Hand hygiene competence is one of the critical outcomes for health care workers who are working for covid patients.. Ensuring health care workers to reduce the risk of infections among nurses and health care workers. Adequate hand hygiene(HH) awareness for hospital staff like Nurses, ward technicians, health care workers should be implemented so as to reduce risks of facing infections. To assess the knowledge and awareness programmes to the front line warriors who are in direct contact with covid patients. A systematic review of studies published on January 1, 2009 based on, an online survey done in Canada where FIVE leading hospitals are actively involved and participated for Hand hygiene care. An online Data collection with simple and sample survey was conducted for Nurses, ward technicians, covid health care workers and Gram volunteers according to Guidelines given by World Health Organization’s SEVEN ( 7) hand washing steps. The Data collection was taken from 50 Nurses and 50 covid health care workers particularly working in rural areas of Parchur Mandal of Prakasam District in Andhra Pradesh state

Keywords : Hospital-acquired infection, Behaviour, Quality improvement, Handwashing, Program evaluation, Review.