AIDSTAR-One/Ethiopia Training and Capacity Building

Pre-service Training
Training for Sustainability
To build capacity and train even greater numbers of health care workers, waste handlers, and other support staff, AIDSTAR-One/Ethiopia has adopted a train-the-trainer model. Working toward sustainability, AIDSTAR-One/Ethiopia has also engaged universities across the country in pre-service training.

In December 2009, AIDSTAR-One/Ethiopia published materials for a 4-day, participatory training on infection prevention and control (IPC), injection safety (IS), and health care waste management (HCWM). Materials included a 5-module trainer's manual, an 83-page participant's handout, a training video, and an accompanying jingle. Thus far, AIDSTAR-One/Ethiopia has used these materials to train health care workers at both public and private health facilities and health regulatory officials as well as regional- and district-level supervisors in supportive supervision and new infection prevention standards.

Trainer's Manual: Injection Safety and Health Care Waste Management

PDF Module I - Training Skills (PDF, 332 KB)

PDF Module II - Injection Safety & HCWM (PDF, 1.65 MB)

PDF Module III - Supportive Supervision (PDF, 739 KB)

PDF Module IV - The Role of Health Extension Workers in Safe Injection Practice (PDF, 655 KB)

PDF Module V - Logistics System for Injection Safety Infection Prevention Supplies (PDF, 1.27 MB)

Click above to play or click here to watch the video on

IS/HCWM Training Video

Based on real-life scenarios, this engaging video (on right) was developed as an IS/HCWM training aide. Its three parts—covering 1) the effectiveness of oral versus injectable medications, 2) safe injection practices, and 3) proper handling and disposal of health care waste—were screened separately to summarize and compliment their respective lessons.

Part 1: The effectiveness of oral versus injectable medications

A client arrives at a clinic and demands an injectable to cure his illness; he witnessed a friend cured by an injectable and wants one himself. The nurse explains that the man's friend was vomiting, so oral medication was not feasible for him. The client, however, is not vomiting, and the preferred medication for him is taken orally. During the conversation, the nurse underlines that if the clients takes the medication as stated in the prescription, he will be cured as effectively as if he had been given an injection.

Video Stills
Stills from the training video.

Part 2: Safe injection practices

This section reviews topics including:

  • Opening the sealed needle and syringe in front of the client
  • Hand washing before and after injection
  • Depositing syringes and needles in a safety box immediately after use
  • How to segregate health care waste (infectious, non-infectious, sharps)
  • Reading the prescription before preparing an injection
  • To avoid recapping needles
  • Not to fill a safety box to more than three-fourths of its capacity

Part 3: Proper handling and disposal of health care waste

Use of personal protective equipment and proper handling of health care waste is described in this section. It also demonstrates how a filled safety box is handled and incinerated and where the ash should be placed.