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Subject: Health technologies > Safe injection

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Achieving Effective Sharps Waste Management in GAVI Host Countries

This document presents an analysis of safer sharps-waste management activities, including practical options using available or emerging technologies. The analysis includes an estimate of the baseline burden of disease from unsafe injection practices, the proposed solutions' potential impact on burden of disease, and a cost-effectiveness analysis of the proposed solutions.

Publication date: June 2006

Region: Global

An Overview of PATH’s Injection Safety Work: 1999–2009

In the field of safe injection, PATH has served for more than 20 years in a global leadership role, championing improved approaches to injection safety for the developing world. This document summarizes PATH's safe injection work over the past 10 years and includes information related to the development of policies and standards for injection safety as well as a list of safe injection technology evaluations conducted by PATH. This document also contains a list of PATH reports, peer-reviewed journal articles, and technical resources published over the past ten years.

Publication date: December 2009

Region: Global

Directions in Global Health (Volume 2, Issue 1)

The April 2005 issue of Directions in Global Health features five PATH projects: efforts to improve health among migrant communities in China, Thailand, and Cambodia; the Global Campaign for Microbicides, PATH's Woman's Condom, procurement of safe-injection supplies under the PEPFAR program, and the Rotavirus Vaccine Program.

Author: PATH

Publication date: April 2005

Region: Global

Part of series: Directions in Global Health

Directions in Global Health (Volume 4, Issue 3)

This issue of Directions in Global Health profiles five aspects of PATH's work: our regional efforts to control tuberculosis, the development of and new applications for the Uniject device, a study evaluating storage of hepatitis B vaccine outside of the cold chain, promotion of condom use among young people, and PATH's procurement team.

Publication date: January 2008

Region: Global

Part of series: Directions in Global Health

Directions in Global Health (Volume 5, Issue 2)

This special issue of Directions in Global Health describes PATH's work on HIV/AIDS. Featured projects focus on implementing interactive communication techniques that promote healthier behaviors, strengthening health systems to address the dual epidemics of HIV and tuberculosis, protecting youth against HIV, challenging gender norms to reduce the spread of HIV, and advancing innovative technologies for the prevention, diagnosis, and treatment of HIV/AIDS.

Publication date: August 2008

Region: Global

Part of series: Directions in Global Health

Disposable-Syringe Jet Injectors

Part of the Technology Updates series, this fact sheet describes PATH's work on designing the next generation of jet injectors.

Publication date: January 2014

Region: Global

Part of series: Technology Updates

Evaluation of a Retractable Syringe in South Africa: Acceptability, Safety, and Cost Implications

In 2006 and 2007, PATH assessed the acceptability, perception of safety, effect on waste management, and cost implications of using retractable syringes in immunization and curative settings in KwaZulu Natal, South Africa. The research included focus group discussions and individual interviews, observations, an anonymous questionnaire, and a spreadsheet-based model to estimate costs, benefits, and cost-effectiveness.

Publication date: September 2007

Region: Global

Field Evaluation of the Acceptability and Feasibility of Syringe Melters in Indonesia

In 2006, PATH conducted a field evaluation of three syringe melters temporarily placed in five health centers in Kulon Progo District, Yogyakarta, Indonesia. The evaluation assessed the performance of the devices, acceptability by health workers, fit into the existing waste-management system, and potential design modifications. The evaluation demonstrated that, while feasible, the introduction of syringe melting into an existing health care waste management system may require significant shifts in waste-management practices. 

Publication date: May 2007

Region: Global

Final Report: Evaluation of Three Reuse-Prevention Feature Reconstitution Syringes in Three Districts of Indonesia

In 2007, UNICEF asked PATH to conduct a field evaluation of three World Health Organization prequalified reuse-prevention feature syringes used for vaccine reconstitution during a measles campaign on Lombok, Indonesia. The evaluation sought to identify the training and introduction requirements of these syringes and establish an understanding of their acceptability, performance, and safety during field use.

Publication date: November 2007

Region: Global

Framework for Conducting a Self-Assessment of National Progress in Injection Waste Management, Version 1

This tool was developed to provide a simple, efficient framework for conducting a self-assessment of health care waste-management (HCWM) planning at the national level. By collecting data on key achievements, knowledge, and practices at the district and national levels, the framework allows programs to quickly aggregate data, highlight trends, and identify gaps. A national-level workshop then provides the opportunity to outline next steps for moving the revised HCWM planning agenda forward.

Publication date: May 2008

Region: Global

Giving Safe Injections: Introducing Auto-Disable Syringes: Training Manual

Author: Catlin M; Crook B

Publication date: 2000

Region: Global

Giving Safe Injections: Using Auto-Disable Syringes for Immunization

Publication date: 2001

Region: Global

Global Resources for Health Care Waste Management

This table was developed under the Making Medical Injections Safer project, which PATH partners on in the areas of health care waste management (HCWM) and procurement technical assistance. The table provides brief summaries and contact information on many of the organizations that are actively engaged in HCWM throughout the developing world. It is intended to be a resource for country programs and governments seeking funding to support HCWM activities at the country level.

Publication date: June 2009

Region: Global

Global Vaccine Action Plan: 2011-2020

The Global Vaccine Action Plan (GVAP)—endorsed by the 194 Member States of the World Health Assembly in May 2012—is a roadmap to prevent millions of deaths by 2020 through more equitable access to vaccines for people in all communities. The GVAP aims to strengthen routine immunization, introduce new and improved vaccines, and advance research and development for the next generation of vaccines and technologies.

Author: Decade of Vaccines Collaboration

Publication date: May 2012

Region: Global

Guidelines for Implementing a National Procurement Policy to Integrate Safe-Injection Equipment

This document identifies key steps and information relevant to the development and implementation of a national procurement policy on safe-injection equipment. The intention is to increase patient and health worker safety, and especially to avoid medical transmission of bloodborne infections such as HIV, hepatitis B, and hepatitis C.

Publication date: April 2010

Region: Global

Guiding Principles for Managing Medical Waste

This document provides a brief overview of key considerations for developing a medical waste-management plan at the facility, district, and national levels.

Publication date: February 2005

Region: Global

Health Care Waste Management: Sharing the Responsibility

PATH and John Snow, Inc., developed these brief talking points on health care waste management to support advocacy efforts in order to raise awareness about why health care waste management is important and how programs can improve current practices.

Publication date: January 2010

Region: Global

A HealthTech Historical Profile: Technologies for Injection Safety

This document provides an historical overview of PATH's work on technologies for injection safety.

Publication date: January 2006

Region: Global

A HealthTech Historical Profile: The Uniject Device

Historical profile on the PATH development and advancement of the Uniject device.

Publication date: June 2005

Region: North America and Europe

A HealthTech Historical Profile: Vaccine Vial Monitors

Historical profile on the PATH development and advancement of vaccine vial monitors.

Publication date: June 2005

Region: North America and Europe

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