Evaluation of steps carried out in handling vaccines at the regional district and local levels in Alexandria Governorate

A checklist was used to evaluate the various steps in storing, transporting and handling the compulsory vaccines in the regional store and the four districts store in Alexandria. A health office and/or maternal and Child Health Center randomly chosen from each district and one rural health unit were selected at random. The present study revealed the inadequacy of handling of vaccines. At the regional level, the stacking, care of refrigerator and arrival and departure procedures were not as recommended. Man power lacked the skills in handling these delicate biological products. All personnel involved in the cold chain have a written manual, and instructions as regards vaccines handling