Key result
Urban health facilities had a significantly higher proportion of adequate cold chain equipment compared to rural facilities, with 42.9% of urban respondents having adequate giostyles versus 2.1% in rural areas.
Why the study?
Significant outbreaks of vaccine-preventable diseases still occur and have been linked with poor vaccine management, prompting a comparison of cold chain practices in Oyo State, Nigeria.
Cross-Sectional (n=75)
Yes
Rural health facilities in Oyo State, Nigeria have significantly less adequate cold chain equipment and fewer qualified health workers compared to urban facilities.
Answers are grounded in this paper and cite their sources.
Rural-urban cold chain gaps may risk vaccine potency in Nigeria; cross-sectional data leaves open effects of targeted upgrades.
INTRODUCTION: inspite of the demonstrable evidence of the preventive and protective ability of vaccines to reduce the outbreak of vaccine-preventable diseases, there are still some significant disease outbreaks recorded in our communities. In some settings, these outbreaks have been linked with poor vaccine management. Therefore, this study was conducted to compare the cold chain practices in Oyo State, Nigeria. METHODS: we conducted a cross-sectional survey among health workers in the local government areas of Oyo State between October and November 2019. Using purposive sampling, we recruited all the 84 routine immunization focal persons for the study. A self-administered questionnaire was used to collect data on cold chain management. Data were analyzed using SPSS version 24 and bivariate analysis was done using Chi-square. Statistical significance was set at p < 0.05. RESULTS: the mean age of the respondents was 46.4 ± 6.7 years. Most prevalent cadre in the rural facilities was health assistants (87.5%) while Community Extension Health Workers (54.8%) were prevalent in the urban (p = 0.002). The proportion of respondents with adequate cold chain equipment was significantly higher in the urban compared with the rural area. The cold boxes were the only adequate cold chain equipment found in the rural health facilities compared with the urban (p = 0.036). CONCLUSION: there was a low proportion of qualified health workers and inadequate cold chain equipment in the rural area compared with the urban facilities. Engagement of skilled health workers and supply of the cold chain equipment are recommended.
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Babatunde et al. (2020) conducted a cross-sectional in Cold chain management (n=75). Urban health facilities vs. Rural health facilities was evaluated on Adequate giostyles (≥2) for routine immunization (p=<0.001). Urban health facilities had a significantly higher proportion of adequate cold chain equipment compared to rural facilities, with 42.9% of urban respondents having adequate giostyles versus 2.1% in rural areas.
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