An Assessment of Depo-Provera Injection Practice in Primary Health Care Facilities of Kilombero District, Tanzania

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DOI: 10.21522/TIJPH.2013.05.01.Art003

Authors : Kalolella A, Danda D, Mlay E


The objective of this study was to assess Depo-Provera injection practice among health care workers (HCW) in primary health care facilities in kilombero district, Tanzania. The cross sectional descriptive design using structured observation checklist was used to collect data. About 261 HCWs participated in the study to assess best practise of intramuscular injection technics and infection prevention measures. The SPSS descriptive statistics and chi-square tests were used to analyze data. Results indicate that majority of HCWs had adequately practiced infection prevention and intramuscular technics but did not perform well hand washing steps before and after giving injection. Many of them didn’t check labels or shake vials before giving injection. Three quarter practiced critical steps of using sterile syringes, avoiding recapping the needle and use of safety box to discard contaminated sharps, while three quarter of HCW could not practice steps of hand wash before and after giving injection. Three quarter of participants correctly practiced filling drug into syringes, expel air from it, injected deep muscles, aspirated and pushed all drug into the muscles, Secondary graduates and nurse officer with diploma have significantly performed well in injection practice to ensure that before injecting the drug, aspirated through syringes and needle to ensure that the injecting needle is in the muscle and not in the vein. In conclusion, healthcare workers showed adequate practice of injection technics and infection prevention. However hand washing, drug label check and Depo-Provera preparation needs in house training and supervision.

Keywords: injection practice, contaminated waste, Blood borne infection, intramuscular injection technics, infection prevention.


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