Effect Of Cold Chain Management Practices On Availability Of Vaccine In Private Health Facilities In Addis Ababa City Administration
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Date
2018-10-04
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Addis Ababa University
Abstract
The availability of vaccine is very important to provide vaccination service. Vaccine supply chain requires Cold chains which are widely used to ensure the viability of products in the vaccine management, and are critical components of vaccination programs. But with few exceptions, vaccine supply and logistics systems around the world are unable to keep pace with growing immunization programs. Reportedly, there have been challenges in major components of vaccine supply chain which are storage system, distribution system, technical Capacity, and management procedures. Those challenges affect the availability of vaccine while interruption of availability of vaccine significantly affects provision of immunization service as EPI is fully product dependent. It was therefore important to assess the effect of cold chain management practice on availability of vaccine. The study was conducted on private health facilities in Addis Ababa city administration providing vaccination service by using Cross sectional survey design. The population of the study was vaccination focal persons at private health facilities providing EPI services in Addis Ababa City Administration. The sample was determined by using single population proportion formula for cross sectional study and was calculated to be 47 and then data was collected through self -administered questionnaire from sampled facilities’ vaccination focal person who is responsible to manage vaccine with 91.5% response rate. The questionnaire was coded and analyzed using SPSS-V-20. Descriptive statistics and correlation analysis were undertaken to grossly understand about the collected data and nature of the study variables. Furthermore, regression analysis was conducted to assess effect of independent variables as storage system, distribution system, technical Capacity and information system on the dependent variable as availability of Vaccine. It has been revealed from the analysis thus that only the Storage System and Information System have significant positive effect on availability of vaccine. Hence, health sector management at different level and other stakeholders should provide attention to improving storage practice and upgrading information system.
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Challenges management,, availability, vaccine