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IJSTR >> Volume 2- Issue 11, November 2013 Edition

International Journal of Scientific & Technology Research  
International Journal of Scientific & Technology Research

Website: http://www.ijstr.org

ISSN 2277-8616

Assessment Of Injection Safety Practices In Health Facilities In Bongo And Talensi Districts In The Upper East Region Of Ghana: Part 2-Waste Disposal System

[Full Text]



Reuben K. Esena, Abdul Aziz, Winfred Dotse-Gborgbortsi



Index Terms: Auto Disposable Syringe, Antenatal Clinic, Child welfare Clinic, Safety Boxes, District Health Management Team, Community Health Nurse, Outpatient Department, Puncture-proof Container.



Abstract: Injections safety practices are crucial to Quality of Care and it is important to assess their use and disposal systems. In this study, a cross-sectional design was adopted in two districts - Bongo and Talensi. Personnel [giving injections in the prevention and curative sections] and the heads of the facilities were observed and interviewed. The waste disposal systems and disposal sites of the facilities were also assessed. A total of thirty-one (31) staff were observed and interviewed in 8 health facilities. In all twenty-one (21) were observed and interviewed in Bongo and ten (10) in Talensi districts. Twenty-two (78.6%) prepared injections on clean tables and trays. Fourteen (50%) respondents reused mixing syringes for reconstitution and 4(17.9%). Eight (17.9%) had shortage of cotton wool. Community Health Nurses who experienced shortage of cotton wool used syringe wrappers in place of cotton wool after injection. Two hand recapping was observed in 3 (10.7%) respondents. Two (25%) facilities had sharps scattered at the disposal site. The two facilities that have incinerators were not using them at the time of the visit. The challenges to injection practice were the use of improvised items, reuse of syringes for reconstitution, shortage of logistics and supplies, unattended, open and unrestricted disposal sites leading to sharps scattered around disposal site and non-use of incinerators. It has been recommended that the Regional EPI coordinator must conduct quarterly assessments on availability of EPI logistics and supplies in the districts and facilities.



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