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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. Background.

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

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  1. 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

  2. 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

  3. 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

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

  5. 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

  6. 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

  7. Center for Global Health Division of Global HIIV/AIDS

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