Literatures proved that Hand hygiene is the most important and effective infection prevention and control measure to
prevent the spread of microorganisms causing HAIs and improving hand hygiene is consider a vital intervention to promote
optimum patient safety in delivery room. Aim of the study; This study conducted to assess hand hygiene practices of health
care personnel in the delivery room at the middle Euphrates teaching hospitals. Methods; A Descriptive qusi-expremental
research design begin in 20th February to 26th May 2016, Current study sample involve all midwives and physicians in the
delivery room (Total coverage.). Questionnaire used for data collection by interview forms and observational checklist was
obtain from the extensive review of relevant literature and related studies Data analyzed through utilize (SPSS) software
version (16) where, included descriptive analysis and inferential data analysis. The study conducted among 37 physicians
and 97 midwives working in the delivery room are females. The current study indicate that the overall evaluation for the
health staff practices regarding hand hygiene is fair at Karbala, Al-Najaf, Babylon and Diwaniah with high difference in
health staff practices regarding infection control precautions (hand hygiene) and the different studied governorates at pvalue
0.001. based on the finding of present study majority of health care personnel have fair applies related to hand hygiene
practices at different studied governorate hospitals. Updating practice of health care personnel through continuing inservice
educational programs. Regular inspection and follow-up from the ministry of health for assurances good hand
hygiene, the important of exist motivation system and punishment system to the neglected health care personnel.