对埃塞俄比亚药品供应机构在埃塞俄比亚西南部吉马的吉马分公司的疫苗供应链和物流系统进行评估

Tekalign Admsau Weledesenbet
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引用次数: 0

摘要

背景:免疫接种有助于挽救生命,保护严重疾病,被公认为当今最有效的公共卫生干预措施之一。然而,规划的成功在很大程度上取决于免疫供应链的管理,包括疫苗的妥善储存、运输和处理。因此,评估免疫供应链和物流实践非常重要。方法:于2019年9 - 10月在埃塞俄比亚药品供应机构(EPSA)吉马分公司开展基于机构的横断面研究。采用目的抽样方法是因为该中心已经完成了Woreda级别的疫苗过渡,并且在疫苗管理方面有较好的经验。此外,所有直接参与疫苗管理的工作人员都是本研究的受访者。定量数据分析采用SPSS软件20版支持的描述性统计,定性数据采用文献分析。结果:研究结果表明,分支机构具有足够的正存储容量,但可用的负存储容量仅覆盖所需负存储容量的65%。答复者同意在分发疫苗时采用捆绑的做法,不同意在装载疫苗前用冷藏车辆进行预冷,而在运输过程中始终监测疫苗的温度和是否有足够数量的车辆用于运输疫苗的问题上,答复者持中立态度。调查人员观察到,任何储存设施都没有跟踪和记录冷藏室、冰箱和冰柜温度的连续温度记录仪,也没有完整的温度记录。结论:该研究强烈提示需要改进疫苗物流供应链管理实践,特别是在疫苗储存和处理以及温度监测方面。EPSA和从事疫苗后勤和供应链管理工作的发展伙伴应加强其技术和物质支持,以改进疫苗管理做法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment on vaccine supply chain and logistics systems in the case of Ethiopian pharmaceuticals supply agency Jimma branch, Jimma south west Ethiopia
Background: Immunization helps save lives, protects serious illness and is recognized as one of the most effective public health intercessions and available today. However, the success of the programs depends heavily up on the immunization supply chain management including storage, transportation and handling of vaccines in a proper manner. It was therefore important to assess the immunization supply chain and logistics practice. Method: Institution-based cross sectional study was conducted from September to October 2019 in Ethiopian pharmaceuticals supply agency (EPSA) Jimma branch. Purposive sampling methods were used because the hub has completed the Woreda level vaccine transition and have better experience on vaccine management. Moreover, all staffs who directly engage on vaccine management were a respondent in this study. For the analysis of the quantitative data descriptive statistics supported by SPSS software version 20 was applied, and for qualitative data document analysis was done.Result: the study result shows that, the branch has sufficient positive storage capacity, but the available negative storage volume only covers 65% of negative storage capacity needed. Respondents were agreed on bundling practice during distribution of vaccines, Disagree on Refrigerated vehicle pre cold before loading of vaccines, whereas strongly disagree on temperature of vaccine is always monitored during transportation and availability of adequate number of vehicle for transportation of vaccines for which respondents remained neutral. The investigator has observed as continuous temperature loggers that track and record cold room, refrigerator and freezer temperature were not available to any of the storage facilities and the there is no complete set of temperature records.Conclusion: The study strongly indicates the need to improve vaccine logistics supply chain management practices, especially in the area of vaccine storage and handling and temperature monitoring. EPSA and development partners working on vaccine logistic and supply chain management should have intensify their technical and material support to improve the vaccine management practices.
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