Indicator 11.6: "Proportion of women and men reporting that the last health care injection was given with a syringe and needle set from a new, unopened package"

Definition

Proportion of women and men reporting that the last health care injection was given with a syringe and needle set from a new, unopened package

Measurement Tools

Population survey such as DHS/AIS

What It Measures

Reuse of injection equipment in health care setting is a potential vector of HIV/AIDS. Thus, the proportion of injections given with reused injection equipment is an important prevention indicator in an initiative to prevent and control HIV AIDS.

How to Measure It

In a population survey men and women aged 15-49 are asked: • if they have had any injections for any reason in the last 12 months; • if yes, how many; • among those injections, how many were administered be a doctor, nurse, pharmacist, dentist, or any other health worker; • where the last injection was given; and • for the last injection, did the person who gave the injection take the syringe and needle from a new, unopened package. (Note: some population-based surveys asked about receipt of injections in the last 6 months only. These cases are noted. See indicator 11.5 for more information).

Strengths and Limitations

Population-based surveys provide a good surrogate measure of the proportion of reuse of injection equipment. Results of combined assessments of injection practices that have used both observational and population-based survey approaches indicate that there is a good correlation between the results obtained with the two methods. Persons interviewed who recall receiving an injection in the last six months but who do not remember the circumstances of it should not be included in the numerator and should not be excluded from the denominator. This lack of recall is an indication of an absence of consumer demand.