The effects of switching from 10 to 5-dose vials of MR vaccine on vaccination coverage and wastage: A mixed-method study in Zambia

Vaccine
Volume 38, Issue 37 Pages 5877-5962 (18 August 2020)
https://www.sciencedirect.com/journal/vaccine/vol/38/issue/37

 

Research Article
The effects of switching from 10 to 5-dose vials of MR vaccine on vaccination coverage and wastage: A mixed-method study in Zambia
Kirstin Krudwig, Barbara Knittel, Ali Karim, Natasha Kanagat, … Robert Steinglass
Highlights
:: Fear of vaccine wastage may lead to lower immunization coverage.
:: Mixed method study compared the use of 5-dose and 10-dose vials of measles-rubella.
: Districts using 5-dose MR saw increase coverage and reduced wastage.
: Health workers reported more willing to open a 5-dose MR vial.
: Switching to 5-dose MR vials can be accommodated within existing cold chain capacity and the wastage-adjusted cost differential per dose is negligible.