Journal of
Public Health and Epidemiology

  • Abbreviation: J. Public Health Epidemiol.
  • Language: English
  • ISSN: 2141-2316
  • DOI: 10.5897/JPHE
  • Start Year: 2009
  • Published Articles: 616

Full Length Research Paper

The impact of health facility monitoring on cold chain management practices in Lagos, Nigeria

A. Munir Bankole1,6*, Kola-Korolo Olusegun1, N. Bankole Marian2, Iboma Godswill1,6, O. Adeluola Adebowale3, A. J. Shittu Lukeman4, Olonire Olufemi1, Tayo Adetokunbo5 and A. Mariam Odunaiye1
1Department of Health Facility Monitoring, Ministry of Health, The Secretariat, P. O. Box 4185, Ikeja, Lagos State, Nigeria. 2Department of Clinical Science, Nigerian Institute of Medical Research, Yaba, Lagos State, Nigeria. 3Department of Pharmaceutics and Pharmacy Technology, School of Pharmacy, University of Lagos, Idiaraba, Lagos State, Nigeria. 4Department of Anatomy, University of Abuja, Abuja, Nigeria. 5Department of Obstetrics and Gynaecology, Lagos State University Teaching Hospital, Ikeja, Lagos State, Nigeria. 6Department of Medical Microbiology and Parasitology, College of Medicine, University of Lagos, Idiaraba, Lagos State, Nigeria.
Email: [email protected]

  •  Accepted: 11 May 2010
  •  Published: 31 July 2010


About 1000 privately owned health facilities (HFs) were (re)-visited between September 2007 and September, 2009. A total of 2,100 health workers (HWs) were interviewed in these HFs to evaluate their knowledge on vaccine management and administration. Cold chain assessment form was completed for each HF revisited. Health Workers that were deficient in cold chain management knowledge were given on the spot training. Between September 2007 and March 2009, 90% of fridges in the HFs monitored were non-functioning. 95% of HWs interviewed had little or no knowledge about vaccine vial monitor (VVM) while 80% of vaccines screened were either in stage 3 or 4 of VVM or with VVM indicator removed. During revisits, between March - September, 2009, 92% of fridges were in good functioning state, 84% of HWs had good knowledge of VVM with 9.3% of vials in stage 3 or 4 of VVM or with VVM indicators removed.


Key words: Vaccine, monitoring, cold chain, VVM, immunization.