Inadequate supply of water
Lack of awareness
Too many patients to attend to by few doctors or nurses
Indifferent attitude towards hand hygiene by health workers
Inadequate supply of soap and towel
Absence of documentary guidelines on hand hygiene and disinfection
practices
Absence of continuous education
Unreported consequences of non-compliance
Lack of research on hand hygiene and disinfection practices
Forgetfulness
Sinks are far from where place of (point) of care
Skin irritation