Countries Experiences on Access to Injection

Equipment

Sophie Logez WHO/BCT/DCT

Phnom Penh, 24-26 October 2002

Strategy for the Safe and Appropriate Use of Injections

• Behaviour change among patients and health-care workers

• Access to safe injection equipment and infection control supplies

• Appropriate management of sharps waste

Access to Injection Equipment

• Increased access to safe injection equipment improved injection practices:

1999, Immunization: WHO/UNICEF/UNFPA/joint statement on the use of auto-disable syringes in immunization services

2002, Curative services: recommendations of the 12th Expert Committee for the selection of essential medicines

ACCESS

ACCESSCountries experiences on access to

injection equipment (1)

• Experiences in selected AFR and WPR countries– Burkina Faso– Guinea– Mongolia– Cambodia

• Interviews of the participants from 12 countries of the WPR national drug policy meeting, October 2002

Countries experiences in access to injection equipment (2)

Burkina Faso Mongolia Cambodia Guinea

Single-use equipment included in thenational essential drug list

Yes Yes Yes No

Use of national drug procurementsystem for injection equipment

Yes No Yes No

Forecasting methods Consumption No Consumption NoIndependent procurement Yes Yes No N/AJoint distribution of essential drugs

and injection equipmentYes No Yes No

Local production No Yes No NoSterilizable injection equipment used No No Phased out YesReported shortages No Yes Yes YesUnsterile injections - +/- +/- ++

Situations in 12 Countries the WPRO Region

ACCESS

WPRO NDP participants survey

•Single-use equipment included in thenational essential drug list

7/12

•Use of national drug procurementsystem for injection equipment

11/ 12

•Forecasting methods Consumption: 11/12

•Joint distribution of essential drugs and injection equipment

11/ 12

• Local production 4/ 12

Conclusions

• A number of parameters will influence access to injection equipment and ultimately injection practices– inclusion in the essential drug list– use of the national drug procurement– joint distribution of medicines and injection equipment– local production

• Access and ultimately injection practices will depend upon the number of favourable parameters

• In WP region, some essential drug programmes may want to examine their procurement situation to:– identify unfavourable parameters – evaluate if shortages of equipment do not lead to unsafe practices

Draft WHO procurement guide for injection Equipment

Objective of the guide: Strengthen good quality purchase of injection

equipment at affordable price (quality standards)

Audience: procurement officers, programme managers

Proposing practical tools: product selection, forecasting , method of

procurement and selection of suppliers

ACCESS