Evaluation of Cold chain management in Primary Care Unit in Lamphun Province, 2005

Abstract

          The objective of this cross sectional survey was to evaluate the primary care unit (PCU) about cold chain management in Lamphun Peovince, 2005. The 60 samples were selected from the health care worker in 71 PCU. Data were collected through questionnaires and analyzed by using  SPSS for windows.  The study found that health care workers had been trained 85.0%, those had been responsible for the Expanded on Immunization: EPI more than 3 years were 65.0%. They had EPI quidelines were 81.7%. About the cold chain it was found that there were freezer of front door type CFC, Non CDC 28.3%, 71.7%. For the refrigerators , there were set far from the wall 6 inch 63.3% and were not separate the electricity outlet of the refrigerator keeping vaccine 3.3%, pat switch breaker of 16.7% and had record thermometer for 2 times 90.0%. There was adjusting thermostat for control thermometer 96.7%. About  inside refrigerators, the thermometer were in the center 80.0%, the temperature for keeping vaccines  4-8°C was 95.0%, They had ice in freeze 5 mm 28.3%, had 4 bottles of water 96.7%. They had keep drug and food 11.7%, had needles on the vials 3.3% , But it was not right to keep vaccines such as: keeping BCG, Measle and MMR inside the freezers 20.0%, keeping HB, DTP, JE dT and DTP-HB under the freezers 6.7%. The management and cold chain system they had record temperature form 98.3%, and had complete record stock card 80.0%, They had used form for supported vaccine 96.7%, had completed record 61.7%. And they had Emergency chart 75.0%. There fore, the successful management of vaccine and cold chain system. The primary health care workers should have been oriented about the policy, EPI management and cold chain after they will have knowledge to take care of the refrigerators, keeping vaccines appropriately, and continuous monitor and supervision.