Increasing Access to Injection Equipment in Burkina Faso:
Download
1 / 15

Increasing Access to Injection Equipment in Burkina Faso: - PowerPoint PPT Presentation


  • 300 Views
  • Uploaded on

Increasing Access to Injection Equipment in Burkina Faso: When Essential Drugs Programmes Improve Injection Safety. Sophie Logez Phamaciens Sans Frontières Clermont Ferrand, France. Objectives of the Study (2000 & 2001).

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Increasing Access to Injection Equipment in Burkina Faso:' - Solomon


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Slide1 l.jpg

Increasing Access to Injection Equipment in Burkina Faso:When Essential Drugs Programmes Improve Injection Safety

Sophie Logez

Phamaciens Sans Frontières

Clermont Ferrand, France


Objectives of the study 2000 2001 l.jpg
Objectives of the Study (2000 & 2001)

  • Evaluate the impact of national drug policy on injection safety between 1992 and 2001, including:

    • Describing the features of the national drug policy that may have influenced injection practices

    • Quantifying the changes in access to injection equipment

    • Quantifying the changes in injection practices

    • Identifying the potential adverse effects of National Drug Policy on:

      • Injection overuse

      • Sharps waste management


Methodology l.jpg
Methodology

  • Cross-sectional study :

    • Phase 1: Injection practices , Aguilera and Fitzner(2000)

    • Phase 2: National drug policy evaluation, Logez (2001)

  • Two-stage cluster sampling

    • 8 districts, probability of selection proportional to population size

    • 10 health centres in each districts, simple random sampling

  • Data Collection Procedure (Phase 2)

    • Interviews with key stakeholders (Centre level)

    • Interviews with district wholesalers (District level)

    • Review of registers, Interviews with healthcare workers, pharmacy staff, and the population (Healthcare centre level)


Slide4 l.jpg

*

* Re-use of equipment exceeded 50% in 1995


Key elements of the national drug policy l.jpg
Key Elements of the National Drug Policy

  • Central level

    • National drug policy formulation with regulatory framework

    • Central bulk procurement by public-private consortium

    • Injection equipment in National Essential Drug List, with set price

  • District level

    • Wholesalers and supervisory team

  • Healthcare centre level

    • Community pharmacies in each healthcare centre

    • Cost recovery according to the Bamako initiative, including for routine EPI injection equipment


Increased access to injection equipment l.jpg
Increased Access to Injection Equipment

  • 5 ml Syringes sale in Burkina Faso

    • 1996: 884 000

    • 2000: 1 840 000

  • Price of new 5 ml disposable syringes and needle sets

    • 10 US cents

  • Price of equipment judged affordable by:

    • 88% of pharmacy managers

    • 50% of healthcare workers

    • 55% of buyers

Proportion of Healthcare Facilities with Community Pharmacy, Burkina Faso, 1990 -2000


Findings 1 patient demand for safe injections between 1992 and 2001 according to healthcare workers l.jpg
Findings (1):Patient Demand for Safe Injections between 1992 and 2001, According to Healthcare Workers


Findings 2 origin of injection equipment found in pharmacies l.jpg
Findings (2):Origin of Injection Equipment Found in Pharmacies

Trade mark

Number of

Proportion

community

(%) *

pharmacies

PentaFerte (Italy, official)

42

84%

Others (Spain)

5

10%

Others (Germany)

3

6%

Data missing

5

10%

* Total exceeding 100% as some pharmacies carried more than one type


Rational drug use indicators during the months of june burkina faso 1992 2001 l.jpg
Rational Drug Use Indicators during the Months of June, Burkina Faso, 1992-2001

60%

Prescriptions with an antibiotic

50%

40%

Proportion of prescriptions

30%

20%

Prescriptions with an injection

10%

0%

1992

1995

1997

1998

2000

(n=5)

(n=16)

(n=28)

(n=32)

(n=41)

Year

30 Prescriptions reviewed in each facility


Reported awareness regarding pathogens transmitted through unsafe injections burkina faso 2001 l.jpg
Reported Awareness Regarding Pathogens Transmitted through Unsafe InjectionsBurkina Faso, 2001

Awareness in the population

HCV

Awareness among providers

HBV

HIV

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Proportion (%)


Impact of the national drug policy on injection practices in burkina faso 1 strengths l.jpg

Increased access to safe injection equipment Unsafe Injections

No major adverse effects in terms of:

Injection overuse

Worsening of sharps waste management situation, as perceived by healthcare workers

National drug policy may have contributed to:

Decrease in the re-use of equipment in the absence of sterilization

Consumer demand for safe equipment

Impact of the National Drug Policy on Injection Practices in Burkina Faso: (1) Strengths


Impact of the national drug policy on injection practices in burkina faso 2 weaknesses l.jpg
Impact of the National Drug Policy on Injection Practices in Burkina Faso: (2) Weaknesses

  • Unsafe practices in the area of:

    • Sharps waste collection

    • Sharps waste management

  • Limited implementation of recommended prices

  • Cost recovery as per Bamako initiative is the keystone of the whole system


Recommendations l.jpg
Recommendations Burkina Faso:

  • Address price control and profit margin issue

  • Implement policies and plans for safe healthcare waste management

  • Bundle auto-disable injection equipment and sharps boxes with vaccines

  • Combine curative injection equipment orders to sharps boxes

  • Include sharps boxes in the list of essential drugs

  • Finance sharps boxes with cost recovery using syringes and needles sales


Healthcare workers perception regarding sharps waste management between 1992 and 2001 l.jpg
Healthcare Workers Perception Regarding Sharps Waste Management between 1992 and 2001

Worsening

No change

Improvement


ad