Table 4 Summary of the key findings using the IPIE tool at 7 ANCs in Western Cape, 2015
Key Areas | Key findings |
|---|---|
Planning and training | • None of the sites reported receiving training from the DoH on the vaccination campaign in the current year • Influenza vaccine coverage and waste calculation could not be determined at the site level • Several sites complained about the documentation process, specifically citing placing stickers and verifying vaccine receipt in the record books as “too labour intensive” |
Vaccine management | • Cold chain management was uniform across sites • Vaccine shortage was an issue at 2 (29%) sites • Vaccine wastage reported at 2 (29%) sites due to failure to refrigerate |
Adverse events | • One AEFI* of localised injection site rash was identified. This was reported to a medical officer only and not documented using the national AEFI reporting mechanism (through the pharmacy) |
Impression and acceptance | • Overall, the nurse managers interviewed were pleased with their involvement in the campaign • Of 7 sites surveyed, 6 (85%) felt implementation of the campaign was a smooth process with minor challenges and did not affect their ability to provide routine antenatal services |
Recommendations | • Study RAs should vaccinate patients to decrease the burden on the clinic staff • Provide more influenza educational materials (checklists, presentations geared toward a lay audience) for use during the season |