Disposable Syringes and Needles Construction of an EvaluationTool for Field Assessments

1
Disposable Syringes and Needles Construction of
an EvaluationTool for Field Assessments

• Bernadette Gergonne, Epicentre
• SIGN meeting, New Delhi, India, 2001

2
Relevance of the tool for SIGN partners

• Application fields
• Domains to explore
• Type of information collection
• Who will collect the information

3
Objective

• To design a tool (questionnaire) to assess
  disposable syringes and needles in field
  conditions

4

• Different disposable devices
• Classical needles and syringes
• Auto-disable needles and syringes
• Fixed or separate needles and syringes
• Different uses
• Treatment, immunisation
• Different settings
• OPD and IPD in hospitals
• Health centres
• Extended (or national) Programme of Immunisation
• National Immunisation Days
• Mass vaccination campaign

Should we add or remove application fields?
5
Domains to explore

• Protection and sterility of the device
• Preparation of the device
• Injection
• Recipients perception
• Destruction

Should we add or remove domains to explore ?
6
Practical use of the questionnaire

• Filled after one day observation
• By one person (user or observer)
• For one type of use
• For one type of syringe and needle
• Measure of subjective appreciation
• Several questions per domain
• Likert scale
• Weight of item (determined by expert)
• Calculation of Score
• By question
• By domain
• Global

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7
Method of questionnaire validation

• Relevance of questions
• Feasibility
• Duration of administration
• Percentage of correct filling
• Reliability
• Reproductibility intra-observer
• Reproductibility inter-observer
• Discriminating power between different
  situations

8
First proposal of questionnaire
9
First proposal of questionnaire
10
Protection and sterility

• Relevance of questions ?
• Relevance of type of answer ?