Table 2 |
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|
Characteristics of injection prescribers and providers, Takeo province, Cambodia, 2002 |
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|
Total (n = 60) |
Takeo Province (n = 30) |
Phnom Penh (n = 30) |
|
|
|
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|
Characteristics of prescribers1 |
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|
Medication prescription rate (prescriptions/week) |
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|
average |
20 |
21 |
20 |
|
median |
20 |
21 |
20 |
|
range |
4–140 |
4–140 |
7–140 |
|
Prescriptions including an injection2 |
47% |
48% |
45% |
|
therapeutic injection |
34% |
32% |
35% |
|
intravenous infusion |
14% |
18% |
10% |
|
Main reason for prescribing injections |
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|
illness severity |
44% |
50% |
37% |
|
patient preference |
40% |
40% |
40% |
|
more effective than oral medications |
12% |
7% |
17% |
|
reimbursement |
9% |
7% |
10% |
|
Preferred injectable med for treatment of febrile illness |
64% |
47% |
80% |
|
Believed patient trust requires injection prescription |
42% |
53% |
30% |
|
Believed reimbursement is higher for patient visits that result in injection prescription |
77% |
87% |
66% |
|
Perceived themselves as over-prescribing injections |
2% |
3% |
0% |
|
Knew HIV, HBV and HCV can be transmitted through unsafe injections |
92% |
87% |
97% |
|
Characteristics of injection providers |
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|
Completed hepatitis B vaccination series |
20% |
7% |
33% |
|
Needlestick injury in last 12 months |
53% |
50% |
57% |
|
Average number (and range) of needlesticks in past 12 months among those reporting one or more |
1.7 (1–10) |
1.4 (1–6) |
2.0 (1–10) |
|
Use of single use needles and syringes3 |
98% |
97% |
100% |
|
Safety box (i.e., sharp container) present in injection administration area3 |
25% |
37% |
13% |
|
Reported having sufficient number of sharps boxes |
85% |
77% |
93% |
|
Practiced two hand recapping of used needles3 |
58% |
53% |
60% |
|
Left used sharps in preparation area3 |
13% |
23% |
3% |
|
Knew HIV, HBV and HCV can be transmitted through unsafe injections |
90% |
87% |
93% |
|
|
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|
1 Prescribers' responses pertain to their private outpatient practices 2 Denominator is the total number of weekly prescriptions 3 Based on observation of provider by the investigators |
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|
Vong et al. BMC Public Health 2005 5:56 doi:10.1186/1471-2458-5-56 |
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