described are methods and apparatus for promoting and attaining effective hand hygiene based on the employment of a class of packaging which provides timely access to and convenient use of hand sanitizing fluids for hand rubbing . a specific and novel type of package representative of this class found to be particularly useful in facilitating this method is a small , flat , disposable , twin chambered , multi - dose , self - sealing polymer packet designed to be pocket carried by the user . through simple and direct finger manipulation a measured dose of hand sanitizing fluid is drawn on to the hand in a controlled and wasteless manner from a metering chamber opened for dispersal through a tear in the packet wall . the self - sealing packet reserves and preserves the remaining fluid for future uses and permits the packet to be immediately returned to a pocket without any closure manipulation . rubbing the hands to distribute the fluid achieves an effective degree of hand sanitation by substantially reducing the presence of hand - borne pathogens . distribution of the packets is encouraged by the use of lottery and gaming techniques that heighten the opportunity of using a hand sanitizing fluid for proper hand hygiene .