Vaccine Logistics System Practices in Public Health Facilities of Arsi Zone, South East Ethiopia

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Date

2023

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Publisher

Addis Ababa University

Abstract

This study examines the Vaccine logistics system practices in public health facilities of the Arsi zone. Vaccines are very sensitive biological products; they lose their potency if they are exposed to a temperature beyond the recommended ranges. Supply chains play a significant role in improving health, saving lives, and reducing child mortality. A well-functioning supply chains need the network of staff, equipment, vehicles, and data to get vaccines safely from manufacturer to end user. The main objective of the study was to examine current vaccine logistics system practices at health facility. The study was conducted among 24 health facilities of Arsi zone, focus on vaccine logistics handling and storage, inventory management and logistics management information system. Descriptive statistics was used. The quantitative data was collected by data abstraction formats and self-administered questionnaires and analyzed using SPSS version 25.0. and the qualitative data was collected through in-depth interview with the heads of the health facility and mother and child health coordinators and analyzed using thematic analysis. Results of the study revealed that the inventory control system used by all facilities in this study were pull system, though there are conditional pushes from their suppliers, the supplier of the facilities were woredas health office. Only (8.3%) facilities reported conditional push system, storage units and equipment were available in all 24 health facilities and 100% stored vaccines. Half of health facilities 12 (50.0%) did not have access to a generator/solar out of this only 10(41.7%) had functional back up and only 3(12.5%) had a voltage stabilizer connected to the refrigerator, 23(95.8%) have thermometer out of 23 only 14(58.3%) thermometer was placed inside refrigerator, all health facilities suppliers are Woreda health office out of this 17(70.8%) of the health facilities used vaccine reporting and requesting form,5(20.8%) health facilities prepared their own forms to order vaccines from suppliers and 2(8.3%) health facilities that used government requesting voucher(model 20). and the study identified that the most challenges affecting logistics system were lack of training in logistics system, lack of training in vaccines logistics system, difficulty of obtaining continuous supplies, The shortage of human resources in the facility and power interruption. These findings indicate that appropriate actions are needed to ensure vaccines logistics system in all public health facilities.

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Keywords

Inventory, Logistics, Storage, thermometer, Vaccine.

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