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Table 4 Division-wise injection safety practices in the UHCs in Bangladesh

From: A comprehensive situation assessment of injection practices in primary health care hospitals in Bangladesh

Indicators

Division§

     

Total

 

1

2

3

4

5

6

 

A. Facility observation: general safety (n = 24)

       

Average no. of injections per patient (number)

0.9

3.8

02.3

02.3

02.31

04.3

2.7

Injection safety policy/guidelines was available for viewing (%)

0.0

0.0

0.0

0.0

0.0

0.0

0.0

Waste disposal policy/guidelines was available for viewing (%)

0.0

0.0

0.0

0.0

0.0

0.0

0.0

Waste handlers have access to 'heavy gloves' (%)

0.0

0.0

0.0

0.0

0.0

0.0

0.0

Facilities with no non-sharps infectious waste outside (%)

23.5

16.3

11.6

0.0

0.0

0.0

8.6

Used syringe, needle disposed in puncture proof box (%)

55.0*

36.3

20.0

0.0

0.0

0.0

16.5

Facilities with no loose sharps/needles overflowing (%)

36.5

48.3*

47.5

0.0

0.0

0.0

22.0

Facilities with no loose injection materials scattered (%)

23.8

40.0*

26.5

0.0

11.2

15

19.4

Facilities with safe final waste disposal methods (%)

31.5

12.5

21.5

10.12

0.0

21.3

16.2

B. Injection providers' safety (n = 120)

       

Providers reported needle stick injuries in last 6 months (%)

46.3

32.5

67.5*

0.0

32.5

0.0

29.8

Providers trained in injection safety practices in last 2 years (%)

87.5*

0.0

75.0

0.0

0.0

0.0

27.1

Providers have had at least one Hepatitis B vaccination

3.6

27.3

13.7

53.4

47.6

0.0

24.3

Immunized against HBV [all 3 doses] (%)

02.5

25.0

12.5

52.5*

45.0

0.0

22.9

C. Safety of the recipients (n = 480)

       

Providers washed hands with antiseptic soap/rub (%)

33.5*

0.0

0.0

0.0

0.0

0.0

05.6

Patients whose injection site sterilized by spirit (%)

100.0*

0.0

08.8

30.0

20.0

12.5

28.5

Used new syringe- needles for reconstitution (%)

98.0

88.5

80.7

74.5

83.0

82.5

84.5

Injection was prepared on clean table (%)

56.5

0.0

05.0

50.0

80.0*

18.8

35.0

Used syringe, needle disposed immediately after injection

55.0*

36.3

20.0

0.0

0.0

0.0

18.5

No used sharps were scattered in open areas

27.8

36.0*

22.5

4.5

11.2

14.7

18.8

Followed adverse events after injection (%)

13.8

0.0

0.0

0.0

30.0*

0.0

07.3

D. Safety of the waste handlers (n = 48)

       

Waste handlers used 'heavy gloves' (%)

0.0

0.0

0.0

0.0

0.0

0.0

0.0

Trained in healthcare waste management (%)

50.0*

0.0

0.0

12.5

0.0

0.0

10.4

Immunized with HBV vaccine [3 dose] (%)

9.7

6.5

0.0

08.8

0.0

0.0

4.2

Waste handlers used any form of gloves (%)

62.5*

0.0

0.0

0.0

0.0

0.0

10.4

Reported needle stick injury in last 6 months (%)

46.5*

20.5

27.5

16.3

30.6

10.8

25.4

  1. HBV, hepatitis B virus; §1 = Dhaka, 2 = Chittagong, 3 = Rajshahi, 4 = Sylhet, 5 = Barishal, 6 = Khulna.
  2. * p < 0.01