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
Ouvrir ce répertoire et afficher son contenu2. Towards a rapid assessment methodology for injection practices research
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
Fermer ce répertoire6. The appropriateness of injection use in Uganda and Indonesia
Ouvrir ce répertoire et afficher son contenu6.1 Medical appropriateness of injection use
Fermer ce répertoire6.2 Hygienic appropriateness of injection use
Afficher le document6.2.1 Hygienic practices in Uganda
Afficher le document6.2.2 Hygienic practices in Indonesia
Afficher le document6.3 Conclusion
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
 

6.2 Hygienic appropriateness of injection use

With Indicators IIe/f/g, the percentage of providers who do not observe minimal hygienic measures before, during and after administration is calculated:

To assess the process of injection administration, guidelines for evaluating hygienic aspects of injections had been prepared (Appendix 1.C).

In Uganda, the household users of injections were questioned about their experiences with complications of unsafe injections, and about the possession of injection equipment at home. In the health facilities, data was primarily collected through observational methods - this was done in collaboration with two professionally trained medical doctors. Through a combination of observational and informal discussions, the doctors evaluated hygienic measures undertaken before, during, and after administering injections. In Busoga, evaluation of hygienic measures was based on both WHO and country specific guidelines developed by the Ugandan Essential Drugs Management Programme (UEDMP) and the Ministry of Health (MOH) for use of injections. In Ankole, evaluation of hygienic measures was strictly based on the WHO guidelines. Data from Busoga and Ankole will be discussed separately since different guidelines were applied. An overview of various standards and indicators used to assess hygienic practices in Uganda is presented in Appendix 3.G.

In Indonesia, data on the appropriateness of handling syringes, and of giving injections, was evaluated by means of a questionnaire (Appendix 3.C). Observations of actual practices were not carried out. The questions in the questionnaire are roughly based on the above mentioned WHO-guidelines.

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