Hand hygiene is central to the prevention of healthcare-associated infection. In low-income settings, barriers to health worker hand hygiene may include inconsistent availability of hand hygiene supplies at the point of care. However, there is a lack of knowledge of interventions to improve and sustain health worker hand hygiene in these settings. This pilot study evaluates acceptability and feasibility of a personally-worn hand hygiene holster device for improving point-of-care access to alcohol-based handrub (ABHR). Holsters were distributed to clinical staff at a hospital in Liberia in July–September 2021. Data collection included 2,066 structured observations of hand hygiene behavior, six spot checks of supply availability, and focus group discussions with 13 clinical staff. The Integrated Behavioral Model for Water, Sanitation, and Hygiene (IBM-WASH) provided a framework for study design and qualitative analysis. Acceptability of the intervention was high, with users reporting that holsters were comfortable, easy to use, and aligned with their professional identities. Feasibility depended on consistent ABHR availability, which may diminish sustainability of this intervention. The hand hygiene holster is a promising tool for improving health worker hand hygiene behavior, but solutions to ABHR supply chain and distribution constraints are necessary to support sustainability of this intervention.

手部卫生对于预防医疗保健相关感染至关重要。在低收入环境中，卫生工作者手部卫生的障碍可能包括护理点手部卫生用品的供应不一致。然而，人们对改善和维持这些环境中卫生工作者手部卫生的干预措施缺乏了解。该试点研究评估了个人佩戴的手部卫生皮套装置的可接受性和可行性，以改善护理点获取酒精类洗手液 (ABHR) 的机会。2021 年 7 月至 9 月，皮套被分发给利比里亚一家医院的临床工作人员。数据收集包括 2,066 次手部卫生行为的结构化观察、六次供应可用性抽查以及与 13 名临床工作人员的焦点小组讨论。水、卫生设施的综合行为模型 和卫生 (IBM-WASH) 提供了研究设计和定性分析的框架。干预措施的接受度很高，用户表示皮套舒适、易于使用，并且符合他们的职业身份。可行性取决于持续的 ABHR 可用性，这可能会降低这种干预的可持续性。手部卫生皮套是改善卫生工作者手部卫生行为的一种很有前途的工具，但需要解决 ABHR 供应链和分销限制，以支持这种干预措施的可持续性。这可能会降低这种干预措施的可持续性。手部卫生皮套是改善卫生工作者手部卫生行为的一种很有前途的工具，但需要解决 ABHR 供应链和分销限制，以支持这种干预措施的可持续性。这可能会降低这种干预措施的可持续性。手部卫生皮套是改善卫生工作者手部卫生行为的一种很有前途的工具，但需要解决 ABHR 供应链和分销限制，以支持这种干预措施的可持续性。