Assessment of Factors Affecting Vaccine Cold Chain Management Practice in Bahir Dar City Health Institutions, 2019

Mulatu, Sileshi; Tesfa, Getasew; Dinku, Habitamu

doi:10.11648/j.ajls.20200805.14

Cited by 5 publications

(12 citation statements)

References 14 publications

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“…In this study, having good knowledge on cold chain and vaccine management was significantly associated with good cold chain and vaccine management status. The finding is consistent with previous studies [ 26 , 32 , 35 ]. This could be the possible explanation that if vaccine handlers have good knowledge, they may have good motivation, and feel responsibility and accountability to practice the proper cold chain and vaccine management.…”

Section: Discussionsupporting

confidence: 94%

“…However, our finding is lower than the finding from Gojan, Ethiopia (58.3%) [ 26 ] and Nigeria (66.1% and 73.9%) [ 14 , 32 ]. However, our finding is higher than the studies done in India (35%) [ 34 ] and Bahir Dar, Ethiopia (28.6%) [ 35 ]. This difference may be due to the difference in the selection of the indicators to measure the status of cold chain and vaccine management and the way of categorization of the variable.…”

Section: Discussioncontrasting

confidence: 92%

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Knowledge of vaccine handlers and status of cold chain and vaccine management in primary health care facilities of Tigray region, Northern Ethiopia: Institutional based cross-sectional study

et al. 2022

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Background Ethiopia federal ministry of health has been working on increasing access to immunization service by deploying solar refrigerators to primary health care facilities. However, there is limited evidence on cold chain and vaccine management status. Therefore, the objective of this study was to assess knowledge of vaccine handlers and status of cold chain and vaccine management and their associated factors in primary health care facilities of Tigray region Northern Ethiopia. Methods Institutional based cross-sectional study was conducted in four randomly selected districts of Tigray region, Northern Ethiopia. In each selected district, all primary health care facilities with functional vaccine refrigerators were included in the study. Data were collected using a pre-tested semi-structured questionnaire. The collected data were entered into Epi-data version 3.1 and then exported to Statistical Package for Social Sciences (SPSS) version 21 for analysis. All variables with p-value of < 0.25 in bivariate logistic regression analysis were included in multi-variable model to identify predictors of the dependent variables. Results In this study, fifty Primary Health Care Facilities (PHCFs) were included with a response rate of 94.4%. The overall level of good knowledge of vaccine handlers and good status of cold chain and vaccine management were 48% (95% CI; 30.7%-62%) and 46% (95%CI; 26.1%-61.3%) respectively. Receiving training on cold chain and vaccine management (AOR = 5.18; 95%CI: 1.48–18.18) was significantly associated with knowledge of vaccine handlers. Furthermore, receiving supportive supervision (AOR = 4.58; 95%CI: 1.04–20.17) and good knowledge of vaccine handlers (AOR = 10.97; 95%CI: 2.67–45.07) were significant associated with cold chain and vaccine management. Conclusions This study showed that knowledge of vaccine handlers on cold chain and vaccine management was poor. Similarly, the cold chain and vaccine management status was also poor. Therefore, on-site training should be provided to vaccine handlers to increase their knowledge, so as to improve their practices on cold chain and vaccine management. In addition, Programme based supportive supervision is needed to improve cold chain and vaccine management.

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Section: Discussionsupporting

confidence: 94%

Section: Discussioncontrasting

confidence: 92%

Knowledge of vaccine handlers and status of cold chain and vaccine management in primary health care facilities of Tigray region, Northern Ethiopia: Institutional based cross-sectional study

et al. 2022

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“…17 On the other hand, this finding was lower than the findings in Benin City, Edo State Southern Nigeria (73.9%), 18 and Bahir Dar city Ethiopia (71.4%). 19 This study finding was higher than reports from the Northwest region of Cameroon (24%) and the three Indian states (7%) at Gujarat health facilities. 20 The higher or lower differences could be due to the time of study period, socio-demographic characteristics, economic and cultural factors of the current study area and study settings and type of healthcare facilities.…”

Section: Discussioncontrasting

confidence: 69%

“…This finding was similar to the study conducted in Bahir Dar City, Ethiopia. 19 This might be related with higher/longer work experience making them more familiar to cold chain management which helps them to acquire better essential information on cold chain management practice.…”

Section: Discussionmentioning

confidence: 99%

“…This finding was similar with a study conducted in Bahir Dar city and East Gojjam Ethiopia. 11 , 19 This could be associated with having in-service training regarding cold chain management which upgrades the knowledge and skill of health workers and benefits them to get updated information and then easily understand basic principles, standards of practice, and implement consistently on cold chain management.…”

Section: Discussionmentioning

confidence: 99%

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Vaccine Cold Chain Management and Associated Factors in Public Health Facilities and District Health Offices of Wolaita Zone, Ethiopia

Erassa¹,

Bachore²,

Facha³

et al. 2023

JMDH

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Background Vaccines are medical products with a short shelf life and are easily damaged by deviations in temperature from the recommended ranges. Vaccines lose their quality if the cold chain system is not properly managed. Cold chain management is still a major challenge in developing countries, including Ethiopia. Thus, this study aimed to assess vaccine cold chain management and associated factors at public health facilities and district health offices. Methods A facility-based cross-sectional study design was applied from March 1–28, 2021. One hundred and thirty-six health institutions were selected by simple random sampling method. Data was collected using the observation check list and interviewer-administered pre-tested structured questionnaires. Data was analyzed using SPSS version 25. The binary logistic regression was employed and those variables with a p -value less than 0.25 in the bivariate analysis were used for multivariable logistic regression. Then multivariate analysis at a p -value <0.05 and AOR with 95% CI was used to measure the degree of association between independent variables and the outcome variable. Results The study indicates that 83 (61%) public health facilities had good cold chain management practice at 95% CI (52.2–68.4). Experience greater than 2 years (AOR=2.8, 95% CI=1.13–6.74), good knowledge on cold chain management (AOR=3.02, 95% CI=1.2–7.4), training on cold chain management (AOR=1.86, 95% CI=1.36–9.84), and supportive supervision on cold chain management (AOR=2.71, 95% CI=1.1–7.14) were statistically significantly associated with good cold chain management practice. Conclusion The result of the study indicated that there was low cold chain management practice in the study area. Strengthening the knowledge of healthcare workers and supportive supervision on cold chain management by giving training and monitoring their practice toward cold chain management may help to improve the cold chain management practice.

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Factors to vaccine cold chain management for sustainable and resilient healthcare delivery

Thakur,

Hossain,

Mangla

2024

Journal of Cleaner Production

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Assessment of Factors Affecting Vaccine Cold Chain Management Practice in Bahir Dar City Health Institutions, 2019

Cited by 5 publications

References 14 publications

Knowledge of vaccine handlers and status of cold chain and vaccine management in primary health care facilities of Tigray region, Northern Ethiopia: Institutional based cross-sectional study

Knowledge of vaccine handlers and status of cold chain and vaccine management in primary health care facilities of Tigray region, Northern Ethiopia: Institutional based cross-sectional study

Vaccine Cold Chain Management and Associated Factors in Public Health Facilities and District Health Offices of Wolaita Zone, Ethiopia

Factors to vaccine cold chain management for sustainable and resilient healthcare delivery

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