ArticlePediatric health, medicine and therapeutics2021
Cold Chain Maintenance and Vaccine Stock Management Practices at Public Health Centers Providing Child Immunization Services in Jimma Zone, Oromia Regional State, Ethiopia: Multi-Centered, Mixed Method Approach.
Article in Pediatric health, medicine and therapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Pooled it
- Bridging the service gap: health facility challenges in HPV vaccine uptake in rural Uganda.BMC women's health · 2026Article
- Pandemic-Proofing: Intercepting Zoonotic Spillover Events.Pathogens (Basel, Switzerland) · 2024Review
- Article
- Vaccine storage and stock management practices in Vihiga County, Kenya.Journal of pharmaceutical policy and practice · 2024Article
- A cross-sectional assessment of the effects of select training modalities on vaccine cold chain management.Journal of pharmaceutical policy and practice · 2024Article
- Assessment of vaccine management performance in health facilities of Mwanza Region, Tanzania: a cross-sectional study.Journal of pharmaceutical policy and practice · 2023Article
- Vaccine cold chain management practice and associated factors among health professionals in Ethiopia: systematic review and meta-analysis.Journal of pharmaceutical policy and practice · 2023Review
- Evaluation of vaccine storage and distribution practices in rural healthcare facilities in Kenya.Journal of pharmaceutical policy and practice · 2023Article
- Vaccine cold chain management practices in primary health centers providing an expanded immunization program in Northwest Ethiopia: self-reported and actual practice observational study.Frontiers in public health · 2023Observational
- Vaccine management practices among healthcare workers in Morogoro, Tanzania: a cross-sectional study.Journal of pharmaceutical policy and practice · 2022Article
- Adherence to WHO vaccine storage codes and vaccine cold chain management practices at primary healthcare facilities in Dalocha District of Silt'e Zone, Ethiopia.Tropical diseases, travel medicine and vaccines · 2022Article
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCold chain maintenance is the spine of an immunization program.
objectiveTo examine the status of cold chain maintenance and evaluate knowledge of cold chain handlers and practices of vaccine management at public health centers providing immunization services in Jimma zone.
methodsAn institutional-based cross-sectional study supplemented with a qualitative method was conducted in 41 randomly selected health centers providing immunization service in districts of Jimma zone from October 31 to November 30, 2019. Pre-tested self-administered questionnaires and observation checklists developed from an effective vaccine management assessment tool (EVMAT) were used to collect quantitative data. Key informants were selected using the purposive sampling technique and an in-depth interview was conducted. Quantifiable data were analyzed using SPSS version 20 and chi-square was used to test the presence of association (p-value <0.05). Qualitative data were analyzed by thematic analysis and triangulated with quantitative findings.
resultsAll public health centers had at least functional ice-lined refrigerators while 28 (68.3%) public health centers had functional deep freezers. Of the cold chain handlers, 120 (82.9%) had fair knowledge. Vaccine storage was appropriate per the World Health Organization's vaccine storage code in ice-lined refrigerators in 11 (24.4%) public health centers. Cold chain handlers' years of service, types of training, availability of funds for cold chain maintenance, and availability of cold chain equipment at public health centers showed the presence of significant association with vaccine cold chain management practice.
conclusionThe majority of cold chain handlers showed inadequate knowledge while a significant number showed poor practice of preserving the vaccines' cold chain. Cold chain maintenance was not adequate in public health centers, necessitating attentive efforts of providing proper management of vaccine cold chains at immunization delivery points.
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