1. Disposable Syringes and Needles Construction of an EvaluationTool for Field Assessments Bernadette Gergonne, Epicentre SIGN meeting, New Delhi, India, 2001

2. Bernadette Gergonne, Epicentre, SIGN Meeting, New Delhi, India, August 2001 Relevance of the tool for SIGN partners Application fields Domains to explore Type of information collection Who will collect the information

3. Bernadette Gergonne, Epicentre, SIGN Meeting, New Delhi, India, August 2001 Objective To design a tool (questionnaire) to assess disposable syringes and needles in field conditions

4. Bernadette Gergonne, Epicentre, SIGN Meeting, New Delhi, India, August 2001 Different disposable devices Classical needles and syringes Auto-disable needles and syringes Fixed or separate needles and syringes Different uses Treatment, immunisation Different settings OPD and IPD in hospitals Health centres Extended (or national) Programme of Immunisation National Immunisation Days Mass vaccination campaign Should we add or remove application fields?

5. Bernadette Gergonne, Epicentre, SIGN Meeting, New Delhi, India, August 2001 Domains to explore Protection and sterility of the device Preparation of the device Injection Recipients perception Destruction Should we add or remove domains to explore ?

6. Bernadette Gergonne, Epicentre, SIGN Meeting, New Delhi, India, August 2001 Practical use of the questionnaire Filled after one day observation By one person (user or observer) For one type of use For one type of syringe and needle Measure of subjective appreciation Several questions per domain Likert scale Weight of item (determined by expert) Calculation of Score By question By domain Global ? =>

7. Bernadette Gergonne, Epicentre, SIGN Meeting, New Delhi, India, August 2001 Method of questionnaire validation Relevance of questions Feasibility Duration of administration Percentage of correct filling Reliability Reproductibility intra-observer Reproductibility inter-observer Discriminating power between different situations

8. Bernadette Gergonne, Epicentre, SIGN Meeting, New Delhi, India, August 2001 First proposal of questionnaire

9. Bernadette Gergonne, Epicentre, SIGN Meeting, New Delhi, India, August 2001 First proposal of questionnaire

10. Bernadette Gergonne, Epicentre, SIGN Meeting, New Delhi, India, August 2001 Protection and sterility Relevance of questions ? Relevance of type of answer ?