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

Disposable Syringes and Needles
Construction of an EvaluationTool
for Field Assessments
Bernadette Gergonne, Epicentre
SIGN meeting, New Delhi, India, 2001
Relevance of the tool for SIGN partners
Application fields
Domains to explore
Type of information collection
Who will collect the information
Bernadette Gergonne, Epicentre, SIGN Meeting, New Delhi, India, August 2001
Objective
To design a tool (questionnaire) to
assess disposable syringes and
needles in field conditions
Bernadette Gergonne, Epicentre, SIGN Meeting, New Delhi, India, August 2001
Different disposable devices
Classical needles and syringes
Auto-disable needles and syringes
Fixed or separate needles and syringes
Different uses
Treatment, immunisation
Different settings
Should we add
or remove
application
fields?
OPD and IPD in hospitals
Health centres
Extended (or national) Programme of
Immunisation
National Immunisation Days
Mass vaccination campaign
Bernadette Gergonne, Epicentre, SIGN Meeting, New Delhi, India, August 2001
Domains to explore
Protection and sterility of the device
Preparation of the device
Injection
Recipients perception
Should we add
or remove
domains to
explore ?
Destruction
Bernadette Gergonne, Epicentre, SIGN Meeting, New Delhi, India, August 2001
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
Bernadette Gergonne, Epicentre, SIGN Meeting, New Delhi, India, August 2001
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
Bernadette Gergonne, Epicentre, SIGN Meeting, New Delhi, India, August 2001
First proposal of questionnaire
Bernadette Gergonne, Epicentre, SIGN Meeting, New Delhi, India, August 2001
First proposal of questionnaire
Bernadette Gergonne, Epicentre, SIGN Meeting, New Delhi, India, August 2001
Protection and sterility
1 To know if the syringe has not been open before use is
Very easy
Easy
2 To know if the needle has not been open before use is
Very easy
Easy
3 To find and read expiry date of the syringe is
Very easy
Easy
4 To find and read expiry date of the needle is
Very easy
Easy
5 Number of syringes opened that day
6 Number of needle opened that day (if separate)
During the day of observation, number of syringes damaged
or unsuable
During the day of observation, number of needles damaged or
8
unsuable (if separate)
7
Relevance of questions ?
Relevance of type of answer ?
Bernadette Gergonne, Epicentre, SIGN Meeting, New Delhi, India, August 2001