Effect of mobile-based supportive supervision on cold chain point management and routine immunization service delivery

Das, Bishnu Ram; Bora, Parash Jyoti

doi:10.5455/ijmsph.2018.0720407092018

Cited by 5 publications

(7 citation statements)

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“…In the present study, only 12% of respondents demonstrated and interpreted the shake-test correctly. Our finding was much lower than reported from previous similar studies in Ethiopia ranging from (36.2% to 53.3%) [ 20 , 22 , 26 ], India (40%) [ 27 ] and Nigeria (51.6%) [ 25 ]. Furthermore, two-third (64%) of respondents had interpreted correctly the vaccine vial monitor (VVM) stages.…”

Section: Discussioncontrasting

confidence: 89%

“…The success of cold chain and vaccine management depends on the knowledge of cold chain handlers [ 27 ]. In this study, having good knowledge on cold chain and vaccine management was significantly associated with good cold chain and vaccine management status.…”

Section: Discussionmentioning

confidence: 99%

“…This finding is supported with previous studies which revealed that supportive supervision was significant determinant of good practice of cold chain management [ 14 ]. Other interventional studies from India reported that cold chain and vaccine management practice was significantly improved after the implementation of supportive supervision program [ 27 , 36 ]. This may be due to the fact that during supportive supervision, corrections of errors in cold chain and vaccine management are made on the spot wherever required, and vaccine handlers are encouraged and motivated to solve the feed backs given in to an action.…”

Section: Discussionmentioning

confidence: 99%

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Knowledge of vaccine handlers and status of cold chain and vaccine management in primary health care facilities of Tigray region, Northern Ethiopia: Institutional based cross-sectional study

et al. 2022

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Background Ethiopia federal ministry of health has been working on increasing access to immunization service by deploying solar refrigerators to primary health care facilities. However, there is limited evidence on cold chain and vaccine management status. Therefore, the objective of this study was to assess knowledge of vaccine handlers and status of cold chain and vaccine management and their associated factors in primary health care facilities of Tigray region Northern Ethiopia. Methods Institutional based cross-sectional study was conducted in four randomly selected districts of Tigray region, Northern Ethiopia. In each selected district, all primary health care facilities with functional vaccine refrigerators were included in the study. Data were collected using a pre-tested semi-structured questionnaire. The collected data were entered into Epi-data version 3.1 and then exported to Statistical Package for Social Sciences (SPSS) version 21 for analysis. All variables with p-value of < 0.25 in bivariate logistic regression analysis were included in multi-variable model to identify predictors of the dependent variables. Results In this study, fifty Primary Health Care Facilities (PHCFs) were included with a response rate of 94.4%. The overall level of good knowledge of vaccine handlers and good status of cold chain and vaccine management were 48% (95% CI; 30.7%-62%) and 46% (95%CI; 26.1%-61.3%) respectively. Receiving training on cold chain and vaccine management (AOR = 5.18; 95%CI: 1.48–18.18) was significantly associated with knowledge of vaccine handlers. Furthermore, receiving supportive supervision (AOR = 4.58; 95%CI: 1.04–20.17) and good knowledge of vaccine handlers (AOR = 10.97; 95%CI: 2.67–45.07) were significant associated with cold chain and vaccine management. Conclusions This study showed that knowledge of vaccine handlers on cold chain and vaccine management was poor. Similarly, the cold chain and vaccine management status was also poor. Therefore, on-site training should be provided to vaccine handlers to increase their knowledge, so as to improve their practices on cold chain and vaccine management. In addition, Programme based supportive supervision is needed to improve cold chain and vaccine management.

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Section: Discussioncontrasting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Knowledge of vaccine handlers and status of cold chain and vaccine management in primary health care facilities of Tigray region, Northern Ethiopia: Institutional based cross-sectional study

et al. 2022

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“…Preventive maintenance and monitoring and supervision by Medical Officer were also lacking. [ 10 ] In the present study also, the final cumulative score of CCP increased after the supportive supervision support and was found to be statistically significant. The important component such as “Vaccine Management” and “Equipment Maintenance” score showed statistically significant improvement.…”

