作者
Roy Burstein, Emily A Dansereau, Ruben O Conner, Brendan M DeCenso, Kristen P Delwiche, Anne Gasasira, Annie M Haakenstad, Samuel H Masters, Kelsey A Moore, Thomas Odeny, Emelda A Okiro, Erin Palmisano, Allen Roberts, Santosh Kumar, Michael Hanlon, Herbert C Duber, Emmanuela Gakidou
发表日期
2013/6/17
期刊
The Lancet
卷号
381
页码范围
S25
出版商
Elsevier
简介
Background
Proper refrigeration at health facilities is an essential element in maintaining the integrity of vaccine cold chains. We use vaccine refrigerator and cold box temperature data, recently collected from health facilities in Ghana, Kenya, and Uganda, to assess cold chain quality in these countries.
Methods
Data were collected from a nationally representative sample of health facilities in Ghana, Kenya, and Uganda from mid-2012 to late 2012. Temperature was recorded from each facility's refrigerator or cold box where pentavalent vaccines were stored. Results were compared to established vaccine storage guidelines, which recommend maintaining a temperature between 2°C and 8°C. We use logistic regression to test the association between proper storage temperature and vaccine storage location, facility characteristics, and availability of a temperature-monitoring chart.
Findings
Overall, 661 facilities were …
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R Burstein, EA Dansereau, RO Conner, BM DeCenso… - The Lancet, 2013