Next Article in Journal
The Growing Importance of Tuberculosis Preventive Therapy and How Research and Innovation Can Enhance Its Implementation on the Ground
Previous Article in Journal
Rickettsial Diseases: Not Uncommon Causes of Acute Febrile Illness in India
Open AccessArticle

Small Session Size and Big Vial Size: Operational Research Assessing Open Vial Vaccine Wastage at the Service Delivery Points in the Mandalay Region of Myanmar During 2018

1
Expanded Programme on Immunization, Ministry of Health and Sports, Nay Pyi Taw 15011, Myanmar
2
Centre for Operational Research, International Union Against Tuberculosis and Lung Disease (The Union), 75006 Paris, France
3
The Union South-East Asia Office, New Delhi 110016, India
4
Department of Medical Research (Pyin Oo Lwin Branch), Ministry of Health and Sports, Pyin Oo Lwin 05081, Myanmar
*
Author to whom correspondence should be addressed.
Trop. Med. Infect. Dis. 2020, 5(2), 60; https://doi.org/10.3390/tropicalmed5020060
Received: 7 March 2020 / Revised: 9 April 2020 / Accepted: 14 April 2020 / Published: 15 April 2020
The World Health Organization (WHO) recommends immunization programmes to monitor vaccine wastage at storage and service delivery points. As there were no vaccine wastage assessments in Myanmar, we aimed to assess the vaccine wastage rates in the Mandalay region. We conducted a cross-sectional descriptive study with the inclusion of all immunization sessions conducted through the twenty randomly selected subcentres in the year 2018. The wastage rates were calculated by aggregating vaccine utilization data from selected subcentres. The vaccine wastage rates for Bacillus Calmette–Guérin (BCG) (54.9%), inactivated polio vaccine (28.3%), and measles-rubella (27.4%) were higher than the WHO indicative rates. The high vaccine wastage rates were seen in lyophilized vaccines (36.9%), vaccines requiring only a single dose per child for complete immunization (39.1%), and those with a large vial size of 20 doses (38.8%). The median session size for BCG (6), measles-rubella (4) and inactivated polio vaccine (2) were lower than their vaccine vial size of 20, 10, and 5 doses, respectively. The wastage was high due to smaller session size and larger vial size, necessitating the disposal of unused doses. Better micro-planning to increase the session size and procuring vaccines with smaller vial sizes needs to be tested as a strategy to reduce vaccine wastage. View Full-Text
Keywords: vaccine wastage; vaccine utilization; EPI; service delivery point; Myanmar vaccine wastage; vaccine utilization; EPI; service delivery point; Myanmar
Show Figures

Figure 1

MDPI and ACS Style

Oo, A.N.; Thekkur, P.; Thar, A.M.C.; Htet, K.K.K.; Lin, H.H. Small Session Size and Big Vial Size: Operational Research Assessing Open Vial Vaccine Wastage at the Service Delivery Points in the Mandalay Region of Myanmar During 2018. Trop. Med. Infect. Dis. 2020, 5, 60.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop