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Safe Injection in the Context of IPC – Changing Landscape in Nigeria

机译：在IPC背景下进行安全注射–尼日利亚风云变幻

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Background: Unsafe injection leads to an increased disease burden and deaths from transmission of infection. Cost effective injection safety (IS) interventions encourage best practices especially in low resource countries where the burden is highest. Infection prevention and control (IPC) among health workers, waste handlers, and communities has been documented to decrease the burden over time. Intervention: AIDSTAR-One, a PEPFAR funded project through USAID, adopted the World Health Organization technical approach that promotes sustainability by working with and through government structures and relevant stakeholders for policy development and implementation. Training and capacity building, provision of seed stock of IS commodities, behavioral communication and changes to effect new skills, appropriate healthcare waste management (HCWM), and supportive monitoring and evaluation guide interventions for effective impact. Investors are encouraged to manufacture IS commodities in-country to support the intervention. Community interventions, through existing credible structures, aim to reduce unnecessary injections, and HCWM interventions focus on a minimum package of best practice standards at the health facility level and through community involvement. Challenges: The Nigerian health system is generally weak, attrition of trained personnel due to brain drain is a continuing challenge, and health worker behavioral change is gradual. Conclusion: Injection safety interventions in countries with low resources, such as Nigeria, are generally making steady progress over time as stakeholders appreciate its importance as a key IPC measure to ensure the safety of the health workforce, patients, and communities.
机译：背景：不安全的注射导致疾病负担增加，并因感染传播而死亡。具有成本效益的注射安全性（IS）干预措施鼓励最佳实践，尤其是在负担最大的资源匮乏的国家。据记录，卫生工作者，废物处理人员和社区之间的感染预防和控制（IPC）可以减轻负担。干预：AIDSTAR-One是由美国国际开发署通过PEPFAR资助的项目，它采用了世界卫生组织的技术方法，该方法通过与政府机构和相关利益相关者合作并通过政府机构和相关利益相关者共同制定政策和实施，从而促进可持续性。培训和能力建设，信息系统商品的种子库存提供，行为交流和影响新技能的变化，适当的医疗废物管理（HCWM）以及支持性的监测和评估指导干预措施取得了有效影响。鼓励投资者在国内生产IS产品以支持干预措施。通过现有的可靠结构进行社区干预，旨在减少不必要的注射，而HCWM干预则侧重于卫生机构一级和社区参与的一揽子最佳实践标准。挑战：尼日利亚的卫生系统普遍薄弱，由于人才流失导致训练有素的人员流失是一个持续的挑战，卫生工作者的行为改变是逐渐的。结论：随着利益相关者对其作为重要IPC措施以确保卫生人力，患者和社区安全的重要措施的重视，在尼日利亚等资源匮乏的国家中，注射安全干预措施通常会随着时间的推移逐步取得稳步进展。

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