Labama Matthieu Betofe, Longembe Eugène Basandja, Likwela Joris Losimba
Service Logistique de Vaccination à Kisangani, Democratic Republic of Congo.
Faculté de Médecine de l''UNIKIS.
Pan Afr Med J. 2017 May 2;27:4. doi: 10.11604/pamj.2017.27.4.11513. eCollection 2017.
The quality of vaccines is critical for good immunization outcomes. It is dependent on the effectiveness of technical and logistics management system put in place. This study aimed to assess the effectiveness of vaccine management and to learn something from this.
We conducted a retrospective study of logistic management of vaccines in the Expanded Programme on Immunization (EPI) antenna in the Kisangani region over the period 2010-2014. A literature review completed by semi-structured interviews of immunization services managers and providers helped to evaluate vaccine management using the WHO GEV model in order to identify the gaps.
Provider's demonstrated low level of knowledge of the vaccines that cannot be frozen, of freezing tests and of other vaccine damages. Computerized data management was properly ensured in the antenna. No evaluation criteria reached the goal of 80%. Compliance with the storage temperature was 70% in the antenna; the criterion for vaccine management was 65% and 67% in the health area central office and in the health centre respectively. The maintenance criterion was zero at all levels.
Malfunctioning of the logistic system is remarkable at all levels of the health pyramid; this could interfere with the quality and the expected impact of vaccination. Particular attention should be paid to the maintenance of the equipment.
疫苗质量对于良好的免疫效果至关重要。它取决于所建立的技术和后勤管理系统的有效性。本研究旨在评估疫苗管理的有效性并从中吸取经验教训。
我们对2010 - 2014年期间基桑加尼地区扩大免疫规划（EPI）网点的疫苗后勤管理进行了回顾性研究。通过对免疫服务管理人员和提供者进行半结构化访谈完成的文献综述，有助于使用世界卫生组织全球疫苗安全咨询委员会（WHO GEV）模型评估疫苗管理，以找出差距。
提供者对不可冷冻疫苗、冷冻测试及其他疫苗损坏情况的了解程度较低。该网点的计算机化数据管理得到妥善保障。没有任何评估标准达到80%的目标。该网点的储存温度合规率为70%；卫生区中心办公室和卫生中心的疫苗管理标准分别为65%和67%。各级的维护标准均为零。
卫生金字塔各级的后勤系统均存在明显故障；这可能会干扰疫苗接种的质量和预期效果。应特别注意设备的维护。
