Investigating the Landscape of Injection Practices: A Multi-Level Examination within Surat, Gujarat, India




Injection practice, Injection safety, Safe injection, Injection technique, Quality care


Background: Unsafe injection practices pose significant risks to both patients and healthcare providers, constituting a critical issue in global healthcare ensuring the safety and appropriateness of injection practices is imperative. Aim & Objective: This study aimed to comprehensively assess the safety of injection practices across various healthcare facilities. Methodology: A Descriptive survey was conducted during March to December-2021. Non random Purposive sampling technique was adopted to select health care facilities. Total 26 healthcare facilities were selected from Government & private sectors. The study areas were OPDs and indoor wards. An observational checklist used to collect data. Data analysis was done using SPSS-28. Results: A comprehensive assessment revealed commendable adherence to injection safety practices. No deficiencies were found in the availability of resources and materials necessary for injection practices in hospitals. However, certain areas for improvement were identified. Interestingly, the practice of using a fresh pair of gloves for injections was unnoticed in 33% of government facilities and 45% of private facilities, suggesting a possible lapse in infection control protocols. Conclusion: While the healthcare facilities of Surat exhibit commendable adherences to certain aspects of injection safety, there remain opportunities for enhancement. Addressing implementing regular training programs for healthcare providers are crucial steps toward optimizing injection safety practices and ensuring the well-being of both patients and providers.


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Al Awaidy S, Bawikar S, Duclos P. Safe injection practices in a primary health care setting in Oman. East Mediterr Health J. 2006;12(Suppl. 2):S207–16.

Bennett S, Woods T, Liyanage WM, Smith DL. A simplified general method for cluster-sample surveys of health in developing countries. World Health Stat Q. 1991;44(3):98–106.

Bolarinwa OA, Salaudeen AG, Aderibigbe SA, Musa OI, Akande TM. Injection safety practice among primary health care workers in Ilorin, Kwara state of Nigeria. Health Sci J. 2012;6(3):1495–508.

Daly AD, Nxumalo MP, Biellik RJ. An assessment of safe injection practices in health facilities in Swaziland. S Afr Med J. 2004;94(3):194–7.

Hauri AM, Armstrong GL, Hutin YJ. The global burden of disease attributable to contaminated injections given in health care settings. Int J STD AIDS. 2004,15(1):7–16.

Hutin Y, Hauri A, Chiarello L, Catlin M, Stilwell B, Ghebrehiwet T, et al. Best infection control practices for intradermal, subcutaneous, and intramuscular needle injections. Bull World Health Organ. 2003;81(7):491–500.

Kane A, Lloyd J, Zaffran M, Simonsen L, Kane M. Transmission of hepatitis B, hepatitis C and human immunodeficiency viruses through unsafe injections in the developing world: model-based regional estimates. Bull World Health Organ. 1999;77(10):801–7.

Kish L. Survey sampling. New York: John Wiley & Sons, Inc; 1965.

Pépin J, Abou Chakra CN, Pe´pin E, Nault V. Evolution of the global use of unsafe medical injections, 2000–2010. PLoS One. 2013;8(12):e80948.

Wilburn S, Eijkemans G. Preventing needle-stick injuries among healthcare workers: a WHO-ICN collaboration. Int J Occup Environ Health. 2004;10(4)451–6.




How to Cite

Dabhi SK, Pandit NB. Investigating the Landscape of Injection Practices: A Multi-Level Examination within Surat, Gujarat, India. Indian J Community Health [Internet]. 2024 Apr. 30 [cited 2024 Jul. 16];36(2):302-6. Available from:



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