PATH and the Vietnam Ministry of Health implemented a six-month demonstration project in Huong Khe District, Ha Tinh Province, Vietnam, to assess the acceptability, performance, and impact on waste disposal of a manual needle remover introduced at commune health centers. The results of this demonstration project will enable the Vietnam National Immunization Program to explore alternative methods that may be more effective and appropriate than current practices for managing medical waste at the commune level. This report provides background, methodology, results, discussion, and references associated with an evaluation of the project.