A prefilled injection device for outreach tetanus immunization by Bolivian traditional birth attendants
| Autor: | Rosario Quiroga, Fernando Gil, Debra Kristensen, Percy Halkyer, Carib Nelson |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Bolivia
Pediatrics medicine.medical_specialty Tetanus immunization Prenatal care Health services Pregnancy Tetanus Toxoid medicine Humans Disposable Equipment Immunization Schedule Syringe Tetanus business.industry Syringes Vaccination Public Health Environmental and Occupational Health Prenatal Care medicine.disease Home Care Services Outreach Injection device Home visits Needles Injections Intravenous Female Medical emergency business |
| Zdroj: | Revista Panamericana de Salud Pública. 4:20-25 |
| ISSN: | 1020-4989 |
| DOI: | 10.1590/s1020-49891998000700004 |
| Popis: | This study evaluated the performance, acceptability, and appropriateness of a new, single-use, prefilled injection device called UniJect for an outreach immunization application. Between April and June 1995, UniJect devices were used by 36 traditional birth attendants to administer tetanus toxoid injections to 2,240 pregnant women during routine, antenatal home visits in the Northern, Ichilos, and Warnes Districts of Santa Cruz, Bolivia. Because tetanus toxoid is relatively heat stable, the traditional birth attendants were able to keep the tetanus toxoid-filled UniJect devices in their homes for up to one month without refrigeration. The devices were stored, transported, and disposed of in an outreach carrier designed to reduce the risks of improper handling and disposal. Data were collected from injection recipients, traditional birth attendants, and supervisors via observation, questionnaires, and post-study interviews. The performance of the UniJect device and its acceptability among all groups was very high. The traditional birth attendants used UniJect properly and safely; there were no reports or observations of device misuse, reuse, or needle-stick. Advantages cited included the fact that the device required no assembly, offered assured sterility, and reduced vaccine wastage sometimes associated with multi-dose vials. The ability to store and transport the vaccine-filled devices without ice also greatly simplified logistics. |
| Databáze: | OpenAIRE |
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