BACKGROUND:
Improper storage and handling of vaccine can cost millions of dollars in lost vaccine. Many times these incidents of vaccine wastage can be prevented by simply orientated the VFC provider in proper storage and handling of vaccine.

OBJECTIVE:
To determine if an initial VFC orientation can lower the incident rate of vaccine wastage. And if follow-up site visits also contribute to lowering the incedent rate of vaccine wastage.

METHOD:
First, determine which new VFC providers received an initial VFC orientation and which did not. Second, determine the incident rate for vaccine wastage for each of these providers is. Third, evaluate the wastage percentage for each provider and compare with the number of site visits they received.

RESULT:
Initial VFC orientation and follow-up site visits do reduce the incident rate of vaccine wastage.

CONCLUSION:
Although the initial orientation and follow-up site visits do reduce the overall incident rate of vaccine wastage. It is key to be able to identify the weak areas with each VFC provider and assist the provider in ways to improve that area.

LEARNING OBJECTIVES:
How to identify weak areas in vaccine management within a VFC provider. How to best address those weaknesses.