Is the World Health Organization Multimodal Hand Hygiene Improvement Strategy applicable and effective at the primary care level in resource-limited settings? A quantitative assessment in healthcare centers of Faranah, Guinea

•The World Health Organization Multimodal Hand Hygiene Improvement Strategy is appropriate to improve compliance and knowledge.•This tool is valid at the primary care level in low-resource settings when adapted.•Primary care settings need to emphasize the amount of alcohol-based hand rub required and the hand hygiene technique.