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POST 01310E: KNOWLEDGE OF OPTIMAL NEEDLE LENGTH FOR INJECTION IMPORTANT 24 AUGUST 2008 ******************************************* Dear Forum, Injection Safety is definitely a Big problem in India. Health workers still administer injections in the gluteal region instead of thigh- as validated fr...

POST 01309E: SAFE INJECTION PRACTICES AND TRAINING MORE IMPORTANT FOLLOW-UP ON POST 01308E 22AUGUST 2008 ******************************************* Hello Group, My response to the questions raised by Dr. Sood are as follows:- • Are the results generalisable to children in developing countr...

POST 01308E: APPLICABILITY OF CDC’S INTRAMUSCULAR INJECTION RECOMMENDATIONS IN DEVELOPING COUNTRIES 20 AUGUST 2008 ******************************************* For most childhood vaccines, intramuscular injection is the preferred route of administration. The vastus lateralis muscle of the thigh is...

POST 01307E: HEALTHCARE WASTE MANAGEMENT: NEED FOR TRAINING/SUPERVISION FOLLOW-UP ON POSTS 01295E, 01296E & 01305E 19 AUGUST 2008 ******************************************* Dear Friends, In Developing country settings (like India) Biomedical Waste Management is given low priority in absen...

POST 01303E: NEEDLE REMOVER DEVICE: FIELD EXPERIENCE 12 AUGUST 2008 ******************************************* Dear Moderator, PATH would like to post the following message to follow up on needle remover experiences. Best wishes, Nancy Safely managing infectious sharps waste is an importan...

POST 01295E: NEED FOR A FEASIBILITY BASELINE FOR MEDICAL WASTE DISPOSAL METHODS 29 JULY 2008 ******************************************* Vijay Machcha from ITPI stresses the need to introduce the concept of baseline for medical waste disposal technologies just as it is done for CDM projects. E...

POST 01288E: TECHNOLOGY IS MORE THAN EQUIPMENT 8 JULY 2008 FOLLOW-UP ON POST 01286E ******************************************* In response to Dr Rajesh Sood. In Jharkand, a state in northern India, 100+ solar refrigerators were installed about 3 to 4 years ago. The US-imported refrigerators...

POST 01286E: WASTE MANAGEMENT CHALLENGES/SOLAR TECHNOLOGY FOLLOW-UP ON POSTS 01273E, 01283E, 01284E, 01285E 2 JULY 2008 ******************************************* NEW PRESENTATION OF PNEUMOCOCCAL VACCINE I agree fully with Anthony, I would warn however that at least one of the new vaccines (pn...

POST 01285E: REDUCING ENVIRONMENTAL IMPACT OF IMMUNIZATION SERVICES FOLLOW-UP ON POSTS 01273E, 01283E, 01284E 30 JUNE 2008 ******************************************* SYRINGE MELTING DEVICES Dear Moderator, The single biggest issue for climate change in immunization is the destruction of used...

POST 01282E: FINANCING OF SUPPLY CHAIN LOGISTICS/TRANSPORTATION SYSTEMS 18 JUNE 2008 ******************************************* Terry Hart from IT Power India seeks information on models and experiences in outsourcing and innovative financing of supply chain, logistics, and transportation system...

POST 01277E: VVM—A WHO-PREQUALIFIED AND VALIDATED TOOL FOLLOW-UP ON POSTS: 01264E, 01266E, 01275E 10 JUNE 2008 ******************************************* The query regarding VVM reliability has generated a fair number of responses--a few heated ones too. An interesting diversion here before we...

POST 01275E: HOW RELIABLE IS THE VVM? FOLLOW-UP ON POSTS: 01264E, 01266E 4 JUNE 2008 ******************************************* Rajesh Sood raises questions about the reliability of VVM in the context of out-of-cold-chain practices and recommends conventional safeguards. We have found that ...

POST 01273E: CONTINUING THE DEBATE ON ENERGY FOR HEALTH: FINANCIAL INSTRUMENTS/SYRINGE MANUFACTURE AND ENERGY USE FOLLOW-UP ON POSTS: POSTS 01265E, 01269E 29 MAY 2008 ******************************************* Rowan Wagner takes the discussion a little further by posing questions about legi...

POST 01272E: LOW-TECH SOLUTIONS IMPROVE IMMUNIZATION COVERAGE--THE TRACKING BAG STORY 26 MAY 2008 ******************************************* Tasnim Partapuri and his colleagues from IMMUNIZATIONBasics, India share this story about how tracking bags have enabled health workers in some Indian st...

POST 01269E: ENERGY POLICY INCORPORATING HEALTH SECTOR NEEDS FOLLOW-UP ON POST: 01265E 22 MAY 2008 ******************************************* Dear Rowan, I cannot quote any clear-cut examples of energy policy specific to the health sector, but I can give reference to several indirect examples ...

POST 01266E: BROADENING THE USE OF THE VVM 16 MAY 2008 FOLLOW UP ON POST 01264E: ******************************************* Hans Everts responds to Joanie Robertson’s request for out-of-cold-chain vaccine distribution experiences and asks for a proactive approach to VVM. He says the need is to...

POST 01254E: REPAIR/NON-REPAIR OF EQUIPMENT AND SIMPLIFYING THE COLD CHAIN FOLLOW-UP ON POSTS: 01216E, 01218, 01221E, 01225E, 01227E, 01229E 15 APRIL 2008 Â ******************************************* Â Â In POST 01214E I presented my ideas about how to improve the present s...

POST 01252E: Cost-effectiveness of peer training and supervision to enhance immunization services 11 APRIL 2008 This paper offers the first attempt to quantitatively evaluate the supportive supervision framework in Andhra Pradesh In Andhra Pradesh, India, traditionally, supervision of immunizatio...

POST 01247E: VACCINE FREEZE-PREVENTION AIDE-MEMOIRE—CORRECTIONS 30 MARCH 2008 FOLLOW-UP ON POSTS01230E, POST 01235E, POST 01239E ******************************************* The attachments were not included in the earlier post. They are attached now. Many apologies. Dear Moderator In the A...

POST 01246E: VACCINE FREEZE-PREVENTION AIDE-MEMOIRE—CORRECTIONS 29 MARCH 2008 FOLLOW-UP ON POSTS01230E, POST 01235E, POST 01239E ******************************************* Dear Moderator In the AIDE MEMOIRE it says: Do not store freeze-sensitive vaccines on or within 20 centimeters of the flo...