According to health agencies, the compounding center did not follow proper sterilization procedures and distributed its products without knowing whether they had passed sterility tests.

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But Dr. Norbert Forster, deputy permanent secretary of Namibia's health ministry, told CNN last year that the sterilization of HIV-positive women was "not at all" an official policy.

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In general, the sterilization process for producing batches of injectable product was not validated ( here is the inspection report).

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