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SIGN Rapid Assessment Survey Northern Areas, Pakistan

SIGN Rapid Assessment Survey Northern Areas, Pakistan. Lubna Samad, MRCS, FCPS Pediatric Surgeon National Institute of Child Health. Objectives. provide information on existing injection practices among prescribers providers general population.

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SIGN Rapid Assessment Survey Northern Areas, Pakistan

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  1. SIGN Rapid Assessment Survey Northern Areas, Pakistan Lubna Samad, MRCS, FCPS Pediatric Surgeon National Institute of Child Health

  2. Objectives provide information on existing injection practices among prescribers providers general population

  3. Demographic & Health IndicatorsDistrict Gilgit and Ghizar, Northern Areas Source: Based on 2000 Annual Report Aga Khan Health Service, Pakistan Projected at 2.2% population growth rate

  4. MethodsNorthern Areas Rapid Assessment, 2001 Urdu translation of Instruments 2, 4, 5 13 physician prescribers 14 injection providers 26 general population

  5. Physician Prescribers (n= 13)Northern Areas Rapid Assessment, 2001

  6. Physician Prescriptions (n= 280)Northern Areas Rapid Assessment, 2001 • 15% (43/280) of all prescriptions sampled included at least one injection • Most common illness for which injections prescribed: pneumonia, acute severe abdominal pain, gastroenteritis, enteric fever

  7. Injection Provider Observations (n= 14)Northern Areas Rapid Assessment, 2001

  8. Injection Providers (n= 14)Northern Areas Rapid Assessment, 2001

  9. General Population (n= 26)Northern Areas Rapid Assessment, 2001

  10. Reported Associations Between Injection Reuse and InfectionsNorthern Areas Rapid Assessment, 2001

  11. Summary • Frequent prescription and administration of injections (est. 2-3 per person per year) • Lack of awareness regarding the transmissibility of hepatitis viruses and HIV • Lack of safe injection equipment, waste disposal facilities

  12. District Hospital, Gilgit Improved monitoring of injection equipment supplies Improved health facility waste management HCV screening introduced Market survey of syringes planned for early 2003 Healthy Minute Expert interviews Dramatization/serials Progress Since Rapid Assessment

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