Table IV Category II: high competency... | Emerald Publishing

Table IV

Category II: high competency perceptions but incomplete performance in providing services

Quantitative data	Interview data	Observational data
The participants had the highest perceptions of competency in scheduling the immunization appointments, health assessment and vaccination screening (contraindications and precautions)	The participants had confidence in scheduling appointments and in their skills in administering vaccine shots “Our greatest confidence is in giving the shots and scheduling the immunization appointments in a healthy child. We are 100% capable of this because we generally prepare the vaccines ourselves and we do so rather precisely” However, the participants were not confident in scheduling the immunization appointments in the groups of clients that had health problems, or that had come in for their vaccinations later than scheduled “On scheduling the appointments for children who delayed routine vaccination, we’re still not confident in answering everyone’s questions. We don’t remember everything completely” “We’d like to know more about vaccinations in general practice, vaccine contraindications, for instance, persons with immunocompromising conditions, which vaccines should patients receiving chemotherapy get, and minimum intervals between doses for children whose vaccinations have been delayed”	The majority of the providers could schedule vaccination appointments with normal cases but they were unable to schedule an appointment with clients that had health problems or delayed routine vaccination. Moreover, the work they did was about 83.3% correct and complete in terms of vaccination screening, whereas some clients in the health service setting have not been screened for contraindications prior to administering any vaccine
There was a level-2 high awareness of competency in vaccine storage and of the cold chain system, comprising vaccine preservation, temperature control and regulations and emergency management of the cold chain system	The participants were confident in their work and eventually developed work standards in the area of vaccine storage that was based on the cold chain system “We developed a vaccine storehouse. We developed it according to the curriculum and standards in the Drug Repository. So we tried to make use of the results we got to improve our work” “The part where we were confident was in the cold chain because it involved pharmaceutical work. We were in pharmaceutical work all along and we had a better understanding of registering the Hos XP data reports in the forms. We knew the reasons in doing this work and we were able to link to it so we could apply it to our work” “We were able to manage even when there was a power outage; and we were able to carry on, following the guidelines for maintaining the cold chain system in health-promoting hospitals in sub-districts”	Suitable refrigerators were chosen, and each type of vaccine was made available separately with a label indicating the name of each. Yet, there were some things that were done incorrectly, namely The arrangement of the vaccines in the refrigeration unit was not correct according to principles for proper storage, since, in some places, different types of vaccines were being stored together At times, there was no recording of refrigeration temperatures from morning to evening because the recording came to a stop on the weekends, there were no shift workers on duty and there were no vaccines kept in stock No water bottles or cold packs had been put inside the refrigerator, only other medical supplies within the refrigerator walls The two settings had no emergency management support plan in their cold chain systems

Quantitative data	Interview data	Observational data
The participants had the highest perceptions of competency in scheduling the immunization appointments, health assessment and vaccination screening (contraindications and precautions)	The participants had confidence in scheduling appointments and in their skills in administering vaccine shots“Our greatest confidence is in giving the shots and scheduling the immunization appointments in a healthy child. We are 100% capable of this because we generally prepare the vaccines ourselves and we do so rather precisely”However, the participants were not confident in scheduling the immunization appointments in the groups of clients that had health problems, or that had come in for their vaccinations later than scheduled“On scheduling the appointments for children who delayed routine vaccination, we’re still not confident in answering everyone’s questions. We don’t remember everything completely”“We’d like to know more about vaccinations in general practice, vaccine contraindications, for instance, persons with immunocompromising conditions, which vaccines should patients receiving chemotherapy get, and minimum intervals between doses for children whose vaccinations have been delayed”	The majority of the providers could schedule vaccination appointments with normal cases but they were unable to schedule an appointment with clients that had health problems or delayed routine vaccination. Moreover, the work they did was about 83.3% correct and complete in terms of vaccination screening, whereas some clients in the health service setting have not been screened for contraindications prior to administering any vaccine
There was a level-2 high awareness of competency in vaccine storage and of the cold chain system, comprising vaccine preservation, temperature control and regulations and emergency management of the cold chain system	The participants were confident in their work and eventually developed work standards in the area of vaccine storage that was based on the cold chain system“We developed a vaccine storehouse. We developed it according to the curriculum and standards in the Drug Repository. So we tried to make use of the results we got to improve our work”“The part where we were confident was in the cold chain because it involved pharmaceutical work. We were in pharmaceutical work all along and we had a better understanding of registering the Hos XP data reports in the forms. We knew the reasons in doing this work and we were able to link to it so we could apply it to our work”“We were able to manage even when there was a power outage; and we were able to carry on, following the guidelines for maintaining the cold chain system in health-promoting hospitals in sub-districts”	Suitable refrigerators were chosen, and each type of vaccine was made available separately with a label indicating the name of each. Yet, there were some things that were done incorrectly, namelyThe arrangement of the vaccines in the refrigeration unit was not correct according to principles for proper storage, since, in some places, different types of vaccines were being stored togetherAt times, there was no recording of refrigeration temperatures from morning to evening because the recording came to a stop on the weekends, there were no shift workers on duty and there were no vaccines kept in stockNo water bottles or cold packs had been put inside the refrigerator, only other medical supplies within the refrigerator wallsThe two settings had no emergency management support plan in their cold chain systems