Section: Discussionsupporting

confidence: 71%

“…Knowledge and skills of cold chain handlers regarding cold chain management at session site were improved adequately. [ 10 ] Based on results from the individual studies reviewed, supervision is likely to be a beneficial intervention for health care worker's performance and quality improvement in primary care settings in low and middle-income countries. What remains unclear, however, is what type(s) of supervision are optimal for performance improvement (e.g., clinical, managerial, etc.)…”

Section: Introductionmentioning

confidence: 99%

Supportive supervision of routine immunization in Rajnandgaon district of Chhattisgarh

Mendhe

Makade

Kamble

et al. 2019

J Family Med Prim Care

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Background:Immunization coverage in Chhattisgarh has never been abysmal but the improvement is rather insignificant over the years. Some more interventions are essential to strengthen different aspects of immunization services such as micro-planning, cold-chain and logistics management, monitoring/supportive supervision, and community mobilization. The present study was considered as a part of ongoing UNICEF funded Project on Supportive Supervision of Routine Immunization in Rajnandgaon district undertaken by the Department of Community Medicine, Government Medical College, and Rajnandgaon CG with the objectives to observe key quality parameters at Ice Lined Refrigerator (ILR) points and to assess knowledge and practice of Vaccine Cold Chain Handler (VCCH).Methods:A facility-based, cross-sectional study (repeat survey) was conducted from May 2017 to June 2018 in the Rajnandgaon district of Chhattisgarh. First phase of the study was conducted from May 2017 to November 2017 and repeat survey was conducted from December 2017 to June 2018. Structured questionnaires as a part of standard tool prescribed by Government of India was used for the collection of required data.Results:The cumulative score status out of all the 50 centres in Rajnandgaon district showed improvement in 35 centres. The score of important components such as vaccine management, equipment maintenance, temperature monitoring, and monitoring and supervision information improved, but that of background information and human resource component decreased.Conclusion:Supportive supervision strategy can be more beneficial in improving the cold chain maintenance process provided that components such as logistic, infrastructure, and manpower are in place to enhance service delivery. Supportive supervision is a continuous process, so regular follow-up and monitoring visits are essential to achieve the targets.

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Vaccine Management Knowledge and Practice of Health workers in Yemen

Sule¹

2022

TIJPH

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Vaccine management comprises of estimation of vaccine needs, ordering, storage, distribution, monitoring vaccines use and limiting vaccine wastage. Yemen has been in conflict situation for over 7 years and remains one of the world’s worst humanitarian crises, with an estimated 23.4 million people in need of humanitarian assistance. This descriptive cross-sectional study to assess the vaccine management knowledge and practice in Yemen was carried out among health workers in 6 governorates. 536 health workers at different levels provided responses to the online questionnaire which were imported into the Statistical Package for Social Sciences (SPSS) platform for relevant descriptive and inferential analysis. Chi square test was used to determine statistical significance of observed difference in knowledge and vaccine management practice against relevant socio-demographic and work-related variables. The level of significance was set at p value <0.05. The study showed that 429(80%) had good knowledge while 63(11.8%) and 44(8.2%) had fair and poor knowledge of vaccine management respectively. More than two-thirds of respondents only receive vaccines 411(76.7%), 124(23.1%) receive and distribute vaccines. Vaccine distribution included use of refrigerated vehicles (15.2%), cold boxes (32.8%) and vaccine carrier (41.6%) both with conditioned ice packs. A total of 432(63.8%) have experienced vaccine stock-out and mostly for 1-2weeks (75.6%). Association between age and vaccine management knowledge was statistically significant with p-value of 0.006. The vaccine management knowledge and practice as shown from the findings of the study are commendable. However, there is need to address the artificial stock-out of vaccines to avoid missed opportunities. Keywords: Knowledge, Practice, Vaccine Management.

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Effect of mobile-based supportive supervision on cold chain point management and routine immunization service delivery

Cited by 5 publications

References 0 publications

Knowledge of vaccine handlers and status of cold chain and vaccine management in primary health care facilities of Tigray region, Northern Ethiopia: Institutional based cross-sectional study

Knowledge of vaccine handlers and status of cold chain and vaccine management in primary health care facilities of Tigray region, Northern Ethiopia: Institutional based cross-sectional study

Supportive supervision of routine immunization in Rajnandgaon district of Chhattisgarh

Vaccine Management Knowledge and Practice of Health workers in Yemen

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