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Abstrak :
Praktik cuci tangan merupakan faktor kunci dalam menurunkan dan mencegah infeksi terkait pelayanan kesehatan. Masih rendahnya praktik cuci tangan di kalangan petugas kesehatan menyebabkan angka infeksi di rumah sakit masih cukup tinggi. Penelitian ini bertujuan mengidentifikasi elemen yang menjadi penyebab masih rendahnya praktik cuci tangan enam langkah melalui pendekatan elemen strategi implementasi multimodal WHO di RS Islam Siti Khadijah. Digunakan desain cross sectional dengan pendekatan kuantitatif dilanjutkan pendekatan kualitatif. Hasil penelitian menunjukkan praktik cuci tangan enam langkah baik (61,9% ) dan ketersediaan air dan sabun merupakan faktor yang paling dominan berkontribusi terhadap pelaksanaan praktik cuci tangan enam langkah ......Hand washing practice is key factor to decrease and prevent of health-care assosiated infections. Poor of hand washing practice among healthcare workers causing hospital infection rates are still high. This study aimed to identify the elements that cause the low six-step of hand washing practice through the element of WHO multimodal strategy implementation approach in Siti Khadijah Islamic Hospital, Palembang in 2016. The design was cross-sectional, used quantitative approach, continued by qualitative approach. The results showed that the six-step of hand-washing practice was good (61.9%) and availability of water and soap to be the most dominant factor contributed to the implementation of six steps of hand washing practice