Assessment Of Vaccine Providers Knowledge And Attitude And Private Healthfacilities Compliance With World Health Organization Requirement Of Vaccinemanagement Practice Addis Ababa Ethiopia.
Introduction: Vaccines are exceedingly efficient biological substances and the first lines ofrnpublic health strategies against infectious diseases. Due to the sensitive nature of vaccines,rnappropriate measures need to be put in place to ensure that vaccines remain potent from point ofrnmanufacture to administration. rnObjective: To assess vaccine provider‟s knowledge, and attitude, and private health facilitiesrncompliance with World Health Organization requirement of vaccine management practice, AddisrnAbaba, Ethiopia. rnMethods: Cross-sectional study design was employed to collect data using a structuredrnquestionnaire and observation tools in the private health facilities offering immunization servicesrnin Addis Ababa. The study was conducted from March to July 2020. Data were analyzed byrnSPSS and the result was presented by frequency and percentage in the form of tables and graphs. rnResult: Thirty private health facilities were included in the assessment and, only 3(10%) hadrnWHO prequalified functional refrigerators, while 90% of the facilities had domestic types ofrnrefrigerators. Of the 34 study participants who participated in the study, 7(20.6%) respondentsrnhad poor knowledge of vaccine cold chain management while 26 (76.5%) had a positive attituderntoward vaccine cold chain management. Determinants of knowledge on vaccine cold chainrnmanagement training were (P = 0.042), and supportive supervision (P = 0.026). The knowledgernof healthcare workers towards the vaccine cold chain management was significantly associatedrnwith the health workers‟ training and supportive supervision in health facilities. Determinants ofrnattitude on vaccine cold chain management training were (P= 0.019) and supportive supervisionrnwas (P= 0.043). The attitude of healthcare workers towards the vaccine cold chain managementrnwas significantly associated with the health workers‟ training and supportive supervision inrnhealth facilities. rn Conclusion: This study indicates that WHO standard refrigerators are available only in somernhealth facilities for vaccine storage. There was also a gap, in training, knowledge, and attitude ofrnvaccine providers toward vaccine management, and inappropriate vaccine management practice.rnTherefore, there is a need to improve cold chain management.