Cold Chain Management Practices And Challenges The Case Of Private Health Facilities Providing Expanded Program Of Immunization (epi) Service In Addis Ababa

Vaccines are essential health commodities which need their own specific supply chain system withrnstorage of 2 oC to 8 oC from manufacturing up to final use. It is recommended and critical that theyrnshould be kept in appropriate temperatures during transport, storage and use. The purpose of thisrnstudy was to assess the cold chain management practice of private health facilities and relatedrnchallenges on providing EPI service in Addis Ababa, Ethiopia. Cross-sectional descriptive study wasrnused to assess the cold chain management practice of private health facilities and related challengesrnon providing EPI service in Addis Ababa, Ethiopia. Based on this study, the overall cold chainrnmanagement practice was good at 60% (n=30) out of 50 facilities visited. The overall storagerncondition of 16% (n=8) facilities was good. The overall transport trend of only 12% (n=6) facilitiesrnwas good. The overall technical capacity of EPI focal persons was good at 42% (n=21) facilities wasrngood and the overall logistics information system of 24% (n=12) facilities was good. Overall from thernfindings of the study, it can be concluded that there were vaccine cold chain management practice gapsrnand there were challenges related to lack of vaccine standard fridge for vaccine storage. Majorityrn44(88%) of facilities have been using domestic fridges to store vaccines. Federal Ministry of Healthrn(FMoH) and Addis Ababa City Administration Heath Bureau have vital role to improve the challengernrelated to availability of the standard fridges at private health facilities.

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