A method of hand hygiene compliance enforcement and hand hygiene system comprising at least one dispenser unit that has an interior chamber containing a volume of hand soap or sanitizer and a dispenser nozzle configured to dispense a measured volume of hand soap or sanitizing material upon a triggering event. The dispenser also has a control unit mounted therein, the control unit is in electronic communication with the dispenser nozzle and has at least one identity sensor, at least one alarm indicator and at least one transmitter. The hand hygiene system also has at least one proximity sensor in electronic communication with the control unit. The proximity sensor is located a spaced distance from the at least one dispenser.