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Table 2 Monitoring of vaccine use and immunization operating standards procedures

From: Factors that influence the availability of childhood vaccine in healthcare facilities at Tana River County, Kenya

Variable

Number of participants

%

Methods of monitoring vaccine use

Calculated vaccine wastage rates at facility

39

66.10

Monthly summary report of vaccine stock

55

93.22

Use of immunization monitoring chart

49

83.05

Immunization service monthly review meeting

34

5.63

Operating standard or service

Frequency

Percent

Availability of immunization SOP booklet

17

28.81

Time taken to retrieve immunization SOP booklet in minutes

 < 5

12

20.34

 5–10

5

8.47

Number of months of stock required in the facility

 < 1

51

86.44

 > 1–2

2

3.39

 > 2–3

6

10.17

Number of days immunization services are offered in a week

 One

5

8.47

 Two

11

18.64

 Five

43

72.88

Reasons of immunization services not being provided daily

 No refrigerator

3

5.08

 Faulty refrigerator

3

5.08

 Workload

3

5.08

 To avoid wastage of vaccines

6

10.17

Variable

Frequency

Percentage

Availability of pre-qualified WHO refrigerator

56

94.91

Years in service of the refrigerator

  

 < 5

15

25.42

 5–10

21

35.6

 > 10

20

33.90

 Unknown

3

5.08

Availability of adequate storage space

54

91.53

Functioning cold chain equipment

51

86.44

Number of weeks refrigerators were malfunctioning

  

 > 3

5

8.47

 Unknown

54

91.53

Frequency of cold chain breakdown for the last 12 months

  

 Once

8

13.56

 Twice

14

23.73

 At least three times

7

11.86

 None

30

50.85

Availability of adequate biomedical engineers

1

1.69

Routine cold chain equipment maintenance

12

20.34

How fast is a break down fridge repaired in weeks

  

 < 1

2

3.39

 1–< 2

5

8.47

 2–< 3

15

25.42

 > 3

37

62.71