TEACH CLEAN helps address a lack of formal training for those who clean and promotes IPC and WASH standards for a safer environment. It underpins quality health for all.

Obtain a copy of the TEACH CLEAN package

Health workers who clean are environmental health champions

Environmental cleaning is known to play a key role in reducing the global burden of healthcare associated infections and antimicrobial resistance. In line with WHO and UNICEF recommendations, system wide changes are necessary to establish improvements in environmental hygiene to strengthen IPC and achieve global goals. The TEACH CLEAN package is a resource designed to address the training of health facility cleaning staff in low- and middle-income countries.

TEACH CLEAN presents information and materials required to deliver comprehensive, participatory training on safe environmental cleaning, applying aspects of essential IPC for these tasks. The package is tailored towards use with cleaning staff with limited literacy skills but can be applied to wider facility staff.

Tailored towards use within low-resource settings, TEACH CLEAN is a freely available, evidence and best practice based resource which is:

  • Intended for use by organisations & individuals who want to improve knowledge & practices of those who clean
  • Accessible for staff with limited literacy skills through its participatory approach to training
  • Adaptable to the local context
  • Suitable for a cascade approach to training (Training of Trainers, ToT)

The TEACH CLEAN package

The TEACH CLEAN package contains:

  • A ‘How to Train’ instruction document and ToT modules on Supportive Supervision & Quality Improvement
  • Seven essential Clean Box training modules addressing IPC and environmental hygiene
  • Competency Assessment Checklists
  • Written and Illustrated Cleaning Procedure Guidelines
  • An Advocacy & Communications Resource Pack


WASH in Healthcare Facilities Initiative logo

Soapbox’s Professor Wendy Graham, Emma Morrison and Claire Kilpatrick were invited by the WASH in Healthcare Facilities Initiative to present a webinar on The Role of Cleaners: Neglected Frontline WASH Workers in Healthcare Facilities.

Watch a recording of the seminar for a comprehensive overview of the TECH CLEAN package below.

Piloting, evaluating and implementing TEACH CLEAN

Use the following links to learn more about the TEACH CLEAN pilot conducted in The Gambia in 2016, the first formal evaluation of the training package in Tanzania in 2019 and the implementation of TEACH CLEAN in Myanmar which is currently underway.

Global dissemination of the TEACH CLEAN package

TEACH CLEAN features in a number of global documents released in 2019 which aim to reduce the burden of healthcare associated infections:

WHO and UNICEF have released two companion reports which provide baselines for WASH in healthcare facilities (the Joint Monitoring Programme report) and outline a set of eight practical actions that countries can take to improve WASH services – providing some inspiring practical case studies including TEACH CLEAN training in Tanzania. (Published April 2019).

WHO’s implementation manual to prevent and control the spread of carbapenem-resistant organisms (CROs) at the national and health care facility level highlights TEACH CLEAN as an example of a tool that supports the implementation of environmental cleaning and strengthens a facility’s approach to the prevention and control of CROs (published May 2019).

Soapbox also had the pleasure of working with colleagues in the Infection Control Africa Network (ICAN) and the US Centers for Disease Control and Prevention (CDC) who are currently developing a comprehensive manual outlining the Best Practices for Environmental Cleaning in Healthcare Facilities for Limited-Resource Settings. The purpose of this new manual is to improve & standardize the implementation of environmental cleaning procedures and programs in patient care areas in all healthcare facilities in limited resource settings. (Official launch planned for September 2019 - visit the Infection Control Africa Network pages for more information).

In 2023, the TEACH CLEAN package, was used as the basis for the development of a WHO Trainer’s Guide and the Modules and Resources for the document Environmental cleaning and infection prevention and control in health care facilities in low- and middle-income countries.

  • The Trainer’s Guide takes the user through how to prepare, deliver and sustain an effective training for those who clean. 

  • The Modules and Resources provides instructions, definitions, photographs, posters and specific illustrations of recommended practices