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ORIGINAL ARTICLE
Year : 2018  |  Volume : 21  |  Issue : 2  |  Page : 75-82

Cold chain management: An assessment of knowledge and attitude of health workers in primary health-care facilities in Edo State Nigeria


Department of Community Health, College of Medical Sciences, University of Benin, Benin City, Nigeria

Correspondence Address:
Dr. Esohe Olivia Ogboghodo
Department Of Community Health, College of Medical Sciences, University of Benin, PMB 1154, Benin City
Nigeria
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DOI: 10.4103/smj.smj_45_17

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Background: The use of vaccination to prevent diseases is the greatest public health success of the last century. Due to the sensitive and labile nature of vaccines, appropriate measures need to be put in place to ensure that vaccines remain potent from point of manufacture to administration. Adequate knowledge of cold chain management by health workers is necessary to manage vaccines appropriately and efficiently to ensure the vaccines remain potent. Objective: The objective of this study is to assess the knowledge and attitude toward cold chain management among health workers in primary health-care (PHC) facilities in Benin City, Edo State. Materials and Methods: This was a descriptive, cross-sectional study among health workers working in PHC facilities offering immunization services in Benin City. The participants were selected using multistage sampling technique. Data were collected using pretested structured self-administered questionnaires and data analysis was by IBM SPSS (IBM Corp, Armonk, New York, United States) version 21.0. The level of significance was set at P < 0.05. Results: Of the 425 respondents who participated in the study, 272 (64.0%) had poor knowledge while 396 (93.2%) had positive attitude toward cold chain management. Determinants of knowledge were cold chain management training (P = 0.018), presence of functional refrigerators (P = 0.011), and National Programme on Immunization supervision (P < 0.001). Determinants of attitude were level of education (P = 0.005) and knowledge of cold chain management (P < 0.001). Conclusion: The study showed a gap in knowledge and good attitude toward cold chain management among the respondents. All stakeholders should ensure collective effort in improving the knowledge and attitude of health workers toward cold chain management.


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