Assessment of safe injection awareness and practices among healthcare providers at primary health care facilities

Abstract

Background Unsafe injection necessitates some preventive steps including promoting and assuring the execution of safe injection administration and waste disposal methods. The present study aimed to assess the awareness and practices of safe injection among health care providers working at all primary health care (PHC) facilities in Fayoum governorate, Egypt. Also, it assessed the awareness, readiness, and response related to needle stick injuries (NSIs). Methods A cross-sectional observational study conducted from September to December 2019 at all working PHC facilities in Fayoum Governorate, Egypt, resulted in enrolling 685 health care providers, and observation of 520 injection processes. Data were collected by a combination of staff interviews and structured observation of different injection processes using the WHO revised C tool. Results Safe injection and post-exposure NSI policies and procedures was implemented in 96.5% of the PHC facilities. Compliance to hand wash before preparing a procedure was 56.7%. Immediate disposal of used needles was 76.2% in observed injections. Hepatitis B vaccination rate among participants was 87.2%. Most participants 87.6% admitted the existence of a NSI reporting system but only 38.8% of those who had experienced NSI event reported. The rate of NSI was 14%. Conclusions Fayoum PHC facilities have good awareness level among providers and broadly accepted compliance with injection practices as per the WHO tool. Most injection-safety aspects were satisfactory, and implemented measures to face NSI were in place. Appropriate timely actions are required to maintain the fair awareness and improve injections practices in the PHC facilities.

Evaluation of Healthcare Provider Adherence to Safe Injection Practice

“…Depending on Tables (3-2) and (3-3) The overall evaluation of healthcare provider adherence to safe injection practice was fair. this result matched with the study finding of Ali and Eldessouki, (2022) that represented the majority of study participants had a good awareness about safe injection practices 2 . as well as these findings linked with the result of Anwar et al, (2019) and Birhanu et al, (2019) they found in their study the majority of study sample practices and awareness regarding safe injection was good 3,4 , in addition to Van Tuong, et al, 2017 andIsmail, et al, (2014), they emphases in their study that the most of study subject have a high level of knowledge related to the safety of injection procedure 6,7 , despite Zakar, et al, (2013), the stated in their study that the most of study respondent were not scientifically qualified or trained among providing parenteral medication.…”

“…Ali and Eldessouki, (2022) they reported in their study there is no significant association between ( living in urban or rural residential areas and years of experience) and injection safety 2 . Moreover, Van Tuong, et al, 2017 reported in their study there is a significant relationship between safe injection practices and (young age nurses, years of experience <10 and training in correct injection technique) but no significant relation with nurses qualifications 7 .…”

Evaluation of Patient's Safety Measures in ICU and Surgical Theatre in Hospitals in Menoufia Governorate, Egypt

“…It is a simple and low-cost action that reduces the rates of acquisition of pathogens on hands significantly (15) . While, discarding single use injection devices after use was 100% implemented, which is comparable to the results of Ali and Eldessouki (16) in which immediate disposal of used needles was 76.2% in observed injections, and different from the study of Ismail et al (17) who found safe needle disposal in only 47.5% of the healthcare workers.…”

A panoramic analysis of safe infusion practices compliance among healthcare providers in a tertiary care hospital in India

“…Furthermore, our data revealed statistically significant differences in levels of awareness and practice across various categories. Ali and Eldessouki also reported 76.2% of immediate disposal of used needles [3] . This study is one of the few that included nurses and investigated differences in awareness and practice, additional research is recommended to back up the findings and explore different paths for achieving optimal compliance and preventing serious consequences.…”

“…The Safe Injection Global Network (SIGN) describes safe injection practices as a collection of measures aiming to promote safe patient injection behaviour while not jeopardizing the healthcare provider or the broader community [1,2] . Unsafe injection procedures are widespread in developing nations' healthcare institutions, contributing to a number of preventable healthcare-related problems despite significant attempts to limit the frequency of harmful injections in poor countries [3,4] . In the year 2000, improper injection practices caused estimated 20 million new hepatitis B virus (HBV) infections, 2 million new hepatitis C virus (HCV) infections, and 250,000 new human immunodeficiency virus (HIV) infections [5] .…”