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Using Data to Keep Vaccines Cold in Kenya: Remote Temperature Monitoring With Data Review Teams for Vaccine Management
BACKGROUND: Global vaccination coverage rates have remained around 85% for the past several years. Increasing immunization coverage rates requires an effective cold chain to maintain vaccine potency. Remote temperature monitoring (RTM) technology for vaccine refrigerators has shown promise for impro...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Global Health: Science and Practice
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6927831/ https://www.ncbi.nlm.nih.gov/pubmed/31852740 http://dx.doi.org/10.9745/GHSP-D-19-00157 |
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author | Lutukai, Mercy Bunde, Elizabeth A. Hatch, Benjamin Mohamed, Zoya Yavari, Shahrzad Some, Ernest Chweya, Amos Kania, Caroline Ross, Jesse C. Keddem, Carmit Chandani, Yasmin |
author_facet | Lutukai, Mercy Bunde, Elizabeth A. Hatch, Benjamin Mohamed, Zoya Yavari, Shahrzad Some, Ernest Chweya, Amos Kania, Caroline Ross, Jesse C. Keddem, Carmit Chandani, Yasmin |
author_sort | Lutukai, Mercy |
collection | PubMed |
description | BACKGROUND: Global vaccination coverage rates have remained around 85% for the past several years. Increasing immunization coverage rates requires an effective cold chain to maintain vaccine potency. Remote temperature monitoring (RTM) technology for vaccine refrigerators has shown promise for improving the ability of supply systems to maintain optimal temperature conditions to ensure potent vaccines reach the end users. METHODS: A pilot study of RTM technology and data use teams was implemented in 36 study sites in Kenya. Data were collected at baseline and endline points over a 3-month baseline and 7-month implementation period. Data included 44 qualitative interviews, process logs, meeting minutes from data use team meetings, and quantitative temperature and power data from the RTM devices. RESULTS: The ability of cold chain equipment to maintain World Health Organization-recommended temperatures in study sites improved markedly between the baseline and implementation periods, resulting in an improvement in total time spent in the correct range from 83.9% in the baseline period to 90.9% in the intervention period and an improvement in time spent in the too cold range from 6.5% to 1.5%. Friedman tests revealed that differences in time spent in the correct range and time spent in the too cold range during the course of the study were statistically significant (P<.001 and P=.04, respectively). Qualitative and quantitative data suggest that this improvement was due to a combination of improved responsiveness to temperature excursions at the facility level, resulting from SMS alarms for temperature excursion periods, and improved ability at the management level to recognize and address recurring problems. CONCLUSION: The combination of using RTM technology with a structured data review process by a management team is a promising approach for improving cold chain outcomes. Future research examining the added value of each of the technological and behavioral components separately is needed. |
format | Online Article Text |
id | pubmed-6927831 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Global Health: Science and Practice |
record_format | MEDLINE/PubMed |
spelling | pubmed-69278312019-12-30 Using Data to Keep Vaccines Cold in Kenya: Remote Temperature Monitoring With Data Review Teams for Vaccine Management Lutukai, Mercy Bunde, Elizabeth A. Hatch, Benjamin Mohamed, Zoya Yavari, Shahrzad Some, Ernest Chweya, Amos Kania, Caroline Ross, Jesse C. Keddem, Carmit Chandani, Yasmin Glob Health Sci Pract Original Article BACKGROUND: Global vaccination coverage rates have remained around 85% for the past several years. Increasing immunization coverage rates requires an effective cold chain to maintain vaccine potency. Remote temperature monitoring (RTM) technology for vaccine refrigerators has shown promise for improving the ability of supply systems to maintain optimal temperature conditions to ensure potent vaccines reach the end users. METHODS: A pilot study of RTM technology and data use teams was implemented in 36 study sites in Kenya. Data were collected at baseline and endline points over a 3-month baseline and 7-month implementation period. Data included 44 qualitative interviews, process logs, meeting minutes from data use team meetings, and quantitative temperature and power data from the RTM devices. RESULTS: The ability of cold chain equipment to maintain World Health Organization-recommended temperatures in study sites improved markedly between the baseline and implementation periods, resulting in an improvement in total time spent in the correct range from 83.9% in the baseline period to 90.9% in the intervention period and an improvement in time spent in the too cold range from 6.5% to 1.5%. Friedman tests revealed that differences in time spent in the correct range and time spent in the too cold range during the course of the study were statistically significant (P<.001 and P=.04, respectively). Qualitative and quantitative data suggest that this improvement was due to a combination of improved responsiveness to temperature excursions at the facility level, resulting from SMS alarms for temperature excursion periods, and improved ability at the management level to recognize and address recurring problems. CONCLUSION: The combination of using RTM technology with a structured data review process by a management team is a promising approach for improving cold chain outcomes. Future research examining the added value of each of the technological and behavioral components separately is needed. Global Health: Science and Practice 2019-12-23 /pmc/articles/PMC6927831/ /pubmed/31852740 http://dx.doi.org/10.9745/GHSP-D-19-00157 Text en © Lutukai et al. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly cited. To view a copy of the license, visit http://creativecommons.org/licenses/by/4.0/. When linking to this article, please use the following permanent link: https://doi.org/10.9745/GHSP-D-19-00157 |
spellingShingle | Original Article Lutukai, Mercy Bunde, Elizabeth A. Hatch, Benjamin Mohamed, Zoya Yavari, Shahrzad Some, Ernest Chweya, Amos Kania, Caroline Ross, Jesse C. Keddem, Carmit Chandani, Yasmin Using Data to Keep Vaccines Cold in Kenya: Remote Temperature Monitoring With Data Review Teams for Vaccine Management |
title | Using Data to Keep Vaccines Cold in Kenya: Remote Temperature Monitoring With Data Review Teams for Vaccine Management |
title_full | Using Data to Keep Vaccines Cold in Kenya: Remote Temperature Monitoring With Data Review Teams for Vaccine Management |
title_fullStr | Using Data to Keep Vaccines Cold in Kenya: Remote Temperature Monitoring With Data Review Teams for Vaccine Management |
title_full_unstemmed | Using Data to Keep Vaccines Cold in Kenya: Remote Temperature Monitoring With Data Review Teams for Vaccine Management |
title_short | Using Data to Keep Vaccines Cold in Kenya: Remote Temperature Monitoring With Data Review Teams for Vaccine Management |
title_sort | using data to keep vaccines cold in kenya: remote temperature monitoring with data review teams for vaccine management |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6927831/ https://www.ncbi.nlm.nih.gov/pubmed/31852740 http://dx.doi.org/10.9745/GHSP-D-19-00157 |
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