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Safe and appropriate use of injections Round Table Summary – ICIUM 2004. SIGN secretariat WHO, Geneva, Switzerland. Background. Injection overuse and unsafe injections combine to transmit bloodborne pathogens

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Safe and appropriate use of injections round table summary icium 2004

Safe and appropriate use of injectionsRound Table Summary – ICIUM 2004

SIGN secretariatWHO, Geneva, Switzerland


Background
Background

  • Injection overuse and unsafe injections combine to transmit bloodborne pathogens

  • To prevent infections, injection use needs to decrease and injection safety must be achieved

  • ICIUM provides an opportunity to compare various interventions to:

    • Decrease injection overuse

    • Achieve safer practices


The round table
The round table

  • Brief introduction on injection safety issues

  • Short presentations regarding interventions to improve injection practices

  • Group discussion to formulate recommendations



What did we learn on the basis of evidence
What did we learn on the basis of evidence?

  • Better communication between patients and providers can reduce injection overuse

  • Increased access to single use injection devices improves injection safety

  • Managerial approaches (i.e., restricting access to selected unnecessary and dangerous injectable drugs) can improve injection practices


Three immediate recommendations for policy programme implementation
Three immediate recommendations for policy / programme implementation

  • Combine interventions using various methods to improve effectiveness

  • Monitor injection use and injection safety using standardized indicators

  • Explore ways to test the Interactional Group Discussion (IGD) approach in various other settings (e.g., Iran)

  • Empower patients for them to:

    • Express a preference for oral medications

    • Demand single use injection equipment


Three immediate recommendations for longer term policy programme implementation
Three immediate recommendations for longer term policy / programme implementation

  • Ensure injection device security (i.e., availability of sufficient quantities of single use injection devices in each health care facility)

  • Use interactive communication methods to reduce injection overuse

  • Combine bottom-up (communication) and top to bottom (managerial) approaches to improve injection practices


Three key research questions for the next five years
Three key research questions for the next five years programme implementation

  • Document the financial incentive to prescribing injections to identify how it could be addressed

  • Study "positive deviants" who prescribe less injections

  • Examine if the reduction of injection use in the formal, public sector would drive patient to use the informal, private sector


For more information
For more information... programme implementation

The SIGN SecretariatWorld Health Organization

Department of Essential Health TechnologiesAvenue Appia, 20Geneva, 1211Switzerland

Email: [email protected]

www.injectionsafety.org


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