Assessing efficient cold chain management practices in the health sector and its impact on service delivery in ghana: a study of komfo anokye teaching hospital, kumasi docx



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ColdChain
2.4 Empirical Review
Ogboghodo et al. (2017) conducted a study to assess cold chain management practices among healthcare workers in primary healthcare in Southern Nigeria. The study, which found the practice of cold chain management to be fair, identified that efficient cold chain management depends on cold chain management training, the presence of functional refrigerators, NPI
supervision and a higher education level. In their study,
Najwa and Minhat (2016) found that beyond high coverage and timely vaccination, efficient vaccine cold chain maintenance is critical to maximizing the benefits of paediatric immunization. Therefore, to ensure the efficacy of vaccines provided and the effectiveness of the national immunisation program,
healthcare staff must be adequately trained in vaccine cold chain maintenance. In addition,
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healthcare professionals must have sufficient knowledge of the cold chain at the end of the chain (
de Timóteo Mavimbe and Bjune, 2007)
. Healthcare practitioners knowledge and cold chain practices can only be enhanced with adequate training and supportive supervision (Ojo et al., 2019). Aside from training and supportive supervision of health workers, health institutions should also have appropriate cold chain equipment available at their disposal
(Ogboghodo et al., Generally, previous studies (CDC, 2021; Ogboghodo et al., 2017; Rogers et al., ab) revealed have that well-trained employees or personnel, reliable transportation,
reliable storage equipment, and efficient management processes require attention for the efficient cold chain management. There are many advantages to having an effective healthcare cold chain management system, including maximizing the use of healthcare resources, reducing waste, and enhancing the standard of care provided (Feyisa et al., In the end, it ensures that clients receive the cold chain products they demand at the service delivery points and in the shortest period. Yet, many studies have found significant drawbacks to having an efficient cold chain delivery system. Some of the significant challenges collated from previous studies include erratic electric power supply, fuelling and transport, inadequate financing, transportation delays, poor quality of refrigerators,
equipment breakage, and lack of trained personnel, insufficient cold chain capacity, lack of latest technology or optimal equipment, inadequate temperature monitoring and maintenance systems (Rogie et al., 2013; Lakew et al., 2015; Oli et al., 2016; Ashok et al.,
2017). This study sought to assess the efficient practice of cold chain management in the healthcare sector and its impact on healthcare service delivery in Ghana and attempt to advise on the current state of cold chain practice in the Ghanaian healthcare sector and the
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challenges associated with it for steps to betaken to improve cold chain practice in the
Ghanaian healthcare sector.

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