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Dr. Koku Kazaura, Prevention Team Lead, CDC - Tanzania. Evaluation of a National Program to Improve Infection Prevention and Control (IPC) and Injection Safety (IS) in Tanzania. Center for Global Health. Division of Global HIV/AIDS. The situation and context. Background.

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dr koku kazaura prevention team lead cdc tanzania
Dr. Koku Kazaura, Prevention Team Lead, CDC - Tanzania

Evaluation of a National Program to Improve Infection Prevention and Control (IPC) and Injection Safety (IS)

in Tanzania

Center for Global Health

Division of Global HIV/AIDS

the situation and context
The situation and context

Background

  • In 2004, PEPFAR supported the Making Medical Injection Safer (MMIS) program with the Ministry of Health and Social Welfare (MOHSW) in public health facilities in Tanzania
  • MMIS portfolio aimed to:
    • Improve injection safety practices through training and building capacity of health care providers
    • Ensure availability of safe injection commodities through commodity and supply management
    • Reduce unnecessary injections via advocacy and IEC/BCC
    • Contribute to establishing a safe HCWM system
    • Increase health care worker safety by developing effective injury prevention modalities
  • Target population included health care providers, supervisors, & waste handlers
methods
Methods

The situation and context (2)

  • An evaluation was conducted to assess interventions and describe current conditions and injection safety practices
    • Seven hospitals forming the core of the MMIS expansion plan were purposefully selected
    • Baseline and follow up surveys in 2005 and 2007 using WHO Injection Safety Assessment tool adapted for Tanzania
  • Survey units and target populations:
    • General Outpatient Department
    • General Medicine
    • Pediatrics
    • Gynecology - Obstetrics
    • Surgery
    • Laboratories
conclusion and lessons learned
Conclusion and Lessons Learned
  • Evaluation findings reveal significant improvements in injection safety practices including, but not limited to progress made in Infection prevention and control in health care settings
  • National programs that support safe injection policy and utilize a package of interventions may improve injection safety practices in resource-constrained settings
  • More research is needed to determine an optimal intervention model and assess the short and long-term impact of national injection safety programs
  • Although our interventions yielded improvements, we may need to consider programs and policies to support universal Hepatitis B vaccination for healthcare workers
special thanks to our collaborators
Special thanks to our collaborators
  • John Snow Inc. (JSI) Making Medical Injections Safer (MMIS)
    • Ernest Chenya
  • Ministry of Health and Social Welfare – United Republic of Tanzania
    • HenockNgonyani
  • US Centers for Disease Control and Prevention
    • Tom Pyun
    • Irene Benech
    • Dejana Selenic
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Center for Global Health

Division of Global HIIV/AIDS