Table 2 Key observations made in the 16 health facilities using the observation checklist

Health facility level

Lack electronic freeze indicator

15 (94%)

Lack foam pads or not enough

3 (19%)

Health worker- Individual level practices

Did not check for open vial dates on the multi-dose vaccines

13 (81%)

Did not check the vaccine vial monitor status

8 (50%)

Did not properly place vaccines, diluents and correct number of ice packs in the vaccine carrier

1 (6%)

Did not keep the vaccine hard lid cover closed tightly

12 (75%)

Did not administer each vaccine according to the recommended technique and correct injection site

5 (31%)

Did not communicate key messages including potential AEFIs and date of next visit

7 (44%)

Did not discard all reconstituted vaccines and liquid multi-dose vaccines

4 (25%)

Did not check vaccine vial monitor status for vaccines containing preservatives before returning them to the refrigerator

9 (56%)

Did not record dates of opening on vials that could be used and didn’t place them in the ‘first box’ in the refrigerator when back to the facility

12 (75%)

Did not complete session summary reports

7 (44%)