planning for a safe syringe disposal system for immunization service delivery part i options for...
TRANSCRIPT
Planning for a safe syringe disposal system for
Immunization Service Delivery
Part I Options for syringe waste disposal
Part II Weighing the options
Transmission risks & disposal patient to patient transmission of
infection due to the re-use of syringes,
patient to health-worker transmission due to needle-stick and
patient to community transmission due to unsatisfactory final disposal.
Safe
Sharps
Waste
Disposal
Systems
Options for syringe waste disposal
collecting used syringesmethod of final destructionlocation of final destructionmonitoring safe disposal of syringes
Options for collecting used syringes
1. Place needles and syringes in a safety box immediately after use
Options for collecting used syringes
1. Place needles and syringes in a safety box immediately after use
2. Separate needles from syringes before placing
the syringe in a safety box
Options for final destruction
1. Incinerating filled safety boxes (best method)
Options for final destruction
1. Incinerating filled safety boxes (best method)2. Burning safety boxes in a drum, protected hearth or pit (next best method)
Options for final destruction
1. Incinerating filled safety boxes (best method)2. Burning safety boxes in a drum, protected hearth or pit (next best method)3. Burying safety boxes in the ground (least safe method)
This option should only be used:If no incinerator is available andIf burning is not acceptable or possible and If suitable land is available:
The land should be inaccessible to the community.The water table should be at least 1.50m below the base of the pit, even during the wet season.The ground should not be too hard.
Options for the location of final destruction
1. At the site of outreach immunization
Options for the location of final destruction
1. At the site of outreach immunization
2. At the health center
Options for the location of final destruction
1. At the site of outreach immunization
2. At the health center
3. At a location remote from the health center
Options for monitoring safe disposal of syringes
Count and record:
1. the total number of syringes supplied to the facility and the number of safety boxes filled with syringes or
2. Count and record the total number of injections given and the number of safety boxes filled with syringes or
3. Count and record the total number of injections given and the number of syringes destroyed
PART II Designing your disposal system
Designing your disposal system
Step 1: Collect data and map the district
Step 2: Identify facilities with access to incineration now
Step3: Identify strategic locations for new incineration facilities
Step 4: Identify the remaining health centers and decide their policy for destruction
Example map of facilities
HospitalSpare capacity for50,000 syringes permonth
District HCIncinerator for8000 syringes per month
District HCIncinerator for8000 syringes per month
Mountains
•Hospital with exist ingincinerator•Health centers (HCs)transport ing syringesto hospital incinerator•HCs transport ingsyringes to small-scaleincinerator•District Healthcenter with small-scale incinerator•HCs using protected-burning•Outreach siteswhere syringes areburned on-site
80 0 syrin ge s pe r mo nth
10 00 syr ing es pe r mo nth
13 00 syr ing es pe r mo nth
28 00 syr ing es pe r mo nth
35 00 syr ing es pe r mo nth
35 00 syr ing es pe r mo nth13 00 syr ing es
pe r mo nth
80 0 syrin ge s pe r mo nth
80 0 syrin ge s pe r mo nth
80 0 syrin ge s pe r mo nth
13 00 syr ing es pe r mo nth
13 00 syr ing es pe r mo nth
13 00 syr ing es pe r mo nth
80 0 syrin ge s pe r mo nth
24 0 syrin ge s pe r mo nth
26 00 syr ing es pe r mo nth
Example planning grid
Merci !