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Hand hygiene is obligatory for all healthcare workers and vital for patient care. During COVID-19, adequate hand washing was among recommended measures for preventing virus transmission. A general hand-washing procedure consisting several steps is recommended by World Health Organization for ensuring hand hygiene. This process can vary from person to person and human supervision for inspection would be impractical. In this study, we propose computer vision-based new methods using 12 different neural network models and 4 different data models (RGB, Point Cloud, Point Gesture Map, Projection) for the classification of 8 universally accepted hand-washing steps. These methods can also perform well under situations where the order of steps is not observed or the duration of steps are varied. Using a custom dataset, we achieved 100% accuracy with one of the models, and 94.23% average accuracy for all models. We also developed a real-time robust data acquisition technique where RGB and depth streams from Kinect 2.0 camera were utilized. Results showed that with the proposed methods and data models, efficient hand hygiene control is possible.

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