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Injection practice in Kaski district, Western Nepal: a community perspective
Sudesh Gyawali1, Devendra Singh Rathore2, Pathiyil Ravi Shankar3
1Department of Pharmacology, Manipal College of Medical Sciences, Pokhara, Nepal. sudeshgy@hotmail.com.
BMC Public Health
|May 1, 2015
Summary
Unsafe injection practices are prevalent in Nepal, with many receiving injections from unqualified providers despite high awareness of associated disease risks. This highlights a critical gap in ensuring safe injection administration.
Area of Science:
- Public Health
- Epidemiology
- Health Services Research
Background:
- Unsafe injection practices represent a significant public health concern in Nepal, though the extent of the problem remains unquantified.
- Previous research indicated a need to understand injection usage patterns, provider demographics, and public perceptions in Nepal.
Purpose of the Study:
- To quantify injection usage and identify healthcare providers administering injections in Kaski district, Nepal.
- To explore urban-rural differences in injection practices and provider preferences.
- To assess and compare public knowledge and perceptions regarding injections in urban versus rural settings.
Main Methods:
- A descriptive, cross-sectional mixed-methods study was conducted between July and November 2012.
- Utilized a World Health Organization-modified semi-structured questionnaire for household surveys and focus group discussions (FGDs).
- Sampled 300 households from both urban and rural areas of Kaski district, conducting 20 FGDs.
Main Results:
- Over 36% of households reported members receiving injections, with an average of 2.37 injections per person annually.
- Healthcare workers (34.8%) and medical dispensary staff (37.7%) were primary injection providers; rural respondents showed a higher preference for injections for fever (p < 0.001).
- Respondents favored injections for perceived efficacy (powerful, fast-acting, long-lasting) and demonstrated high awareness (>82%) of diseases transmitted via unsterile syringes.
Conclusions:
- High public awareness of injection-related infection risks is positive for promoting safe injection practices.
- A significant gap exists as the population often lacks awareness regarding the importance of qualified injection providers, leading to treatment by unqualified personnel.
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