Vaccine cold chain management practice and associated factors among health professionals in Ethiopia: systematic review and meta-analysis

Kasahun, Abebaw Wasie; Zewdie, Amare; Shitu, Solomon; Alemayehu, Girma

doi:10.1186/s40545-023-00560-1

Cited by 3 publications

(1 citation statement)

References 24 publications

(17 reference statements)

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“…While the local government holds the vaccine stock book and temperature cards through the regional budget. All facilities in the vaccine supply chain need to be documented in the media so that they can be accounted for more openly [11]. Documentation media can be in the form of chart books or blanks for recording and reporting.…”

Section: Facilities (Equipment)mentioning

confidence: 99%

Cold chain evaluation of the immunization program in Primary Health Centers in 2022

Isworo,

Kiswoyo,

Suharsono

2024

BKM-PHCM

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Purpose: The major challenges of vaccination programs are associated with the vaccine cold chain management in primary health centers that must be evaluated. This paper discusses how vaccine cold chain management can address the challenges of vaccination programs in primary health centers. Specifically, it examines how the vaccine chain is managed. Methods: The design of this observational study was cross-sectional. Evaluations assessed in this study include input aspects, output aspects, process aspects, and outcome aspects of vaccine chain management. Observation methods and direct interviews with the evaluated vaccine chain staff collected primary data. Results: Management of the vaccine chain has been carried out properly with the support of human resources or immunization personnel who are in accordance with their competence, based on research results, the management staff are diploma graduates in nursing and midwifery. The defrosting process is carried out for a certain period, as well as using vaccine carriers and ice flasks, which are still good for vaccine distribution. It is very important to pay attention to the supply of the number and type of vaccines for the next month's needs at the public health center. Conclusion: The three key factors that guide the vaccine cold chain are educated vaccine control staff, vaccine storage, and delivery equipment, and efficient vaccine control procedures.

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Section: Facilities (Equipment)mentioning

confidence: 99%

Cold chain evaluation of the immunization program in Primary Health Centers in 2022

Isworo,

Kiswoyo,

Suharsono

2024

BKM-PHCM

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Effect of cold chain management practices on health centers operational performance: A facility Based cross-sectional study

Girma,

Mekasha,

Yami

et al. 2024

Preprint

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Background Access to essential cold chain pharmaceutical products is crucial for improving healthcare. Pharmaceutical organizations recommend a global standard for handling, storing, and distributing these items. However, resource-limited countries like Ethiopia face challenges in implementing cold chain management practices for temperature-sensitive products. Objective The study aimed to assess the cold chain management practice, and operational performance in the government health centers in the Administration of Addis Ababa, Ethiopia. Methods A cross-sectional facility-based study was conducted on health centers in Addis Ababa from September 5–30, 2023 G.C. Logistic indicator assessment tools were used in 20 health centers. Key informants such as the warehouse manager, pharmacy head, and expanded program immunization focal person were purposefully sampled. Three focal persons were selected from each health center. Generally, sixty (n = 60) study participants were included. Previously published literature and guidelines were used to review cold chain management practice and operational performance. Statistical analyses including the chi-square test, and multivariate regression were conducted, with significance set at p < 0.05. Results The study revealed that the majority of 34 individuals (56.7%) possessed work experience exceeding 3 years. As for practice-related aspects, the study showed that storage and facility (4.19 ± 0.271), distribution system (4.01 ± 0.247), technical capacity (4.43 ± 0.116), and information system (4.25 ± 0.138) were deemed sufficient for maintaining cold chain products in health centers. Furthermore, the chi-square test demonstrated a strong correlation (P = 0.0001) between the educational background, work experience, and years of service of employees and their cold chain management practices. The evaluation of cold chain management performance in public health facilities revealed an 85% rate of inaccurate inventory records, 55% undesirable storage practices, 85% inadequate stock records, and a notable level of product wastage (80%) in these health centers. Notably, the experience of respondents in cold chain management, product storage systems and facilities, distribution systems, and technical capacity of health facilities were identified as significant associated factors (p < 0.05 at 95% CI) with the operational performance of cold chain management. Conclusion Overall, the findings underscored the importance of addressing operational performance inefficiencies in the handling of cold chain products at health facilities. By implementing better training, standard operating procedures, logistics and inventory management techniques, and infrastructure, health facilities can ensure the quality and efficacy of their cold chain products, ultimately improving patient outcomes and public health.

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Experimental study on refrigeration system’s performance of the refrigerator truck using R404A refrigerant

Su,

Zhao,

et al. 2024

THERM SCI

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A refrigerated system experimental bench using R404A as the refrigerant was built to address the current issues of high compressor discharge temperature and poor refrigeration performance of refrigerated systems for cold storage. The effects of compressor speed and temperature changes within the storage on the main refrigeration performance parameters of the system were studied and analyzed. The results show that when the rotational speed is increased from 2500-4500 rpm under the conditions of 32?C outside and 0?C inside, the highest system exhaust temperature is 84.3?C, which is lower than 90?C, and the maximum system COP is 3.86, and when the compressor speed is increased from 3500 rpm under the conditions of -5?C to 5?C, the system exhaust temperature is lower than 90?C. The COP can reach 2.74, especially at -5?C.

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Vaccine cold chain management practice and associated factors among health professionals in Ethiopia: systematic review and meta-analysis

Cited by 3 publications

References 24 publications

Cold chain evaluation of the immunization program in Primary Health Centers in 2022

Cold chain evaluation of the immunization program in Primary Health Centers in 2022

Effect of cold chain management practices on health centers operational performance: A facility Based cross-sectional study

Experimental study on refrigeration system’s performance of the refrigerator truck using R404A refrigerant

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