Dr. Koku Kazaura, Prevention Team Lead, CDC - Tanzania

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Presentation transcript:

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 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

The situation and context (2) Methods 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

Key findings from the evaluation * * * * * p<.05

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 John Snow Inc. (JSI) Making Medical Injections Safer (MMIS) Ernest Chenya Ministry of Health and Social Welfare – United Republic of Tanzania Henock Ngonyani US Centers for Disease Control and Prevention Tom Pyun Irene Benech Dejana Selenic

Center for Global Health Division of Global HIIV/AIDS