A Case Study and the Lessons Learned from In-House Alcohol Based Hand Sanitizer Production in a District Hospital in Rwanda

Budd, April; Lukas, Stephanie; Hogan, Unarose; Priscille, Kamugisha; Fann, Kanamugire; Hill, Pauline; Edouard, Ndikumana; Byukusenge, Jean Bosco; Placide, Ntigurirwa; Aimable, Mutayomba; Wong, Rex

doi:10.4236/jssm.2016.92019

Cited by 18 publications

(21 citation statements)

References 23 publications

(18 reference statements)

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“…2,3 When access to handwashing facilities is limited or water sources are insufficient, alcohol-based handrubs (ABHRs) offer a convenient, effective, and relatively low-cost alternative worldwide, especially for developing countries. [4][5][6] Use of hand sanitizers as preventive measures is advocated by governments and health officials in the globe to combat the disease. 7 Center for Disease Control and Prevention (CDC) recommends the use of alcohol-based hand sanitizer products that contain at least 60% ethyl alcohol (ethanol) or 70% isopropyl alcohol (isopropanol) in community settings.…”

Section: Introductionmentioning

confidence: 99%

<p>Hand Sanitizers Marketed in the Streets of Addis Ababa, Ethiopia, in the Era of COVID-19: A Quality Concern</p>

Selam¹

2020

RMHP

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Hand hygiene is one of the least expensive measures proven to be effective in preventing the transmission of coronavirus disease 2019 (COVID-19). When access to handwashing facilities is limited, hand sanitizers offer a viable alternative for hand hygiene. Since the appearance of the first case of COVID-19 in Ethiopia, the demand for hand sanitizers, especially alcohol-based handrubs (ABHRs), was found to be increased. In the country, more than 100 manufacturers are engaged in the production of ABHRs. Besides, there are similar products without labels available for sale in the streets of Addis Ababa for which their nature and source are not clearly known. Generally, hand sanitizers marketed in the streets of the city are against the country's regulatory requirement. The Ethiopian Food and Drug Authority should inspect manufacturers regularly and evaluate the quality of hand sanitizers in the market, especially those obtained from the streets of the city, and take appropriate measures on those products and manufacturers which fail to meet the regulatory requirements.

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Section: Introductionmentioning

confidence: 99%

<p>Hand Sanitizers Marketed in the Streets of Addis Ababa, Ethiopia, in the Era of COVID-19: A Quality Concern</p>

Selam¹

2020

RMHP

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“…However, the high demand may not serve as a marker of hand hygiene compliance using ABHR. Various studies have demonstrated high HHC using ABHR compared to soap and water when hand are not feasibly soiled (10).…”

Section: Discussion: Impact and Lessons Learntmentioning

confidence: 99%

Impacts and lessons learned from the local production of WHO-Recommended Alcohol-Based Hand Rub during Covid-19 Pandemic in Uganda.

Tusabe

Otita

Kesande

et al. 2020

Preprint

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In January 2020, the World Health Organization (WHO) declared the outbreak of a new coronavirus disease, COVID-19. The WHO and the Centers for Disease Control and Prevention (CDC) recommend using an alcohol-based hand rub (ABHR) as one of the measures to combat the spread of COVID-19. Objective To assess the impacts and lessons learned from the local production of WHO-recommended alcohol-based hand rub during the COVID-19 Pandemic in Uganda. Method Space for local production was identified at a health facility in Central Uganda that was air-conditioned and well ventilated. Volunteers were trained on the local production of ABHR. The volunteers were trained theoretically and practically for Four days; and each was able to produce at least a batch of ABHR. Logistical support for supplying the raw materials needed for production was from the Infectious Diseases Institute. There were also already established ABHR production units and trained staff on local production of ABHR in 2019 in the Kabarole and Kasese districts, respectively in Western Uganda. These districts were threatened by several outbreaks, including Ebola virus disease, and were monitored for ABHR production during the COVID-19 Pandemic. Result Two production units were set up during the Ebola outbreak, in awake of COVID-19, a production unit in Kasese, was able to produce 3020 litres, and the Kabarole unit produced 2020 litres respectively. A new production unit was set up at Kasangati HCIV in central Uganda and eight laboratory technologists trained on Local Production of ABHR, and within Eleven days they were able to produce 2300ltrs. Conclusion The initiative to produce WHO-recommended hand rub locally during an outbreak is feasible, especially in a resource-limited country like Uganda. There is a need to rapidly scale-up the production capacity of ABHR and to ensure and maintain quality assurance at each production unit.

