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Background The Making Medical Injection Safer (MMIS) project funded by the President’s Emergency Plan for AIDS Relief implemented by the Ministries of Health and John Snow Inc. aimed to improve injection safety and healthcare waste management practices in eleven countries between 2004 and 2009. MMIS engaged in training and capacity building for healthcare workers, including waste handlers, as well as commodity and logistics support, behavior change communications, and advocacy for safe injection and waste management policies. Waste handlers are considered a highly vulnerable and somewhat ignored group in the infection control chain. Injuries from contaminated needles are a primary route through which blood borne pathogens such as HIV, hepatitis B and C are transmitted in healthcare settings. Percent of reported needlestick injuries, immunization against hepatitis B, and knowledge of disease transmission are key indicators related to occupational safety for waste handlers.

Protecting at risk cadres of health workers from medical transmission of HIV and Hepatitis B and C through injection safety interventions