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Injection practices in Nepal: health policymakers' perceptions.
Sudesh Gyawali1, Devendra Singh Rathore, Pathiyil Ravi Shankar
1Department of Pharmacology, Manipal College of Medical Sciences, Pokhara, Nepal. sudeshgy@hotmail.com.
BMC International Health and Human Rights
|June 25, 2014
Summary
Health policymakers in Nepal perceive injection safety as a significant issue, with differing views on overuse and regulation. Greater standardization of policies and procedures is needed to improve safe injection practices.
Area of Science:
- Public Health
- Health Policy
- Infectious Disease Prevention
Background:
- Unsafe and unnecessary injections are prevalent in developing nations, including Nepal.
- Health policymakers play a crucial role in advocating for rational and safe injection administration.
- This study investigates health policymakers' perspectives on safe injection practices in Nepal.
Purpose of the Study:
- To explore the perceptions of health policymakers in Nepal regarding safe injection practices.
- To identify challenges and gaps in current injection safety policies and implementation.
Main Methods:
- An exploratory qualitative study design was employed.
- Purposive sampling selected key policymakers from central and regional levels.
- Semi-structured interviews, guided by a modified WHO questionnaire, were conducted and analyzed using deductive content analysis.
Main Results:
- Eleven policymakers participated, unanimously agreeing injection safety is a problem, with many noting overuse by diverse providers.
- Opinions varied on whether national policy discourages overuse and if only single-use equipment is utilized.
- Concerns were raised regarding the lack of regulation for injection equipment quality, potential syringe reuse, and limited waste management plans.
Conclusions:
- Divergent views among policymakers highlight a need for improved consensus on injection safety.
- While government efforts exist, enhanced standardization of policies and procedures is essential for safer injection practices in Nepal.
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