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Table 3 Assessment of service readiness for routine child immunization according to healthcare facility levels in the two selected divisions of Bangladesh

From: General service and child immunization-specific readiness assessment of healthcare facilities in two selected divisions in Bangladesh

Variables

Rajshahi division (N = 28)

Sylhet division (N = 31)

 

Facilities with vaccine storage

Facilities without vaccine storage

Facilities with vaccine storage

Facilities without vaccine storage

General characteristics

 Number of facilities [n]

4

24

5

26

 Public facility [n (%)]

4 (100.0)

22 (91.7)

5 (100.0)

21 (80.8)

 Area [n (%)]

  Rural

4 (100.0)

22 (91.7)

4 (80.0)

23 (88.5)

  Urban

0 (0.0)

2 (8.3)

1 (20.0)

3 (11.5)

 Vaccines and injection supplies are bundled [n (%)]

  No

0 (0.0)

0 (0.0)

0 (0.0)

4 (15.4)

  Yes, only pick up

4 (100.0)

24 (100.0)

2 (40.0)

7 (26.9)

  Yes, both

0 (0.0)

0 (0.0)

3 (60.0)

14 (53.8)

 Service days per month [Mean (SD)]

7 (5.0)

4 (7.8)

21 (7.3)

2 (2.6)

 Hours of service on a typical day [Mean (SD)]

4 (2.5)

5 (0.6)

6 (0.5)

6 (0.8)

 Staffs involved in vaccination [Mean (SD)]

2 (1.0)

2 (0.4)

1 (0.5)

2 (0.6)

 Outreach services available [n (%)]

4 (100.0)

0 (0.0)

4 (80.0)

0 (0.0)

Staff and training

 Guidelines for EPI %

4 (100.0)

0 (0.0)

2 (40.0)

0 (0.0)

 Staff trained in EPI %

4 (100.0)

24 (100.0)

5 (100.0)

25 (96.2)

Equipment

 Cold box/vaccine carrier with ice packs [n (%)]

4 (100.0)

0 (0.0)

5 (100.0)

0 (0.0)

 Refrigerator [n (%)]

4 (100.0)

0 (0.0)

5 (100.0)

0 (0.0)

 Sharp container [n (%)]

1 (25.0)

2 (8.3)

1 (20.0)

4 (15.4)

 Single use- standard disposable or auto-disable syringes [n (%)]

4 (100.0)

24 (100.0)

5 (100.0)

25 (96.2)

 Continuous temperature monitoring device in refrigerator [n (%)]

4 (100.0)

0 (0.0)

4 (80.0)

0 (0.0)

 Energy source and power supply for vaccine refrigerator [n (%)]

4 (100.0)

0 (0.0)

4 (80.0)

0 (0.0)

 Immunization cards [n (%)]

4 (100.0)

22 (91.7)

4 (80.0)

18 (69.2)

Medicines and commodities

 Measles & Rubella vaccine [n (%)]

4 (100.0)

4 (16.7)

5 (100.0)

1 (3.8)

 Penta (DPT + Hib + HepB) vaccine [n (%)]

4 (100.0)

4 (16.7)

5 (100.0)

1 (3.8)

 Polio vaccine [n (%)]

4 (100.0)

4 (16.7)

5 (100.0)

1 (3.8)

 BCG vaccine [n (%)]

4 (100.0)

4 (16.7)

5 (100.0)

0 (0.0)

 PCV [n (%)]

4 (100.0)

3 (12.5)

3 (60.0)

1 (3.8)

IPV [n (%)]

3 (75.0)

2 (8.3)

5 (100.0)

1 (3.8)

 Stock-outs in the past 3 months

 Measles & Rubella vaccine [n (%)]

0(0.0)

0(0.0)

0(0.0)

0(0.0)

 Penta (DPT + Hib + HepB) vaccine [n (%)]

0(0.0)

0(0.0)

0(0.0)

0(0.0)

 Polio vaccine [n (%)]

0(0.0)

0(0.0)

1(20.0)

0(0.0)

 BCG vaccine [n (%)]

0(0.0)

0(0.0)

0(0.0)

0(0.0)

 PCV [n (%)]

0(0.0)

0(0.0)

0(0.0)

0(0.0)

 IPV [n (%)]

3(75.0)

0(0.0)

0(0.0)

0(0.0)

  1. BCG Bacillus Calmette-Guérin, EPI Expanded Program on Immunization, IPV Inactivated Polio Vaccine, PCV Pneumococcal Conjugate Vaccine, SD Standard deviation