Knowledge, Attitude and Adherence to Cold Chain among General Practitioners in Kelantan, Malaysia

Objectives: To determine the knowledge, attitude and adherence to cold chain guideline among general practitioners.Method: A cross-sectional study was conducted among general practitioners in Kelantan using questionnaire, refrigerator inspection form and minimax thermometer. The validated questionnaire consists of 10 items on knowledge and 11 items on attitude with Cronbach’s alpha of 0.68-0.72. Descriptive analysis was done using SPSS 12.0.Results: There were 89 general practitioners involved with response rate of 80.9%. Most respondents 78.7% (95% CI : 71.05, 86.35) have good knowledge but poor attitude towards cold chain 79.8% ( 95% CI;71.76, 87.84). Only 5.6% clinics adhere to the guideline. Conclusion: Despite high percentage of good knowledge, majority of respondents have poor attitude and poor adherence to cold chain guideline. Quality improvement activities such as educational material, having dedicated person in charge of vaccine and distribution of thermometer as well as enforcement may improve adherence on cold chain.