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
Ouvrir ce répertoire et afficher son contenu6. The appropriateness of injection use in Uganda and Indonesia
Fermer ce répertoire7. Conclusions and recommendations
Afficher le document7.1 Summary of conclusions of the injection practices research
Fermer ce répertoire7.2 Recommendations for interventions
Afficher le document7.2.1 Discussion of the recommendations for interventions
Afficher le document7.2.2 Next steps
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
 

7.2 Recommendations for interventions

This research report synthesizes the results of two country studies on a specific problem, the use of injections, about which very little was known at the start of the research. The research was therefore designed to obtain basic knowledge; as a consequence it was not designed as an intervention or action-oriented research. However, based on the results of the studies, the research teams suggested managerial, educational, and regulatory interventions. They are given in the table below:

Table 9: Regulatory, managerial and educational interventions proposed by the country research teams

Type of intervention proposed

Uganda

Indonesia

Regulatory

Improve control at the national level of the import, sale and use of injecting equipment

Enforce the rules

Establish clear rules and regulations for the use of injections in medical practice

Institute coercive measures and sanctions toward providers

Managerial

Supply disposables

Improve supervision of health facilities

Create incentives for providers with good practices

Supply disposables

Educational:
Training of providers

Carry out clean injection programme for providers, including in-service training, refresher courses, and guidelines

Make health personnel aware of the negative impact of their injection practice on the spread of HIV and hepatitis

Educational:
Training of the public

Train non-formal providers who operate from their homes

Carry out clean injection programme for users, including information, education and communication (IEC) about the need for hygienic practices, and posters

Undertake massive and intensive educational programme, sensitive to the meaning people ascribe to injections

Both teams see the need for special emphasis on the promotion of clean injection practices towards providers, and public education on the dangers of injection. In Uganda, the researchers recommend the training of the informal providers.

The research team in Thailand (WHO/DAP/94.8: 58-9) recommends that health care planners take people's own explanatory models as a starting point in consumer health education campaigns. Health education on the appropriate use of drugs and injections should be carried out on different levels by different agents: both health workers and consumers should be informed using locally adapted means of communication. Another recommendation is to target health education directly at the mothers, as the research showed that parents were more important as sources of health education than the mass media or the health centre. Differences in local preferences and urban-rural differences should also be taken into account.

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