lundi 21 juin 2004
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POST 00688E : PIS EQUIPMENT PERFORMANCE FEEDBACK Follow-up on Posts 00670E and 00676E 21 June 2004 _______________________________ Three further contributions were received on this topic. The first is by Adelaide Shearley (mailto:[email protected]) from WHO Namibia and the second translated from French is by Ndiouga Diallo (mailto:[email protected]) . Finally, Alejo Bejemino (mailto:[email protected]) from UNICEF/Afghanistan shares a table listing feedback from the field. _______________________________ 1. How very true about the need for a systematic collection of performance data of these different types of equipment used for EPI. Can the logisticians develop a tool for appraising these units, under different conditions i.e climatic conditions. For instance, the RCW42 is an excellent piece of equipment for small rural clinics, but does not freeze the icepack compartment nor maintains the +2 DEGREE to +8 DEGREE Centrigrade in very hot climates. I have had this experience in Zimbabwe and Namibia where I have worked. The appropriateness of the equipment should not only consider the capacity but also the environmental conditions where the equipment is installed. We have tried to use the temperature monitoring charts over a period of time to assess the performance of the refrigerators, but health workers are not always honest in the recordings of these temperatures; they record what is expected but not what the thermometer indicates. Our other problem is the quality of the thermometers, you find two thermometers placed at the same place but registering different temperatures in the same fridge.The other problem is that we do not have trained cold chain officers, Ministries of Health do not have posts for such cadres. If we train senior staff, we always lose them to private sector. Proper maintenance of EPI equipment becomes even more crucial, given the integration of more expensive new vaccines into the routine EPI. Adelaide Shearley EPI Focal Point WHO Namibia _________________________________ 2. It is true that problems of appropriate temperatures with RCW 50 EG have been often reported (and observed). The fact is that, beside adjusting the thermostat, no other actions can be taken on this type of equipment at field level. To know the cause of the dysfunction (manufacturing defects, incorrect use) it will be necessary to carry out investigations. However, I find it is fundamental that each time new equipment is installed, its users should be trained in handling it. On the other hand, any first time certification of equipment should be followed by an active monitoring of 2 to 3 years (at the costs of the manufacturer of the equipment??) before the final certification. Dr Ndiouga Diallo _________________________________ 3. Attached please find a table listing the various cold chain equipment we are using in Afghanistan EPI programme and the feedback gathered from the field. Hope these feedback will help in the improvement of the weak cold chain units and to strengthen equipment that were performing well. Regards. Alejo ______________________________________________________________________________ Visit the TECHNET21 Website at http://www.technet21.org You will find instructions to subscribe, a direct access to archives, links to reference documents and other features. ______________________________________________________________________________ To UNSUBSCRIBE, send a message to : mailto:[email protected] Leave the subject area BLANK In the message body, write unsubscribe TECHNET21E ______________________________________________________________________________ The World Health Organization and UNICEF support TechNet21. The TechNet21 e-Forum is a communication/information tool for generation of ideas on how to improve immunization services. It is moderated by Claude Letarte and is hosted in cooperation with the Centre de internationale en sant, Canada (http://www.ccisd.org) ______________________________________________________________________________ ##text##
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