Table 1 Quality and adequacy of logistics, and quality of services provided during MR campaign
Parameter | High-performing division (Rajshahi) N = 72 | Low-performing division (Sylhet) N = 72 | *p-value | Total N = 144 | ||
|---|---|---|---|---|---|---|
Availability of logistic-materials in the vaccination sessions | ||||||
% | 95% CI | % | 95% CI | % (95% CI) | ||
Vaccine vial | 98.6 | 97.0–100 | 100 | – | 0.314 | 99.3 (98.2–100) |
Vaccine carrier | 97.2 | 93.9–100 | 100 | – | 0.153 | 98.6 (96.4–100) |
Diluents | 100 | – | 100 | – | – | 100 |
AD syringe | 100 | – | 100 | – | – | 100 |
Finger marker | 62.5 | 44.1–80.9 | 47.2 | 40.1–54.4 | 0.065 | 54.9 (46.5–63.2) |
Soap | 13.9 | 0–28.1 | 4.2 | 0–8.6 | 0.043 | 9.0 (3.4–14.6) |
Cotton | 80.6 | 65.3–95.8 | 52.8 | 45.9–59.6 | 0.000 | 66.7 (52.7–80.7) |
Quality and adequacy of logistics | ||||||
Fully-melted ice pack | 0.0 | – | 1.4 | 1.1–1.7 | 0.314 | 0.7 (0–2.1) |
Semi-frozen ice pack | 34.7 | 23.7–45.7 | 73.6 | 63.4–83.8 | 0.000 | 54.2 (46.1–62.3) |
Registration form | 33.3 | 5.4–61.3 | 38.9 | 30.0–47.8 | 0.484 | 36.1 (21.3–50.9) |
Adequate MR vaccine supplies | 86.1 | 80.0–92.2 | 90.3 | 82.6–98.0 | 0.435 | 88.2 (82.9–93.5) |
Adequate needles or syringes | 90.3 | 78.7–100 | 94.4 | 90.5–98.4 | 0.355 | 92.4 (85.9–98.8) |
Adequate both MR vaccine and needles or syringes | 94.4 | 87.8–100 | 97.2 | 94.6–99.9 | 0.402 | 95.8 (91.9–99.8) |
Duration of session (Mean ± SD) | 4.3 ± 1.4 h | 4.0 ± 1.2 h | 0.170 4.1 ± 1.3 h | |||
Availability of firstline supervisor and volunteer | ||||||
Firstline supervisor | 62.5 | 37.3–87.7 | 43.1 | 32.8–53.3 | 0.020 | 52.8 (40.1–65.5) |
Volunteer | 94.4 | 90.6–98.3 | 50.0 | 39.8–60.2 | 0.000 | 72.2 (56.1–88.4) |
Quality of services provided to individual children | N = 462 | N = 453 | *p-value | N = 915 | ||
% | 95% CI | % | 95% CI | % (95% CI) | ||
Handwashing before vaccination | 44.2 | 41.0–50.0 | 8.8 | 3.9–13.8 | 0.000 | 26.7 (16.0–37.3) |
Top of the vaccine box /carrier snugly placed | 90.9 | 86.0–95.8 | 77.7 | 68.8–86.6 | 0.000 | 84.4 (80.2–88.6) |
Child’s finger marked after vaccination | 94.7 | 92.4–97.0 | 70.1 | 60.5–79.6 | 0.000 | 82.4 (77.2–87.7) |
Vaccinator put a tally after each vaccination | 98.7 | 97.4–99.9 | 67.2 | 56.6–77.8 | 0.000 | 83.0 (77.8–88.1) |
Information on adverse event/side-effects provided | 5.1 | 2.9–7.2 | 6.2 | 4.4–8.1 | 0.471 | 5.6 (4.2–7.1) |
Applied non-touch technique | 100 | – | 99.6 | 99.1–99.9 | 0.174 | 99.8 (99.6–100) |
Used AD syringes put into the safety box | 99.1 | 98.5–99.7 | 95.8 | 91.1–100 | 0.000 | 97.5 (95.0–99.9) |