Introducing auto-disable syringes to the national immunization
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Introducing auto-disable syringes to the national immunization
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Research Introducing auto-disable syringes to the national immunization programme in Madagascar Paul K. Drain,1 Josoa S. Ralaivao,2 Alexander Rakotonandrasana,3 & Mary A. Carnell4 Objective To evaluate the safety and coverage benefits of auto-disable (AD) syringes, weighed against the financial and logistical costs, and to create appropriate health policies in Madagascar. Methods Fifteen clinics in Madagascar, trained to use AD syringes, were randomized to implement an AD syringe only, mixed (AD syringes used only on non-routine immunization days), or sterilizable syringe only (control) programme. During a five-week period, data on administered vaccinations were collected, interviews were conducted, and observations were recorded. Findings The use of AD syringes improved coverage rates by significantly increasing the percentage of vaccines administered on non-routine immunization days (AD-only 4.3%, mixed 5.7%, control 1.1% (P
