Vaccine Logistics Management Information System at Public Health Facilities in Amhara Region, Ethiopia: A Performance Evaluation
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Objectives: This study aimed to evaluate the performance of vaccine logistics management information systems at publichealth facilities in Amhara Region, Ethiopia. Methods: An institution-based concurrent explanatory mixed design was usedat public health facilities in Amhara Region, Ethiopia. In total, 102 health facilities were selected using the multi-stage, stratified,random-sampling proportionate-to-size method. Data were collected using a structured data abstraction checklist fromvaccine logistics management information system records. Additionally, experiences of Expanded Program for Immunizationfocal persons were gathered through interviewer-administered questionnaires. Results: Among the 102 health facilitiessurveyed, 99 (97.1%) provided vaccination services during the study period. On the day of the visit, the average availabilityand utilization rates of 15 vaccine logistics management information system forms were 44.1% and 40.5%, respectively. Themean inventory accuracy for tracer vaccines stood at 58.3% ± 45.1%. The overall average accuracy percentages for urban andrural vaccine request form reports were 73.4% and 69.6%, respectively. Conclusions: The performance of vaccine logisticsmanagement information systems in these public health facilities was suboptimal. Key issues identified include inconsistentuse of recording forms, shortages of reporting forms, lack of digitalization, poor data quality, and a shortage of qualified staff. These findings underscore the urgent need for standardization of the vaccine logistics management information system andenhancement of data quality.
Abstract
Objectives: This study aimed to evaluate the performance of vaccine logistics management information systems at publichealth facilities in Amhara Region, Ethiopia. Methods: An institution-based concurrent explanatory mixed design was usedat public health facilities in Amhara Region, Ethiopia. In total, 102 health facilities were selected using the multi-stage, stratified,random-sampling proportionate-to-size method. Data were collected using a structured data abstraction checklist fromvaccine logistics management information system records. Additionally, experiences of Expanded Program for Immunizationfocal persons were gathered through interviewer-administered questionnaires. Results: Among the 102 health facilitiessurveyed, 99 (97.1%) provided vaccination services during the study period. On the day of the visit, the average availabilityand utilization rates of 15 vaccine logistics management information system forms were 44.1% and 40.5%, respectively. Themean inventory accuracy for tracer vaccines stood at 58.3% ± 45.1%. The overall average accuracy percentages for urban andrural vaccine request form reports were 73.4% and 69.6%, respectively. Conclusions: The performance of vaccine logisticsmanagement information systems in these public health facilities was suboptimal. Key issues identified include inconsistentuse of recording forms, shortages of reporting forms, lack of digitalization, poor data quality, and a shortage of qualified staff. These findings underscore the urgent need for standardization of the vaccine logistics management information system andenhancement of data quality.
참고문헌 (30)
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