East Africa Community Regional Center of Excellence for Vaccines, Immunization and Health Supply Chain Management (RCE-VIHSCM), University of Rwanda, Kigali, Rwanda.
Department of Pharmaceutics and Pharmacy Practice, University of Nairobi, Nairobi, Kenya.
Pan Afr Med J. 2021 Jan 21;38:72. doi: 10.11604/pamj.2021.38.72.21580. eCollection 2021.
over 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.
a 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.
most 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.
the public health facilities in Nairobi City County experienced frequent stockouts of vaccines and accessories thereby exposing the residents to vaccine-preventable diseases.
每年有超过 150 万名儿童死于可通过疫苗预防的疾病。为了避免这些死亡并改善他们的生活，疫苗的供应很重要。本研究评估了内罗毕郡公共卫生设施中疫苗、注射配件的供应情况及其相关因素，并提供了有价值的数据，有助于改善医疗保健基础设施、库存管理和疫苗分发。
本研究在内罗毕郡的 68 家随机选定的公共卫生机构进行了描述性横断面研究。使用研究者管理的结构化问卷收集数据，并从疫苗管理工具中提取更多信息。使用 STATA 版本 14 进行分析。
大多数设施在研究期间和前 12 个月经历了疫苗和配件的库存短缺。受影响最严重的疫苗是破伤风（88%）、麻疹-风疹（81%）和口服脊髓灰质炎（79%）。缺货的原因包括配给（82%）、仓库无货（93%）、缺乏运输（55%）和预测不佳（50%）。大多数设施（91%）使用公共交通系统，只有 1%拥有可靠的政府专用车辆来运送疫苗和其他物流。那些靠近疫苗仓库的设施更喜欢步行。
内罗毕郡的公共卫生设施经常出现疫苗和配件的库存短缺，使居民面临疫苗可预防疾病的风险。
