scholarly journals Vaccines Cold Chain Monitoring: A Cross Sectional Study at Three District In Indonesia

Author(s):  
L D Saraswati ◽  
P Ginandjar ◽  
Budiyono ◽  
Martini ◽  
A Udiyono ◽  
...  
Author(s):  
Ram K. Panika ◽  
Amarnath Gupta

Background: Immunization is one of the most effective disease prevention strategies. Potency of vaccine is dependent on effective management of cold chain system at all levels of vaccine handling. This study was carried out to assess the status of cold chain equipment and logistics management practices, Knowledge and practice of CCHs about cold chain equipment and logistics management.Methods: Cross-sectional study was conducted in all functional cold chain points of Damoh district using structured questionnaires provided by UNICEF.Results: Only 57.14% and 71% CCPs had dedicated space for dry storage and for conditioning of ice packs respectably. 50% CCPs had correct placement of ice-packs inside DFs. Functional thermometer inside every equipment was available in 86% CCPs. Twice daily temperature recording and temperature of ILRs was within normal range in 93% CCPs. Record of power failures and defrosting/cleaning in temperature log books was found in 57% and 43% CCPs. Temp log book was countersigned by facility in charge in 43% CCPs. UIP vaccines were stored within basket in 93%. Fractional IPV was stock out in 29% CCPs and in 07% CCPs OPV vials were found with not usable VVM. 86%, 72% and 64% of CCHs had knowledge on freeze/temperature sensitive vaccines, cold chain pray and, Shake test. In 79% CCPs expired/wasted vaccines were not documented in stock.Conclusions: Most of the components of cold chain and logistics management practices were satisfactory while there is a gap in other components which needs to be improved. 


The Lancet ◽  
2013 ◽  
Vol 381 ◽  
pp. S25 ◽  
Author(s):  
Roy Burstein ◽  
Emily A Dansereau ◽  
Ruben O Conner ◽  
Brendan M DeCenso ◽  
Kristen P Delwiche ◽  
...  

Author(s):  
Sanjay K. Chourasiya ◽  
Anil S. Baghel ◽  
Arpit Verma ◽  
Saket Kale

Background: Immunization is one of the best efforts that India is putting forward currently to fight against various vaccine preventable diseases. Cold chain maintenance is always an issue. Therefore, cold chain maintenance is a pre-requisite in the correct delivery of immunization services.Methods: A cross sectional study was conducted among 18 cold chain points (CCPs) of Jhabua district using standard Government of India (GOI) structured questionnaires.Results: Out of 18 cold chain points only 5.55% had dry room for the storage of needle, syringes and other clerical material. A separate voltage stabilizer was attached each to deep freezer and ILR at only 22% of the health centers. Only 55.55% CCPs waste disposal pit constructed as per guideline. 94.45% cold chain handlers (CCHs) knew the definition of cold chain and correct temperature range at which vaccines to be stored, whereas only 33.33% CCHs knew about Shake test. 72.23% CCHs knew how to read vaccine vial monitor (VVM) and stages of VVM correctly. Knowledge of the CCHs regarding open vial policy was poor, with only 33.33% knowing exactly, the details of open vial policy.Conclusions: The quality of immunization programme can be increased by proper maintenance of cold chain and management of vaccine logistics at every designated cold chain point. There is need to improve the knowledge level of CCHs regarding cold chain maintenances and handling practices.


2015 ◽  
Vol 8 (1) ◽  
Author(s):  
Martin Ndinakie Yakum ◽  
Jerome Ateudjieu ◽  
Ebile Akoh Walter ◽  
Pierre Watcho

2020 ◽  
Author(s):  
Amde Eshete Eshete

Abstract Background Drinking water quality is the main concern because in developing countries like Ethiopia, where contaminated water was one of the main vehicles for the transmission of water borne diseases. Therefore, the objective of this research was to assess the physicochemical & bacteriological water quality in Asella town, Ethiopia. Methods A cross-sectional study was carried out from November, 2015 to April, 2016 G.C. 8 liter composite water samples in plastic bottles packed cold chain had been taken by the investigator from eight different sites with two round totally 192 parameters were analyzed. A standard instrument like AAS for heavy metal analysis was using APAH procedures. Statistical analysis was done by the use of software for data entry Epi info 7 & Minitab 19.2. Results The first round of laboratory had showed that mean± SD TH 59.5± 7.4 mg/L, COD 30± 25.8mg/L, calcium 15± 4.3 mg/L, magnesium 5.3± 0.9 mg/L, BOD5 3± 2.6 mg/L and Nitrate 1.5± 0.1mg/L. The result of microbial analysis was 180CFU/100ml for TF & FC, 40CFU/100ml was E.coli detected in the first study site. The second round physical analysis had showed that municipality water was colourles, odourles & tasteless. But the Mean ± SD turbidity was 32.6± 63.4 mg/L. The mean± SD pH 4.5±0.8,EC 101.8±23.1,TH 24± 2.5 mg/L, calcium 6.9± 0.8 mg/L, magnesium 1. ± 0.6 mg/L, Fluoride 0.4± 0.2mg/L, aluminum 0.3± 0.2 mg/L, DO 4.6± 1.2 mg/L, nitrate 3.3± 2.5 mg/L, nitrite 0.9± 2/5 mg/L, zinc 0.3± 0.4 mg/L, CO32- 7. ± 6 mg/l, chloride 6± 1.3 mg/L, alkalinity 6± 4.9 mg/L, total solid 96± 50.3 mg/L, TDS 62± 14.8 mg/L, sodium 3.9± 2.4 mg/L, potassium 1.7± 0.1 mg/L, iron 0. ± 1mg/L and ammonia 0.9± 0.3 mg/L. There was strong pair wise statistical correlation among water quality parameters with p value < 0.05 Conclusions The water quality analysis was below the limit of WHO standard, but some chemical, turbidity & microbes need a critical attention. So, efficient water treatment must be monitored by the municipality & homemade water treatment by urban community


2010 ◽  
Vol 20 (1) ◽  
pp. 10-14 ◽  
Author(s):  
Evelyn R. Klein ◽  
Barbara J. Amster

Abstract A study by Yaruss and Quesal (2002), based on responses from 134 of 239 ASHA accredited graduate programs, indicated that approximately 25% of graduate programs in the United States allow students to earn their degree without having coursework in fluency disorders and 66% of programs allow students to graduate without clinical experience treating people who stutter (PWS). It is not surprising that many clinicians report discomfort in treating PWS. This cross-sectional study compares differences in beliefs about the cause of stuttering between freshman undergraduate students enrolled in an introductory course in communicative disorders and graduate students enrolled and in the final weeks of a graduate course in fluency disorders.


Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  

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