Table 4.3: Cold chain Practices Cold Chain Practices Test Value = 3.5 t df p-valu e Mean Difference 95% Confidence Interval of the Difference Mean SD Rank Lower Upper Use of fridge tags or functional thermometers 3.95 .895 1 st 3.974 Presence of emergency power supply 3.92 .874 2 nd 3.778 Use of appropriate refrigeration (storage) equipment 3.87 .778 3 rd 3.752 Use of requisition forms for ordering and reporting 3.85 .865 4 th 3.228 Storage of products at required temperatures 3.81 .972 5 th 2.482 Supervision and monitoring 3.79 .792 6 th 2.886 Adequate storage capacity 3.79 .908 7 th 2.518 Possession of policies, procedures and guidelines on cold chain management 3.77 .913 8 th 2.365 Use of earliest expiry first out (EEFO) principle 3.77 .931 9 th 2.320 Storing medical products with non-medical products 3.77 .895 10 th 2.413 Use of temperature logging charts 3.77 .838 11 th 2.576 Use of cold chain inventory book 3.76 .987 12 th 2.060 Training of staff in cold chain management 3.73 .908 13 th 1.957 Presence of backup equipment for emergency 3.71 .818 14 th 2.019 Timely cold chain equipment maintenance 3.71 .818