandra Ecaterina Saveanu,
  • Livia Ionela Bobu,
  • Irina Bamboi,
  • Octavian Boronia and
  • Carina Balcos

16 August 2022

Background and Objectives: The HH (hand hygiene) technique is relatively simple. Even so, in practice there are still non-conformities regarding this aspect. Lack of knowledge or lack of compliance can be reasons for non-adherence with HH techniques....

  • Review
  • Open Access
3 Citations
5,855 Views
8 Pages

Antimicrobial Resistance Following Prolonged Use of Hand Hygiene Products: A Systematic Review

  • Gouri Rani Banik,
  • Bandar Durayb,
  • Catherine King and
  • Harunor Rashid

4 January 2022

Background: This systematic review aimed to establish whether antimicrobial resistance (AMR) occurs following prolonged use of antimicrobial hand hygiene (HH) products, and, if so, in what magnitude. Methods: Key bibliographic databases were searched...

  • Article
  • Open Access
4 Citations
6,098 Views
16 Pages

Hand Hygiene during the Early Neonatal Period: A Mixed-Methods Observational Study in Healthcare Facilities and Households in Rural Cambodia

  • Yolisa Nalule,
  • Helen Buxton,
  • Alison Macintyre,
  • Por Ir,
  • Ponnary Pors,
  • Channa Samol,
  • Supheap Leang and
  • Robert Dreibelbis

Background: Globally, infections are the third leading cause of neonatal mortality. Predominant risk factors for facility-born newborns are poor hygiene practices that span both facilities and home environments. Current improvement interventions focu...

  • Brief Report
  • Open Access
1,830 Views
12 Pages

Simulation-Based Education to Improve Hand Hygiene Practices: A Pilot Study in Sub-Saharan Africa

  • Paula Rocha,
  • Stephanie Norotiana Andriamiharisoa,
  • Ana Catarina Godinho,
  • Pierana Gabriel Randaoharison,
  • Lugie Harimalala,
  • Lova Narindra Randriamanantsoa,
  • Oni Zo Andriamalala,
  • Emmanuel Guy Raoelison,
  • Jane Rogathi and
  • Paulo Kidayi
  • + 11 authors

16 August 2025

Hand hygiene is a key measure to prevent healthcare-associated infections (HAIs), yet compliance remains low in Sub-Saharan Africa (SSA), due to limited resources, insufficient training, and behavioral challenges. Simulation-based education offers a...

  • Article
  • Open Access
7 Citations
3,854 Views
9 Pages

Hand hygiene is one of the most important measures available to prevent infectious diseases such as COVID-19, and it is recommended that individuals wash their hands periodically before and after meals, after using toilets, before preparing food at h...

  • Article
  • Open Access
17 Citations
5,532 Views
10 Pages

Hand Hygiene Knowledge and Perception among the Healthcare Workers during the COVID-19 Pandemic in Qassim, Saudi Arabia: A Cross-Sectional Survey

  • Adil Abalkhail,
  • Ilias Mahmud,
  • Fahad A. Alhumaydhi,
  • Thamer Alslamah,
  • Ameen S. S. Alwashmi,
  • Divya Vinnakota and
  • Russell Kabir

24 November 2021

Hand hygiene is among the most important factors of infection control in healthcare settings. Healthcare workers are the primary source of hospital-acquired infection. We assessed the current state of hand hygiene knowledge, perception, and practice...

  • Article
  • Open Access
3,285 Views
23 Pages

Healthcare-associated infections (HAIs), also referred to as nosocomial or hospital-acquired infections, are a significant cause of death worldwide, with hand hygiene being the most powerful means to tackle them. The present study had a twofold aim:...

  • Article
  • Open Access
1,458 Views
13 Pages

Hand hygiene (HH)-related illnesses, such as diarrhea, are one of the leading causes of death in children under five, whereas handwashing with soap can reduce infection rates in this age group. This study monitored whether a simple intervention in th...

  • Communication
  • Open Access
14 Citations
3,798 Views
9 Pages

Hand Hygiene and Antimicrobial Resistance in the COVID-19 Era: An Observational Study

  • Antonino Russotto,
  • Edoardo Rolfini,
  • Giovanni Paladini,
  • Claudia Gastaldo,
  • Costanza Vicentini and
  • Carla Maria Zotti

Hand hygiene (HH) is one of the most important infection prevention and control strategies at the hospital level. The aim of this study was to evaluate the potential COVID-19 pandemic impact on HH practices and rate of healthcare-associated infection...

  • Article
  • Open Access
5 Citations
3,082 Views
12 Pages

Understanding Hand Hygiene Behavior in a Public Hospital in Benin Using the Theoretical Domain Frameworks: The First Step for Designing Appropriate Interventions

  • Carine Laurence Yehouenou,
  • Aynaz Abedinzadeh,
  • Roch Houngnihin,
  • Carine Baxerres,
  • Francis M. Dossou,
  • Anne Simon and
  • Olivia Dalleur

30 September 2022

Background: Hand Hygiene (HH) is widely recognized to be one of the most successful and cost-effective measures for reducing the incidence of healthcare-associated infections (HAIs). The hand hygiene behavior of hospital healthcare workers (HCWs) is...

  • Article
  • Open Access
18 Citations
4,329 Views
16 Pages

The effectiveness of hand hygiene (HH) on reducing the transmission of contagious diseases is widely known, although its use has been commonly associated with the area of healthcare. During the COVID-19 pandemic, HH was one of the main measures estab...

  • Article
  • Open Access
6 Citations
4,766 Views
12 Pages

2 November 2021

Hand hygiene (HH) is the most important measure to prevent nosocomial infections. HH compliance in companion animal clinics has been reported to be poor. The present study compared an online application with the WHO evaluation form to assess the WHO...

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