Provided according to embodiments of the present invention are Hand Hygiene Compliance Confirmation Systems (HHCCS) that include a Hand Hygiene Composition Dispenser (HHCD); a Hand Hygiene Composition Dispenser Monitor (HHCDM) and a Hand Hygiene Compliance Monitor (HHCM). In some embodiments, the HHCDM detects when said HHCD dispenses Hand Hygiene Composition (HHC) and signals said HHCM to start a clock so that if the hands of a person are presented to said HHCM within a pre-defined period of time from the time that said HHCDM sends said signal to said HHCM, said HHCM sends a signal to at least one display to indicate hand hygiene compliance, referred to as a Green Light Condition or GLC. Related apparatus and methods are also provided.