"Global implementation of WHO's multimodal strategy for improvement of hand hygiene: a quasi-experimental study"
Lancet Aug 23
http://www.thelancet.com/journals/laninf/article/PIIS1473-3099(13)70163-4/fulltext 
"Interpretation

Implementation of WHO's hand-hygiene strategy is feasible and sustainable across a range of settings in different countries and leads to significant compliance and knowledge improvement in health-care workers, supporting recommendation for use worldwide."