Praktik cuci tangan merupakan faktor kunci dalam menurunkan dan mencegahinfeksi terkait pelayanan kesehatan. Masih rendahnya praktik cuci tangan dikalangan petugas kesehatan menyebabkan angka infeksi di rumah sakit masihcukup tinggi. Penelitian ini bertujuan mengidentifikasi elemen yang menjadipenyebab masih rendahnya praktik cuci tangan enam langkah melalui pendekatanelemen strategi implementasi multimodal WHO di RS Islam Siti Khadijah.Digunakan desain cross sectional dengan pendekatan kuantitatif dilanjutkanpendekatan kualitatif. Hasil penelitian menunjukkan praktik cuci tangan enamlangkah baik (61,9% ) dan ketersediaan air dan sabun merupakan faktor yangpaling dominan berkontribusi terhadap pelaksanaan praktik cuci tangan enamlangkah

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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