Adebimpe Wasiu Olalekan, Adeoye Oluwatosin Adediran
Department of Community Medicine, Faculty of Clinical Sciences, Osun State University, Osogbo, Nigeria.
Research, Measurement and Evaluation Unit, Society for Family Health, Abuja, Nigeria.
Hum Vaccin Immunother. 2021 May 4;17(5):1490-1495. doi: 10.1080/21645515.2020.1827609. Epub 2020 Nov 11.
Vaccines are highly thermo-sensitive materials whose potency requires a functional cold chain system which is dependent on the ability of health care workers to effectively manage the system toward eliminating vaccine-preventable diseases.This study assessed knowledge and practice of vaccination logistic management systems among primary health care workers in Osun state Nigeria.It was a descriptive cross-sectional study among 180 randomly selected health care workers who took part in a larger study on the design and pretesting of vaccine cold chain (VACOC) coolers. Research instruments were self-administered semi-structured pretested questionnaire that was analyzed using the SPSS version 23.0.The mean age was 36.7 ± 8.9 years, 87 (48.3%) could correctly explain the vaccination logistic management system, 132 (73.3%) had been trained on the system, 129 (71.7%) could assemble the ice packs used in the vaccine career box, 135 (75.0%) could assemble the vaccines, while 145 (80.6%) could assemble the diluents and thermometer. One hundred and fifty-one (83.9%) and 146 (81.1%) were found to have good knowledge and attitude to the management systems, respectively. Spending more than 5 years in profession, being a male, being a Community Health Officer were significant predictors of having a good practice of immunization logistic management system.Some gaps in knowledge, attitude, and practice of vaccination cold chain logistic system still exist among studied respondents, and these should be addressed by stakeholders in immunization programs.
疫苗是对热高度敏感的物质,其效力需要一个有效的冷链系统来维持,而这依赖于医护人员有效管理该系统以消除疫苗可预防疾病的能力。本研究评估了尼日利亚奥孙州初级卫生保健工作者对疫苗接种物流管理系统的知识和实践情况。这是一项描述性横断面研究,研究对象为180名随机选取的卫生保健工作者,他们参与了一项关于疫苗冷链(VACOC)冷却器设计和预测试的更大规模研究。研究工具是自行填写的经过预测试的半结构化问卷,使用SPSS 23.0版本进行分析。平均年龄为36.7 ± 8.9岁,87人(48.3%)能够正确解释疫苗接种物流管理系统,132人(73.3%)接受过该系统的培训,129人(71.7%)能够组装疫苗运输箱中使用的冰袋,135人(75.0%)能够组装疫苗,而145人(80.6%)能够组装稀释剂和温度计。分别有151人(83.9%)和146人(81.1%)被发现对管理系统有良好的知识和态度。从事该职业超过5年、男性、社区卫生官员是免疫接种物流管理系统实践良好的显著预测因素。在研究的受访者中,疫苗冷链物流系统的知识、态度和实践仍存在一些差距,免疫规划的利益相关者应解决这些问题。