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The impact of health
facility monitoring on cold chain management practices in
Lagos, Nigeria
A. Munir Bankole1,6*, Kola-Korolo Olusegun1,
N. Bankole Marian2, Iboma Godswill1,6,
O. Adeluola Adebowale3, A. J. Shittu Lukeman4,
Olonire Olufemi1, Tayo Adetokunbo5 and
A. Mariam Odunaiye1
1Department
of Health Facility Monitoring, Ministry of Health, The
Secretariat, P. O. Box 4185, Ikeja, Lagos State, Nigeria.
2Department
of Clinical Science, Nigerian Institute of Medical Research,
Yaba, Lagos State, Nigeria.
3Department
of Pharmaceutics and Pharmacy Technology, School of
Pharmacy, University of Lagos, Idiaraba, Lagos State,
Nigeria.
4Department
of Anatomy, University of Abuja, Abuja, Nigeria.
5Department
of Obstetrics and Gynaecology, Lagos State University
Teaching Hospital, Ikeja, Lagos State, Nigeria.
6Department
of Medical Microbiology and Parasitology, College of
Medicine, University of Lagos, Idiaraba, Lagos State,
Nigeria.
*Corresponding author. E-mail:
bankka2000@yahoo.com.
Tel: 234 8052817243.
Accepted
11 May, 2010 |
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About 1000
privately owned health facilities (HFs) were (re)-visited
between September 2007 and September, 2009. A total of 2,100
health workers (HWs) were interviewed in these HFs to
evaluate their knowledge on vaccine management and
administration. Cold chain assessment form was completed for
each HF revisited. Health Workers that were deficient in
cold chain management knowledge were given on the spot
training. Between September 2007 and March 2009, 90% of
fridges in the HFs monitored were non-functioning. 95% of
HWs interviewed had little or no knowledge about vaccine
vial monitor (VVM) while 80% of vaccines screened were
either in stage 3 or 4 of VVM or with VVM indicator removed.
During revisits, between March - September, 2009, 92% of
fridges were in good functioning state, 84% of HWs had good
knowledge of VVM with 9.3% of vials in stage 3 or 4 of VVM
or with VVM indicators removed.
Key
words:
Vaccine, monitoring, cold chain, VVM, immunization. |
