Lack of proper handwashing by healthcare providers is the major vector for the spread of nosocomial pathogens in healthcare settings. A cross-sectional study was conducted among 128 community healthcare providers (CHCPs) in the Kurigram district of Bangladesh to investigate predictors of handwashing before and after clinical care encounters. Data were collected between November and December 2019 via a paper-and-pen based survey using a semi-structured questionnaire. CHCP's pre-care handwashing with soap/antiseptic hand cleaner was predicted by a higher level of education (Unadjusted/Crude odds ratio (COR) = 7.16, 95% CI 2.39–21.40, p = 0.000 and COR = 9.58, 95% Confidence Interval (CI) 3.28–27.92, p = 0.000, bachelors and masters, respectively), lengthier service (COR = 6.90, 95% CI 1.40–34.17, p = 0.015 and COR = 7.8, 95% CI 1.49–40.98, p = 0.015, 5–8 and >8 years, respectively), and presence of handwashing facility (COR = 4.48, 95% CI 1.34–14.95, p = 0.015). However, post-care handwashing was also associated with a higher level of education (COR = 13.36, 95% CI 1.54–115.63, p = 0.019, masters) and availability of soap (COR = 17.73, 95% CI 5.03–59.73, p = 0.000), as well as by male sex (COR = 3.14, 95% CI 1.01–9.79, p = 0.049). Implementation of an effective training program on hand hygiene combined with improved access to handwashing stations and adequate supply of soap or antiseptic hand cleaner is required to improve both pre-and post-care clinical encounter handwashing practices among CHCPs.

医疗保健提供者缺乏适当的洗手是医疗机构中院内病原体传播的主要媒介。在孟加拉国 Kurigram 地区的 128 名社区医疗保健提供者 (CHCP) 中进行了一项横断面研究，以调查临床护理前后洗手的预测因素。数据是在 2019 年 11 月至 12 月期间通过使用半结构化问卷的纸笔调查收集的。CHCP 使用肥皂/消毒洗手液进行护理前洗手是通过较高的教育水平来预测的（未调整/粗比值比 (COR) = 7.16，95% CI 2.39–21.40，p = 0.000 和 COR = 9.58，95%置信区间(CI) 3.28–27.92，p= 0.000，分别为学士和硕士），服务时间较长（COR = 6.90，95% CI 1.40–34.17，p = 0.015 和 COR = 7.8，95% CI 1.49–40.98，p = 0.015，5–8 和 >8 年，分别），以及是否有洗手设施（COR = 4.48，95% CI 1.34–14.95，p = 0.015）。然而，护理后洗手也与较高的教育水平（COR = 13.36，95% CI 1.54–115.63，p = 0.019，硕士）和肥皂的可用性（COR = 17.73，95% CI 5.03–59.73，p = 0.000），以及男性（COR = 3.14，95% CI 1.01–9.79，p= 0.049）。需要实施有效的手部卫生培训计划，同时改善洗手站的使用情况，并提供充足的肥皂或消毒洗手液，以改善 CHCP 的护理前和护理后临床接触洗手实践。