The Effect of Solar Direct Derive Cold Chain Equipment on the Performance of Immunization Services in Health Facilities of Ethiopia

The effect of solar direct derive (SDD) from cold chain equipment on the quality and equity of health facilities' immunization services is assessed using descriptive and explanatory research design by collecting data using a structured questionnaire from health workers in health centres and health posts of 56 purposely selected health facilities in Ethiopia. Quantitative data were collected from the EPI registry for the year 2014 as a baseline, and a follow-up review was made for the year 2018 performances. It was found that the new cold chain equipment, SDD refrigerators have a positive and significant effect on improving equity (Penta 3 coverage) and quality (Penta 3 -Measles dropout rate) of the immunization service. This helps to reduce the number of zero dose children.