USAID Health Care Improvement Project (HCI) | Namibia


With PEPFAR funding through USAID/Namibia, URC assisted the Ministry of Health and Social Services (MOHSS) to reduce the medical transmission of HIV and other blood-borne pathogens among patients and providers during the delivery of medical injections and through safe disposal of medical waste. In addition, this project worked to 1) improve health care provider knowledge of HIV/AIDS, infection control, and occupational safety; 2) decrease stigmatization in health care settings; and 3) support reporting of needle-stick injuries.

Read more about the HCI project or visit the USAID ASSIST Project website.

Key Activities

  • Supported the MOHSS to develop, disseminate, and implement regulations and guidelines for infection prevention and control, medical waste management, control of blood-borne pathogens, and quality assurance
  • Provided technical support to the MOHSS to improve the quality of systems, equipment, and commodities to ensure safe medical injections and waste management
  • Integrated injection safety and waste management in pre- and in-service training of various cadres of health staff
  • Helped strengthen the national health information system to ensure reliable monitoring and evaluation of blood-borne diseases and waste management
  • Supported the development of comprehensive health worker knowledge and occupational safety that develops leadership through the work of infection control committees
  • Strengthened the use of post-exposure prophylaxis (PEP) protocols through links with other programs


  • Developed the following policies and guidelines:
    • Infection Prevention Control Guidelines
    • Post-exposure Prophylaxis (PEP) Guidelines
    • Waste Management Policy
    • Quality Assurance Policy
  • Launched the Integrated Health Care Waste Management Plan
  • Trained over 12,000 health care workers in infection control and close to 100 MOHSS staff as Trainer-of- Trainers for the program
  • Integrated infection control into pre-service training curricula for universities in Namibia
  • Established and strengthened infection control committees in all 34 health districts
  • Created and distributed Information, Education and Communication on hand hygiene, waste management and PEP
  • Reached over 500,000 community members with injection safety and waste management messages
  • Supplied over 350,000 injection safety boxes and PEP equipment to hospitals and clinics
  • Supported a reduction in the number injections administered per patient among the 153 targeted facilities targeted. The number fell from 11.2 at the beginning of the program to approximately 2 at the end.
  • Helped to support sustained health care waste management progress: Over 90 percent of the 153 targeted facilities reported that they have sustained the waste management progress achieved since the beginning of the program.
2008 to 2011
US Agency for International Development (USAID)
Regions/ Countries 
Geographic Scope 
All 13 regions of the country