Medical Journal of Malaysia

MJM, Vol 70 Supplement 1 September 2015

Study on multidose vaccine wastage in School Health Services in Malaysia

Tan PS, S Abdul Shukor Mohd Shahriel, Saidatul Norbaya B, Noorhaire N

Family Health Development Division, Ministry of Health Malaysia


Introduction: The study on multidose vaccine wastage by the School Health Services was conducted to describe the wastage of multidose vaccine in Malaysia and to determine the percentage of vaccines wastage by the School Health Team.

Methods: The study was divided into two parts. The first part was to describe the overall wastage in Malaysia was conducted from January 2013 to December 2014.  The second part was to determine the vaccine wastage in particular districts was conducted from August to September 2012 and May 2013. The study area was conducted in the School Health Sector using National Informatic Centre database and in Putrajaya, Puchong and Pokok Sena district health office. Two primary schools and one secondary school that provided Diphtheria and Tetanus (DT), Oral Polio, Measles and Anti Tetanus Toxoid (ATT) immunisations were selected from the districts.

Results: Observations of the work process of immunisation were done on 50 primary schools and 32 secondary school students. Overall acceptable vaccine wastage for Polio, DT, Measles and ATT were 11.9%, 9.5%, 17.5% and 10.2% respectively in 2013 for Malaysia. Results from the selected districts found that acceptable vaccine wastage for Polio, DT, Measles and ATT ranged between 24-40%, 10%, 24-40% and 17.5% respectively for 2012 and 2013.

Conclusion: Findings from the above study showed various percentage of vaccine wastage as compared to the World Health Organization recommendation which was 25%.