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Safe and Appropriate Use of
Injection Activities of WHO’s Department
of Blood Safety and Clinical Technology
(BCT)
Yvan Hutin
Annual SIGN Meeting
New Delhi - 30 August 2001
A technology-focused presentation
that looks into the future
In 1994, the famous Star Trek Actor
Leonard Nimoy writes a book entitled
“I am NOT Spock”
In 2001, the WHO injection safety man
feels like writing a book called
“I am NOT SIGN”
Because:
YOU
are
and I am just
the WHO injection safety person
(who also does the SIGN secretariat)
WHO Work in Safe and Appropriate
Use of Injections
• Blood Safety and Clinical Technology (BCT)
– SIGN secretariat and other activities
• Vaccine & Biologicals (V&B)
– Safety of immunization
• Essential Drug and Medicine policy (EDM)
– Rational use of injections
• Other clusters
– Healthy environment and sustainable development
(Waste management)
– Family and community health
(HIV Prevention)
– Communicable Diseases
(Prevention of infection with bloodborne pathogens)
WHO Work in Safe and Appropriate
Use of Injections
• Blood Safety and Clinical Technology (BCT)
– SIGN secretariat and other activities
• Vaccine & Biologicals (V&B)
– Safety of immunization
• Essential Drug and Medicine policy (EDM)
– Rational use of injections
• Other clusters
– Healthy environment and sustainable development
(Waste management)
– Family and community health
(HIV Prevention)
– Communicable Diseases
(Prevention of infection with bloodborne pathogens)
SIGN Secretariat Activities
• The annual SIGN Meeting
–
–
–
–
1999, Geneva
2000, Cairo
2001, New Delhi
2002: Any suggestions?
• The SIGN E-mail list server
• The SIGN Internet site
BCT’s Safe and Appropriate Use of
Injection Objectives
•
•
•
•
Policy
Quality
Access
Use
BCT’s Safe and Appropriate Use of
Injection Objectives
• Policy
– Strengthen the capacity to formulate, implement, monitor,
and update safe and appropriate use of injections policies
• Template policies (Aide memoire)
• Data for decision making
– Assessment tools
– Global burden of disease
– Cost effectiveness analyses
• Quality
• Access
• Use
BCT’s Safe and Appropriate Use of
Injection Objectives
• Policy
• Quality
– Ensure quality and safety of injection devices
• Norms and standards for injection equipment
• Guide for injection equipment purchasers
• Tool to evaluate injection equipment in the field
• Access
• Use
BCT’s Safe and Appropriate Use of
Injection Objectives
• Policy
• Quality
• Access
– Ensure equitable access to injection devices
• “Bundling” of injection equipment
• Examination of the evidence to support the inclusion of
injection equipment and sharps boxes in the WHO
template Essential Drug List
• Use
BCT’s Safe and Appropriate Use of
Injection Objectives
•
•
•
•
Policy
Quality
Access
Use
– Promote appropriate, rational and cost-effective use of
injections
• Injection safety standards (“best practices”)
• Toolbox for behaviour change
Conclusion
• The SIGN network is still young
• WHO needed to conduct some ground work before
being able to fully coordinate the network
• We know need to develop the network and make
sure that the total is more than the sum of the parts
Two years later:
Leonard Nimoy wrote:
“I am Spock”
Every year,
WE fell more conformable saying
“We are SIGN”
… and we can move on together to achieve safe
and appropriate use of injections in the galaxy!
Unsafe injection
practices in the
Star Wars, 1977