ABSTRACT

Jones Opiana, Mel John Vargas, “THE LEVEL OF IMPLEMENTATION OF THE HANDLING OF VACCINES ONEXPANDED PROGRAM ON IMMUNIZATION IN DARAGA, ALBAY” (An Undergraduate University College of Nursing and Health Sciences Rawis, Legazpi City, Ralph Kenneth Mancilla, Erie IMPLEMENTATION OF PROGRAM ON Thesis, Aquinas University 2010 )

The study was conducted to determine the level of implementation of handling vaccines on expanded program immunization in IJaraga, Albay. Specifically, it sought to the following sub-problems 1) What is the demographic data of the respondents in terms of a) age, b) Civil Status and c)Years of experience; 2) What is the level of Implementation of handling vaccines along: a) Vaccine storage, b) Vaccine Temperature on answers Monitoring, c) Fridge Maintenance and d) Vaccines Delivery; 3) What are the problems encountered in the Implementation of handling vaccines?; and 4) What nursing measures may be proposed to improve the implementation in handling vaccines?

This study made use of the descriptive design. It is composed of 15 Midwives in Daraga Rural Health Unit as the respondents where total enumeration was employed. A questionnaire was used as the main instrument in gathering data. The study made use of two sources of data, the primary sources and secondary sources. In order to treat the data gathered several statistical tools were used, such as frequency count, percentage and mean. Based on the analysis and interpretation of the data gathered the following findings were drawn: 1) Most of the respondents are within the age bracket of 53-60 years old with highest frequency of seven (7) or 47.66% which means that they are in their late adulthood. All of them were married and 6 or 40% of them were in service for 17-24 years. 2) The level of implementation in handling vaccines of the Expanded Program of Immunization revealed the following findings* On Vaccine Storage. The indicator “Vaccine are stored in a dedicated implemented while “space is plate” was rated with the lowest Monitoring the Vaccines Temperature vaccine fridge” got the highest mean of 4.8 interpreted as always maintained between vaccine packages and the evaporation mean of 3.5 interpreted as often implemented. On e. The indicator “reset button of the thermometer is pressed every after recording the temperature of the vaccines” got the highest mean of 4.6 interpreted as always implemented. While, both the indicators “the temperature of the monitored and recorded regularly” and “any adjustments to the refrigerator malways documented to the logbook by the nominated staff’ have same mean of 4.3 interpreted as often implemented. On Fridge Maintenance. The indicator “the fridge is vaccines are control is in an area where it does not receive direct sunlight” got the highest mean of 4.8 interpreted as always implemented. While “vaccines fridge power source is labeled to ensure that it is never turned off” got the lowest mean of 4,0. On Vaccine Delivery. All the indicators were interpreted as always implemented, However, the indicator “vaccines are stored in the fridge in their original packaging” got the highest mean of 4.8. This implies that the midwives followed the proper protocol in handling vaccines by maintaining the original package before use. In General, the results along vaccines delivery are very satisfactory. 3) In line with the problems encountered in handling vaccines it was found that the most often encountered problems by the midwives from the Rural Health Unit (RHU) regarding the importance of cold chain method” and “indifferent staff in the RHU both have the same mean of 3.5.

Based on the findings, the following conclusions were drawn:

1) Majority of the were “insufficient instructions or demonstration dents were in their late adulthood. All of them were married and were in service for are nearly for retirement.
2) As to the level of implementation respond quite a long time and some
of the handling of vaccines on Expanded Program
On Vaccine Storage, it shows that Midwives always implemented on Immunization the following conclusions were made: the storing of vaccines in i a dedicated vaccine fridge but often implemented only the maintenance of space is maintained between vaccine packages and the evaporation plate. On Monitoring the Vaccines Temperature, revealed that the resetting of button of the thermometer pressed every after recording of the temperature of the implemented. While, vaccines’ is always
monitoring and recording regularly the temperature of the vaccines
and documenting in the logbook for any adjustments on the refrigerator control, came out to be often implemented only. On Fridge Maintenance, it shows that placing the fridge in an area where it does not receive direct sunlight was always implemented but ironically, labeling of the vaccines fridge power source is labeled to ensure that it is never turned off only often implemented. On Vaccine Delivery, all the indicators were interpreted as always implemented. However, it came out that in all the indicators, the Midwives highly followed the proper protocol in handling vaccines by maintaining the original package before use,
3) The most often problems encountered by the Midwives were “insufficient was instructions or demonstration from the Rural Health Unit (RHU) regarding the importance of cold chain method” and “indifferent staff in the RHU,