A hand hygiene behavior management system capable of monitoring and recording information generated by the operation of dispensers as a method of assessing behavior of a group as an indication of overall hygiene performance. The system generally includes a plurality of wireless communication devices with a first number of the wireless communication devices being disposed within or adjacent dispensers and operatively configured for sensing, monitoring and reporting information about the status and operation of the dispensers. A hierarchal communication network for access to a central host database; a data processor and hygiene management application software operatively configured to create hygiene management reports based upon the monitored dispenser data and a method to provide user interface.