Vaccine wastage in The Gambia: a prospective observational study

BMC Public Health
Effua UsufAnna Roca

Abstract

Vaccination is a cost-effective and life-saving intervention. Recently several new, but more expensive vaccines have become part of immunization programmes in low and middle income countries (LMIC). Monitoring vaccine wastage helps to improve vaccine forecasting and minimise wastage. As the costs of vaccination increases better vaccine management is essential. Many LMIC however do not consistently monitor vaccine wastage. We conducted two surveys in health facilities in rural and urban Gambia; 1) a prospective six months survey in two regions to estimate vaccine wastage rates and type of wastage for each of the vaccines administered by the Expanded programme on Immunization (EPI) and 2) a nationwide cross sectional survey of health workers from randomly selected facilities to assess knowledge, attitude and practice on vaccine waste management. We used WHO recommended forms and standard questionnaires. Wastage rates were compared to EPI targets. Wastage rates for the lyophilised vaccines BCG, Measles and Yellow Fever ranged from 18.5-79.0%, 0-30.9% and 0-55.0% respectively, mainly through unused doses at the end of an immunization session. Wastage from the liquid vaccines multi-dose/ single dose vials were minimal, with peaks du...Continue Reading

References

Jan 23, 2002·Vaccine·Sabeena SetiaBruce G Weniger
Sep 1, 2009·Vaccine·Stephane GuichardMohd Mahbubur Rahman
Apr 29, 2015·Vaccine·Jean-Bernard Le GargassonAnaïs Colombini
Jan 1, 2015·International Journal of Health Policy and Management·Prakash B PatelRaj Kumar Bansal
Apr 14, 2017·Public Health·C DuttaguptaS M Pattanshetty
Sep 5, 2017·Bulletin of the World Health Organization·Sachiko OzawaDamian Walker

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