SIGN meeting report 2003. - World Health Organization

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Executive Summary A number of health care procedures may lead to the transmission of HIV to patients, health care workers or the community at large. These include (1) transfusion of infected blood, (2) unsafe injections and (3) other skin-piercing procedures performed in the absence of universal precautions. Thus, safe health care services should offer to their users (a) a selection of blood donors, testing of blood units, appropriate clinical use of blood, and when applicable, viral inactivation of human material for therapeutic use, (b) safe and appropriate use of injections – which includes sharps waste management - and (c) procedures conducted according to universal precautions. Interventions to prevent these health care-associated infections are available, effective and highly cost-effective. The transmission of HIV infection in health care settings can be prevented with only a modest shift in the assignment of resources, for two reasons. First, blood safety, reduction of injection overuse and injection safety are not costly interventions. Second, the majority of HIV infections worldwide are caused by unsafe sexual practices. While the emphasis of HIV prevention programmes should remain on preventing sexual transmission, efforts to make health care safer should not be neglected. HIV prevention and care programmes should participate and spearhead interventions for safer health care within cross-cutting health care-strengthening initiatives. This can be achieved through (1) communication and behaviour change, (2) provision of single use injection devices and infection control supplies and (3) safe health care waste management. Global alliances of stakeholders, including the Safe Injection Global Network (SIGN) can assist in the creation of national infection control coalitions. The Global Fund to fight AIDS, Tuberculosis and Malaria as well as the World Bank “Multi-country AIDS Programmes” (MAP) and other funding partners provide an opportunity for countries to finance and scale up interventions through the provision of essential equipment and supplies. Through that approach, everyone will become involved so that the current initiative for “access to care” can become an initiative for access to safe health care.
Safe Injection Global Network (SIGN) Blood Safety and Clinical Technology World Health Organization 20, avenue Appia 1211 Geneva 27 Switzerland Fax: + 41 22 791 48 36 E-mail: sign@who.int
Page 1 and 2: WHO/BCT/03.13 DISTR.: GENERAL REPOR
Page 3 and 4: © World Health Organization 2003 T
Page 5 and 6: Executive summary Unsafe health car
Page 7 and 8: education, creating an enabling pol
Page 9 and 10: Table 1: Review of the status of th
Page 11 and 12: 2. Lack of knowledge of policies an
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Page 15 and 16: Ensuring quality assurance for sing
Page 17 and 18: This trial is being conducted in th
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Page 31 and 32: Identifying the respective roles of
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Page 39: MAPLEH, Louis WHO/AFRO/RPA/ICP P.O.
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SIGN meeting report 2003. - World Health Organization

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