Knowledge, Attitude and Practices (KAP) study on therapeutic injections in Punjab: A community-based study

Agency : WHO-India

Communicable diseases like Hepatitis B and C and HIV are the most common health hazards in India due to unsafe injections. The objective of the study was to understand the knowledge, attitude, and practices of the community and other stakeholders with respect to injection use and underlying practices and propose a list of common practices for the development of communication material for behavioral change. It also studied healthcare waste management practices in health facilities; and recommend ways to increase safe injection.

Injections use is one of the most common medical procedures in India, with a frequency of injections being 2.9 per person per year. About 95% of injections are used for therapeutic purposes and about 63% of injections are unsafe. In-country like India injection safety is a major concern. Use of unsafe injections put patients/clients, doctors, nurses, phlebotomist, paramedical staff, biomedical waste management staff, ragpicker and community residing in area at risk of getting infectious and non-infectious diseases.

The study findings were helpful in

  • Preventing unsafe therapeutic injections;
  • Developing IEC/BCC material to create awareness of safe injection use among key stakeholders (health care providers and community);
  • Planning for reducing demand for unnecessary injections; and
  • Effective Implementation of bio-waste management with special attention on sharp waste

This study was about observing the knowledge, attitude, and practices regarding the use of injections both by community and healthcare providers in two districts of Punjab, covering rural and urban areas of the state. More than 2000 households and 50 patients/clients were interviewed. In addition, the injection use process, provider-client interaction was observed.


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