Abstract
Background: Vaccines are the only essential commodities that required their own specific supply chain system with storage of 2°C to 8°C. It is critical that they should be kept at appropriate temperatures during transit and storage. Objective: The purpose of this study was to assess vaccines’ cold chain management practice at public health facilities in Bahir Dar City health institutions. Methods: Institutional based cross-sectional study was conducted from January 5 to January 12 2019 in Bahir Dar City, Amhara Regional State, and Northwest Ethiopia. The information was collected by an interviewer administered, pre–tested and structured questionnaire in health center and hospital in Bahir Dar city. Data was entered and analyzed using SPSS version 20 software. Descriptive statistics and Logistic regression analysis were carried out to identify factors related to the practice of cold chain management. Result: From a total of health facility 9 (64.3%) had functional thermometer, 14 (100%) had an electrical power source refrigerator, and 10 (71.4%) had functional generator for backup service. 9 (64.3%) had guide line in the facility. From a total of health facility 10 (71.4%) had monitor temperature twice daily in there facility. Among the factors, only work experience and level of knowledge on vaccine cold chain management had a statistically significant association with the practice of health workers on cold chain management. The adjusted model indicated that respondents who had good level knowledge were 2.6 times more likely to have proper cold chain management practice as compared with those who had not. Health workers whose work experience more than two years were about 5 times more likely to have proper practice on cold chain management compared to their counterpart with 95% 5.2 (1.4 -19.14) and 95% 1.97 (0.77-5.03). Conclusion and recommendation: Respondents had adequate knowledge and the cold chain equipment was not in a good condition and we would like to recommend On-going follow up should be given to continue their strength
Highlights
Vaccination is the intervention that is taken for the prevention and eradication of vaccine preventable disease
Factors associated with vaccine cold chain management practice The finding of this study revealed that 10 (71.4%) had cold chain management that conforms to the required standards and the rest 4 (28.6%) had improper management practice
The finding of this study show that most of the health workers had good level of knowledge on cold chain management practice, which is higher than the finding in the study in East Gojam 38.3% [8, 19, 27]
Summary
Vaccination is the intervention that is taken for the prevention and eradication of vaccine preventable disease. Vaccination is the most precious gift that a health care worker can give a child to prevent from disease causing microbes [1]. It remains the most cost effective preventative health intervention presently known and applicable in most health institutions and it is important for the prevention of two and three million deaths globally each year [2]. Objective: The purpose of this study was to assess vaccines’ cold chain management practice at public health facilities in Bahir Dar City health institutions. Health workers whose work experience more than two years were about 5 times more likely to have proper practice on cold chain management compared to their counterpart with 95% 5.2 (1.4 -19.14) and 95% 1.97 (0.77-5.03). Conclusion and recommendation: Respondents had adequate knowledge and the cold chain equipment was not in a good condition and we would like to recommend On-going follow up should be given to continue their strength
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