Assessment of vaccine provider’s knowledge, and attitude, and private healthfacilities compliance with World Health Organization requirement of vaccinemanagement practice, Addis Ababa, Ethiopia.
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Date
2021-06
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Addis Abeba University
Abstract
Introduction: Vaccines are exceedingly efficient biological substances and the first lines of
public health strategies against infectious diseases. Due to the sensitive nature of vaccines,
appropriate measures need to be put in place to ensure that vaccines remain potent from point of
manufacture to administration.
Objective: To assess vaccine provider‟s knowledge, and attitude, and private health facilities
compliance with World Health Organization requirement of vaccine management practice, Addis
Ababa, Ethiopia.
Methods: Cross-sectional study design was employed to collect data using a structured
questionnaire and observation tools in the private health facilities offering immunization services
in Addis Ababa. The study was conducted from March to July 2020. Data were analyzed by
SPSS and the result was presented by frequency and percentage in the form of tables and graphs.
Result: Thirty private health facilities were included in the assessment and, only 3(10%) had
WHO prequalified functional refrigerators, while 90% of the facilities had domestic types of
refrigerators. Of the 34 study participants who participated in the study, 7(20.6%) respondents
had poor knowledge of vaccine cold chain management while 26 (76.5%) had a positive attitude
toward vaccine cold chain management. Determinants of knowledge on vaccine cold chain
management training were (P = 0.042), and supportive supervision (P = 0.026). The knowledge
of healthcare workers towards the vaccine cold chain management was significantly associated
with the health workers‟ training and supportive supervision in health facilities. Determinants of
attitude on vaccine cold chain management training were (P= 0.019) and supportive supervision
was (P= 0.043). The attitude of healthcare workers towards the vaccine cold chain management
was significantly associated with the health workers‟ training and supportive supervision in
health facilities.
Conclusion: This study indicates that WHO standard refrigerators are available only in some
health facilities for vaccine storage. There was also a gap, in training, knowledge, and attitude of
vaccine providers toward vaccine management, and inappropriate vaccine management practice.
Therefore, there is a need to improve cold chain management.
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Keywords
Vaccine cold chain management, vaccine providers, knowledge, and attitude.