Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 1326
Country/Region: Caribbean Region
Year: 2008
Main Partner: John Snow, Inc
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: enumerations.HHS
Total Funding: $2,115,000

Funding for Biomedical Prevention: Injection Safety (HMIN): $2,115,000

Results: strategies on behavior change and communication in injection safety implemented; improved

health care waste management; retractable injection device pilot project completed

Input: JSI has been awarded funding to implement an injection safety project under Track1. The goal is to

prevent new infections due to unsafe injections. JSI has conducted the initial assessment of injection safety

in Botswana which was completed in April 2004 and findings were used to establish baseline data and

identify informational gaps related to injection safety. JSI has also procured retractable syringes to be

piloted in the districts of Lobatse and Kgatleng. There will be no additional funds provided outside of track

1.

JSI has developed a strategy for advocacy as well as behavior change communication (BCC). BCC

materials are being developed and advocacy to health professionals in Botswana is continuing. There are

plans to monitor all aspects of the projects.

Activities/ Outputs: JSI will compile all lessons learned and document experiences and recommendations of

the initial project interventions to inform the National Injection Safety Reference Group about policy

development. Best practices will then be adapted into national level guidelines, norms and standards for

injection safety. As part of scaling up injection safety, JSI will evaluate and modify field-tested advocacy and

BCC to address issues that directly or indirectly constrain injection safety.

JSI will provide logistical and commodity management for retractable devices for Kgatleng District and

Lobatse Town Council (in the Southern district) to ensure that they are properly used. There will be

distribution of sufficient quantities of retractable syringes and matching quantities of sharps boxes and

equipment in the two districts. Monthly supervision to all health care facilities using retractable injection

devices will be carried out to assess emerging issues. JSI will address gaps identified during collection,

sorting, transportation, treatment and final disposal of health waste.

Outcome: JSI will complete the project and provide guidance to the Government of Botswana to improve

injection safety in the country.

Please note: Funding request is $0 because the funds- $580,000- are being provided centrally through

Track 1.