“…5,[11][12][13] Admittedly, the practice of hand hygiene by rubbing with water and soap reduces the occurrence of preventable infections, reducing morbidity and mortality in health services. [14][15][16][17][18] However, the complexity involved in complying with this measure is great, and can often be related to factors such as human behavior, including false perceptions of an invisible risk, underestimation of individual responsibility and lack of knowledge, behaviors that can interfere with compliance with preventive measures. [16][17][18] People have emphasized compliance with this measure and its importance, but, in addition to the difficulties mentioned, some barriers that should not exist are still part of institutional realities, such as lack of sinks and supplies such as soap and water or even paper in public places that are characterized by high handling and contact of people, transit of escalators, toilets, buses, subways etc., as well as in communities without regular water and sewage supply.…”