Evidence map›Paper›PMID 33889238›Full record

ArticleThe Pan African medical journal2021

Factors that affect vaccines availability in public health facilities in Nairobi City County: a cross-sectional study.

Lucy Wanjiku Kanja, Peter Ndirangu Karimi, Shital Mahindra Maru, Pierre Claver Kayumba, Regis Hitimana

Abstract readMulticenter Study
In one paragraph

Article in The Pan African medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Vaccine storage and stock management practices in Vihiga County, Kenya.Journal of pharmaceutical policy and practice · 2024
    Article
  5. Managing drug shortages in pediatric care.Frontiers in pharmacology · 2024
    Review
  6. Article
  7. Article
  8. Review
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Lucy Wanjiku KanjaEast Africa Community Regional Center of Excellence for Vaccines, Immunization and Health Supply Chain Management (RCE-VIHSCM), University of Rwanda, Kigali, Rwanda.
Peter Ndirangu KarimiDepartment of Pharmaceutics and Pharmacy Practice, University of Nairobi, Nairobi, Kenya.
Shital Mahindra MaruDepartment of Pharmaceutics and Pharmacy Practice, University of Nairobi, Nairobi, Kenya.
Pierre Claver KayumbaEast Africa Community Regional Center of Excellence for Vaccines, Immunization and Health Supply Chain Management (RCE-VIHSCM), University of Rwanda, Kigali, Rwanda.
Regis HitimanaEast Africa Community Regional Center of Excellence for Vaccines, Immunization and Health Supply Chain Management (RCE-VIHSCM), University of Rwanda, Kigali, Rwanda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionover 1.5 million children die from vaccine-preventable diseases yearly. To avert these deaths and improve their livelihood, vaccine availability is important. The study assessed the availability of the vaccine, injection accessories and the associated factors in public health facilities in Nairobi City County and provided valuable data to contribute to improving healthcare infrastructure, stock management and vaccine distribution.

methodsa descriptive cross-sectional study was conducted in 68 randomly selected public health facilities at Nairobi City County in Kenya. Data was collected using a researcher-administered structured questionnaire and more information abstracted from the Vaccines management tools. The analysis was carried out using STATA version 14.

resultsmost facilities had experienced vaccines and accessories stock out at the time of the study and in the preceding twelve months. The most affected vaccines were tetanus (88%), measles-rubella (81%) and oral polio (79%). The causes of stockouts were rationing (82%), unavailability at the depot (93%), lack of transport (55%) and poor forecasting (50%). The majority (91%) of the facilities used the public transport system and only 1% had reliable government utility vehicles for delivery of vaccines and other logistics. Those near the vaccine depots preferred walking.

conclusionthe public health facilities in Nairobi City County experienced frequent stockouts of vaccines and accessories thereby exposing the residents to vaccine-preventable diseases.

Indexed as

Immunization ProgramsChildCross-Sectional StudiesFemaleHealth FacilitiesHumansKenyaMalePublic HealthSurveys and QuestionnairesVaccinationVaccine-Preventable DiseasesVaccinesVaccinesCold-chainfacilitiesimmunizationlogisticsNairobistockoutsubcountyvaccine

Identifiers

PMID33889238
PMCPMC8033186

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.