Comparison of Injection Use and its Practice in an Urban and Remote Setting of Kaski District in Western Nepal

Background: Understanding injection practices is imperative to propose evidence-based practical interventions for safe injection practice in developing countries like Nepal. Hence, the study was carried out to explore and compare injectable drug use and its practice in urban and rural areas of Kaski...

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Main Author:	Gyawali, S
Format:	Technical Report
Language:	en_US
Published:	2016
Subjects:	government health facilities Injectable drug use practice rural safe injection practice urban
Online Access:	http://103.69.126.140:8080/handle/123456789/159
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spelling	oai:103.69.126.140:123456789-1592022-11-08T10:29:26Z Comparison of Injection Use and its Practice in an Urban and Remote Setting of Kaski District in Western Nepal Communicable/Infectious diseases Gyawali, S government health facilities Injectable drug use practice rural safe injection practice urban Background: Understanding injection practices is imperative to propose evidence-based practical interventions for safe injection practice in developing countries like Nepal. Hence, the study was carried out to explore and compare injectable drug use and its practice in urban and rural areas of Kaski district and to propose interventional strategies. Methods: It was a descriptive, cross sectional, mixed (quantitative and qualitative) type of study. The study included interview with stakeholders, injection prescribers and injection providers, population survey, focus group discussions and observation of primary health care facilities and injection administration. Results: Injections were provided by formal and informal health providers as well as charlatans. All therapeutic and vaccine injections were given using single use disposable syringe and auto-disable syringe, respectively. Significantly (p<0.001) higher proportion of rural dwellers (8%) preferred injections compared to urban dwellers (2%). Higher number of urban dwellers was literate, had access to mass media and some knowledge about safe injection practice. But most of them were receiving injections from informal sector who were not trained for injection administration. The injection practice was safer in government health care facilities than in non-governmental facilities. Waste disposal practice in the studied health facilities was not satisfactory and was more haphazard in urban compared to rural areas. Conclusions: Lack of legal authority for quality control of injection equipment marketed in Nepal, guideline for waste management at the health care facilities and inadequate protection of HCWs are some of the areas to be addressed immediately to make injection practice safer. Integrated educational, managerial and regulatory interventions are required to improve injection safety. Keywords: government health facilities; Injectable drug use; practice; rural; safe injection practice; urban. 2016-11-10T13:56:50Z 2022-11-08T10:10:42Z 2016-11-10T13:56:50Z 2022-11-08T10:10:42Z 2014 Technical Report http://103.69.126.140:8080/handle/123456789/159 en_US application/vnd.openxmlformats-officedocument.wordprocessingml.document
institution	My University
collection	DSpace
language	en_US
topic	government health facilities Injectable drug use practice rural safe injection practice urban
spellingShingle	government health facilities Injectable drug use practice rural safe injection practice urban Gyawali, S Comparison of Injection Use and its Practice in an Urban and Remote Setting of Kaski District in Western Nepal
description	Background: Understanding injection practices is imperative to propose evidence-based practical interventions for safe injection practice in developing countries like Nepal. Hence, the study was carried out to explore and compare injectable drug use and its practice in urban and rural areas of Kaski district and to propose interventional strategies. Methods: It was a descriptive, cross sectional, mixed (quantitative and qualitative) type of study. The study included interview with stakeholders, injection prescribers and injection providers, population survey, focus group discussions and observation of primary health care facilities and injection administration. Results: Injections were provided by formal and informal health providers as well as charlatans. All therapeutic and vaccine injections were given using single use disposable syringe and auto-disable syringe, respectively. Significantly (p<0.001) higher proportion of rural dwellers (8%) preferred injections compared to urban dwellers (2%). Higher number of urban dwellers was literate, had access to mass media and some knowledge about safe injection practice. But most of them were receiving injections from informal sector who were not trained for injection administration. The injection practice was safer in government health care facilities than in non-governmental facilities. Waste disposal practice in the studied health facilities was not satisfactory and was more haphazard in urban compared to rural areas. Conclusions: Lack of legal authority for quality control of injection equipment marketed in Nepal, guideline for waste management at the health care facilities and inadequate protection of HCWs are some of the areas to be addressed immediately to make injection practice safer. Integrated educational, managerial and regulatory interventions are required to improve injection safety. Keywords: government health facilities; Injectable drug use; practice; rural; safe injection practice; urban.
format	Technical Report
author	Gyawali, S
author_facet	Gyawali, S
author_sort	Gyawali, S
title	Comparison of Injection Use and its Practice in an Urban and Remote Setting of Kaski District in Western Nepal
title_short	Comparison of Injection Use and its Practice in an Urban and Remote Setting of Kaski District in Western Nepal
title_full	Comparison of Injection Use and its Practice in an Urban and Remote Setting of Kaski District in Western Nepal
title_fullStr	Comparison of Injection Use and its Practice in an Urban and Remote Setting of Kaski District in Western Nepal
title_full_unstemmed	Comparison of Injection Use and its Practice in an Urban and Remote Setting of Kaski District in Western Nepal
title_sort	comparison of injection use and its practice in an urban and remote setting of kaski district in western nepal
publishDate	2016
url	http://103.69.126.140:8080/handle/123456789/159
work_keys_str_mv	AT gyawalis comparisonofinjectionuseanditspracticeinanurbanandremotesettingofkaskidistrictinwesternnepal AT gyawalis communicableinfectiousdiseases
_version_	1761500876636160000

Comparison of Injection Use and its Practice in an Urban and Remote Setting of Kaski District in Western Nepal

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