Abstract: The objective of this study was to assess Community health workers (CHW) compliance to WHO guideline of safe injection steps in community settings. The cross sectional descriptive study design using structured observation checklist was adopted to collect injection safety steps data. The CHWs trained to provide injectable contraceptive were direct observed by reproductive health nurse while administering intramuscular injection to women in need of injectable contraceptiveas part of family planning program in Kilombero district, Tanzania. About 1704 women received injection from 35 trained CHW. In this study we assessed if intramuscular injection and infection prevention steps taken complied to WHO based best practices for safe injections when CHW interacted with client. Results: Majority of CHW complied to WHO best practice for safe injection: Over 89% steps for infection prevention measures and over 91% steps for intramuscular injection technical performance complied to WHO safe injection guideline.

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