208405 Role of community involvement in infection prevention and injection safety (IP/IS) programs in Zambia

Tuesday, November 10, 2009: 9:00 AM

Oscar Cordon, MD, MPH , International Health Group, CHEMONICS, Washington, DC

Zambia's estimated population stands at 11,297,307(CSO-2000) and the HIV prevalence is 14% (ZDHS 2006). The goal of the USAID-funded medical injection safety project is to prevent the medical transmission of HIV and other blood borne infections such as Hepatitis B and C to health care workers as well as community members accessing public and private community-based health facilities. To achieve this goal, community involvement has been critical, primarily due to the high demand from community members for injections for the treatment of illnesses. The total number of Neighborhood Health Committees in the 72 districts is 7,641.


The project undertook community education campaigns using both print and folk media, including drama performances with youth clubs, and trained health care workers in communication with patients. The project also established over 7,000 neighborhood health committees working closely with health providers in all 72 districts in the country. To assess the outcome of this community involvement, a process evaluation approach was used. The evaluation involved 317 communities in both urban and rural settings in 14 districts in the country.


MISP's community involvement activities led to a reduction in demand for injections, increase in number of communities participating in medical waste management, and an increase in knowledge on issues of infection prevention and injection safety.

Conclusion: Involvement of communities is a critical component of improving infection prevention and injection safety in health care settings

Learning Objectives:
Describe the importance of community involvement in improving infection prevention and injection safety practices as described in Zambia.

Keywords: Injury Prevention, Injury Control

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was the country director supervising this project during sixteen months. Besides that I have been working in the public health arena for 23 years
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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