SIGN meeting report 2003. - World Health Organization

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Objective 1: Exchange information between partners Progress since the last SIGN meeting An international environment favourable to the injection safety initiative Yvan Hutin WHO, Headquarters, Geneva Many of the objectives set at the SIGN meeting 2001 have been reached (Table 1). The international environment is favourable to the injection safety initiative. We now have a solid evidence base to document poor injection practices, their determinants and their consequences, advocacy efforts resulted in a high level of awareness, the SIGN alliance has a stronger focus towards countries, tools are now available for policy management and experience in pilot countries is indicating the way forward. Injections are still unsafe in developing and transitional countries The capacity to use assessment data to make decisions is still limited, there is a limited consumer demand for safety in many countries (e.g., South Asia), the work of the SIGN alliance is solely focused on injection safety, the WHO tools are not yet widely used and no countries have ever implemented a fully scaled-up plan for the safe and appropriate use of injections. Identifying the steps and processes to scale up injection safety interventions SIGN participants must facilitate the use of data for local decision-making, educate about the risks associated with unsafe injections through HIV prevention and care programmes, build up a broader infection control culture, disseminate the WHO policy management tools in countries and identify the steps and processes of the scaling up. Educating for the safe use of injections in the informal private sector of Karachi, Pakistan 7
Table 1: Review of the status of the action points formulated in New Delhi in August 2001 Action point Status Comment Practical “Injection safety planning aid” Policy statements by professional associations Improved mechanism for setting standards Achieved “Managing injection safety” and costing tool Achieved International Council of Nurses (ICN) World Medical Association (WMA) Achieved Draft ISO standards for immunization autodisable (AD) syringes available ISO standards for curative auto-disable syringes in preparation Achieved WHO guiding principles on injection equipment security Achieved “V&B” document Policy for better access to injection equipment Assistance to AD syringes introduction Waste management option Achieved 30 new options added to the database database Advocacy kit Achieved "First do no harm" brochure and CD-ROM National SIGN coalitions In progress New coalitions in China, Bangladesh, Guinea and Uganda Health care worker protection working group SIGN working groups in WHO regional offices Better communication with IASIT Synergies with other programme areas Progress towards plastic recycling Joint resource mobilization efforts Pilot projects on AD syringes introduction Quantification of the importance of illegal recycling National Regulatory Authority assessment tool Option paper on waste management Local production of sharps containers Environment-friendly syringes Engagement of environmental stakeholders Centralized waste management Partially achieved Global Burden of Disease estimates, “Aide Mémoire” and pilot project Partially Focal point in WPRO. Other regional offices in achieved the process of being organized Achieved Collaboration for all key documents, including technology transfer Achieved Mainstreaming of injection safety within HIV, essential drugs, immunization and environmental health In progress Pilot projects initiated Not achieved Unclear whether this is feasible In progress First projects being initiated in Africa and Asia In progress Study in progress in Pakistan Achieved First assessment just completed in China In progress New full time focal point hired by WHO In progress Countries reporting local production Not achieved Objective needs to be clarified Not achieved Unmet need In progress New full time focal point hired by WHO Coalition for Infection Prevention in East Central and Southern Africa Pamela Lynam, JHPIEGO, Johns Hopkins University, Nairobi 8
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SIGN meeting report 2003. - World Health Organization

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