Injection Practices in the Developing World - Results and Recommendations from Field Studies in Uganda and Indonesia - EDM Research Series No. 020
(1996; 157 pages) Voir le document au format PDF
Table des matières
Afficher le documentExecutive summary
Afficher le documentAcknowledgements
Ouvrir ce répertoire et afficher son contenu1. Introduction
Fermer ce répertoire2. Towards a rapid assessment methodology for injection practices research
Afficher le document2.1 General considerations regarding methodology
Afficher le document2.2 Sampling
Afficher le document2.3 Use of indicators
Afficher le document2.4 Use of tracer conditions
Afficher le document2.5 Studying injection providers' practices
Afficher le document2.6 Conclusion
Ouvrir ce répertoire et afficher son contenu3. Background: the social and cultural context of injections
Ouvrir ce répertoire et afficher son contenu4. The prevalence of injection use in Uganda and Indonesia
Ouvrir ce répertoire et afficher son contenu5. The popularity of injections in Uganda and Indonesia
Ouvrir ce répertoire et afficher son contenu6. The appropriateness of injection use in Uganda and Indonesia
Ouvrir ce répertoire et afficher son contenu7. Conclusions and recommendations
Afficher le documentReferences
Ouvrir ce répertoire et afficher son contenuAppendix 1: Indicators for injection use and for assessment of hygienic practices
Ouvrir ce répertoire et afficher son contenuAppendix 2: Methods applied in the injection practices research
Ouvrir ce répertoire et afficher son contenuAppendix 3: Tools used in the injection practices research
 

2.5 Studying injection providers' practices

In both country studies providers were included in the research design. The survey was mainly aimed at establishing the prevalence of injection use at various provider facilities, evaluating the medical and hygienic appropriateness of injection use, and determining the source and type of equipment used. In Uganda, the provider study was strategically scheduled two months after the completion of the household survey to guide the identification of injection providers within the study communities. Based on the question in the household survey "Where was the last injection administered?", the team was able to identify a variety of injection providers. In the urban communities, more different categories of health providers could be identified than in the rural areas where health resources are restricted.

Problems encountered in studying doctors and other providers of injections were many. Both country teams report problems with sampling, non-response or refusal to cooperate. For example, in Uganda the original idea was to make a random selection of providers. Often, only those who were willing to cooperate could actually be surveyed. In Indonesia, it was reported that doctors in private practice were especially unwilling to cooperate. In both countries under-representation of (certain) private and non-formal or untrained providers is therefore a serious limitation. A further discussion of the study of prescribing practices in the country studies is given in Appendix 2.B.

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