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“…This study demonstrated a component in the WHO-multi modal of hand hygiene strategy in a resource limited setting especially in Low middle income countries of Local production of ABHS 7WHO Formulation 1 was majorly considered in this project due to availability of Ethanol unlike Isopropyl alcohol which is not readily available on market nevertheless Ethanol is also cost friendly There was high demand of Locally produced alcohol hand sanitizer and this served as marker of hand hygiene compliance using sanitizers, many studies have demonstrated high hand hygiene compliance using ABHS compared to soap and water when hand are not feasibly soiled (8) Another study demonstrated poor tolerability of the WHO-recommended formulation of hand sanitizer and identified as a barrier of hand hygiene(9) however in this study we demonstrate high demand of locally produced ABHS to combat the pandemic which is a key sign to compliance and acceptability.…”

Section: Discussion: Impact and Lessons Learntmentioning

confidence: 99%

Impacts and Lessons Learnt From Local Production of WHO-Recommended Alcohol Based Hand Rub During Covid-19 Pandemic in Uganda

Tusabe

Otita

Kesande

et al. 2020

Preprint

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The Government of Uganda through the Ministry of Health and other partners have promoted hand washing and hand rubbing using ABHS as one of the key preventive measures against person-to-person spread of the Covid-19 virus. The people of Uganda have greatly heeded to these messages and as a result, the demand for ABHS has increased because of high consumption rates.Methods: A district multi modal design was established in 2019 in Kabarole and Kasese districts in Western Uganda Part of the strategy was to set up an ABHS production units. The prevailing COVID-19 outbreak has instigated set up at centrally located Kasangati HCIV. We analysed the demand and production of ABHS produced before and during the COVID-19 outbreak.Objective: To establish the impacts and lessons from local Production of WHO-recommended alcohol based hand rub during Covid-19 PandemicResults: 2060 litres were produced in Fort Portal in March 2020 around the time Uganda registered her first case of COVID-19 compared to monthly average production of 141 litres before the outbreak. In Kasese around 3020 litres were produced compared to the average 1500litres while 2000 litres produced in Kasangati HCIV a newly set production unit and a total of 8 people trained on Local production of ABHS.Conclusion; With high demand for ABHS during this pandemic, prices for commercial hand sanitizers have escalated, therefore, there is need to roll out local production of ABHS in other parts of the country since its saves more than 45% of the costs compared to commercial Hand Sanitizer. The production units should be embedded in Regional Referral Hospitals or IPC guidelines to major health facilities for the benefit of healthcare workers and patients who are at risk of the pandemic.

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A Case Study and the Lessons Learned from In-House Alcohol Based Hand Sanitizer Production in a District Hospital in Rwanda

Cited by 18 publications

References 23 publications

<p>Hand Sanitizers Marketed in the Streets of Addis Ababa, Ethiopia, in the Era of COVID-19: A Quality Concern</p>

<p>Hand Sanitizers Marketed in the Streets of Addis Ababa, Ethiopia, in the Era of COVID-19: A Quality Concern</p>

Impacts and lessons learned from the local production of WHO-Recommended Alcohol-Based Hand Rub during Covid-19 Pandemic in Uganda.

Impacts and Lessons Learnt From Local Production of WHO-Recommended Alcohol Based Hand Rub During Covid-19 Pandemic in Uganda

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