Synergy and Partnership for Injection Safety: the Senegal experience

Jules Millogo, MD, MSc

Immunization Advisor

BASICS II A USAID-financed project administered by the Partnership for Child Health Care, Inc.

Academy for Educational Development, Emory University, John Snow, Inc., Johns Hopkins University, Management Sciences for Health,

The Manoff Group, Inc., Program for Appropriate Technology in Health (PATH), Save the Children Federation, Inc., TSL

 

1600 Wilson Boulevard, Suite 300 Arlington, VA 22209 USA Phone: 703-312-6800 Fax:: 703-312-6900

Background

• Population increasingly scared of risks of HIV transmission through unsafe injections

• Injection Safety still a low priority for Government

• coalition of partners formed for injection safety

• HIV program used as entry point to improve injection safety

The World Bank… Catalyst for injection safety

• Support to Multisectoral AIDS control Program (MAP) 2002-2006

• Help to put injection safety in Government priorities

• Key elements of MAP includes: Infection control, including injection safety Health care worker protection

USAID…Technical coordinator for injection safety

• Building and coordination of members of Coalition for injection safety

• Organization of an initial assessment

• Preparation of a workshop on development of injection safety policy

PATH/CVP…Promoter of injection waste management

• Organization of workshop and demonstration on incinerators

• Support to initial assessment

• Leveraging government for injection policy development

UNICEF & WHO…

• Provision of funds for initial assessment

• Technical support to develop guidelines

• Equipment

Note: Important role of SIGN +++

Risks for the patients

• 23% of vaccination injections prepared in unsafe conditions

• 19% of therapeutic injections non sterile

• 15% of health workers said that they reused injection equipment without sterilization

Risks for injection providers

• 50% of health workers practice two-handed recapping

• 70% of health facilities use an open container to collect sharp wastes

• 70% of health workers reported accidental needlesticks in the last 12 months

Risk for the community

• Sharp wastes around 45% of health facilities

• 67% of health facilities with poor waste disposal practices

Preparing next steps

• Maintain the coalition

• Conduct workshop on injection policy and action plan development

• Implement policy: forthcoming measles campaign

Thank You