|
| Variable | Frequency (%) |
| Yes (%) | No (%) |
|
| Does the facility have policies and guidelines on cold chain management practices? | 1 (8.3) | 11 (91.7) |
| Evidence of policies, procedures, and guidelines for cold chain management at this facility | 1 (8.3) | 11 (91.7) |
| Are all the staff trained to follow policies, procedures, and guidelines that ensure compliance for cold chain management? | 1 (8.3) | 11 (91.7) |
| Does the facility have a vaccine ledger book? | 2 (16.7) | 10 (83.3) |
| Does the facility have a cold chain inventory book or guide? | 2 (16.7) | 10 (83.3) |
| Are contingency plans in place with equipment? | — | 12 (100) |
| Does the facility have an emergency power supply? | 1(8.3) | 11 (91.7) |
| Is there evidence of filling in stock cards for vaccine storage? | — | 12 (100) |
| Is vaccine wastage managed according to policy? | — | 12 (100) |
| Is evidence of vaccine wastage report available to make operational changes? | — | 12 (100) |
| Is there evidence of records in case of recall/batch numbers? | 8 (66.7) | 4 (33.3) |
| Has the district trained staff on cold chain management? | 10 (83.3) | 2 (16.7) |
| District level supportive supervision and monitoring | — | 12 (100) |
| Does the facility have a trained officer purposely in charge of cold chain management? | 2 (16.7) | 10 (83.3) |
| Does the facility have a refrigerator for storing vaccines? | 11 (91.7) | 1 (8.3) |
| Is the refrigerator technically appropriate to store vaccines (size, type, functionality, icepack compartment)? | 7 (63.6) | 5 (41.6) |
| Is the distance from the refrigerator to the wall technically appropriate? | 1 (8.3) | 11 (91.7) |
| Does the refrigerator have a lock and key? | 1 (8.3) | 11 (91.7) |
| Does the refrigerator have a functional thermometer? | 1 (8.3) | 11(91.7) |
| Functional fridge tag (if no functional thermometer) | 8 (66.7) | 4 (33.3) |
| Position of thermometer correctly placed in fridge | 1 (100) | — |
| Absence of refrigerator (cold box fridge tag/thermometer): not applicable) | — | — |
| Does facility monitor temperature twice daily? | 6 (50) | 6 (50) |
| Is temperature within appropriate range? (+2°C – +8°C) | 5 (41.7) | 7 (58.3) |
| Records (30 days monthly temperature chart) | 9 (75) | 3 (25) |
| Three months reading (twice daily each day) | 4 (33.3) | 8 (66.7) |
| Level of records availability | 4 (33.3) | 8 (66.7) |
| Vaccines arranged in cold box (not applicable) | — | — |
| Vaccines correctly arranged in refrigerator | 2 (16.7) | 10 (83.3) |
| Diluents correctly stored in refrigerator | 4 (33.3) | 8 (66.7) |
| Are vaccines overstocked? | 7 (58.3) | 5 (41.7) |
| Space in between vaccines | 1 (8.3) | 11 (83.3) |
| Presence of food in refrigerator | — | 12 (100) |
| Presence of water in refrigerator | — | 12 (100) |
| Presence of medical item or biological(non-vaccine) in refrigerator | 8 (66.7) | 4 (33.3) |
| Does the facility have enough thermometer for every outreach? | — | 12 (100) |
| Does the facility have enough functional refrigerators? | — | 12 (100) |
| Does the facility have enough cold boxes? | 5 (41.6) | 7 (58.3) |
| Is/are the cold boxes in good condition? | 4 (80) | 1 (20) |
| Does the facility have enough vaccine carriers? | — | 12 (100) |
| Are the vaccines in good condition? | 8 (66.7) | 4 (33.3) |
| Do all the vaccine carriers have foam pads? | 15 (39.5) | 23 (60.5) |
| Does the facility have enough thermometers or fridge tags? | — | 12 (100) |
| Are all the available thermometers or fridge tags functional? | 5 (41.7) | 7 (58.3) |
| Does the facility have enough icepacks? | 1 (8.3) | 11 (91.7) |
| Does the facility have a deep freezer for storing icepacks? | 1 (8.3) | 11 (91.7) |
| Does the facility have enough temperature monitoring charts? | 10 (83.3) | 2 (16.7) |
| Is there enough equipment for emergency? | — | 12 (100) |
| Does the facility have a room purposely for cold chain equipment? | 5 (41.7) | 7 (58.3) |
|
