Predictors of vaccine management practices among primary healthcare workers (PHCWs) in Ilorin, North Central Nigeria.
No Thumbnail Available
Date
2016-04
Journal Title
Journal ISSN
Volume Title
Publisher
Research Journal of Health Sciences
Abstract
Abstract
Objective: Worldwide, vaccines are becoming more expensive as new ones are being introduced to the
immunization schedule. Inspite of this, researches have revealed poor vaccine management practices
among health workers. This study aimed to determine the predictors of vaccine management practices
among PHCWs providing routine immunization services in static health facilities in Ilorin, north central
Nigeria.
Methods: This quasi-experimental study was conducted among 216 intervention and 241 control groups
of PHCWs using multi stage sampling technique; pretested questionnaire and an observational checklist.
Data were analyzed using EPI-INFO software package. Level of significance was predetermined at a p value of less than 0.05.
Results: The mean age of study respondents was 38.5 ± 9.5 years. Factors having positive influence on
vaccine management practices include prior training exposure (p = 0.001), years of experience in
immunization (p = 0.012) and baseline knowledge of vaccine management (p = 0.015). In addition,
regularity of supervisory visit (0.008), adequacy/regularity of vaccine supply (p = 0.001), vaccine
'bundling' (p = 0.013) and type of health facility (p = 0.005) positively influenced respondents' vaccine
management practices. However, basic qualification of health workers (p = 0.096) and availability of data
tools (p = 0.628) had no significant influence on respondents' vaccine management practices.
Conclusion: Training exposure and years of experience in routine immunization have positive influence
on vaccine management practices of PHCWs. On-the-job supervision of health workers should be
conducted at least bi-annually.
Description
Keywords
Predictors, Vaccine management practices, PHCWs