Tunisia
GaneshAID strengthened technical and decision-making capabilities of Tunisian biomedical technicians and engineers maintaining WHO PQS cold chain equipment — with average knowledge improvements exceeding 30 points per cohort.
Key Immunisation and Health System Challenges
Technical analyses of Tunisia's cold chain revealed recurring incidents affecting critical PQS equipment (ILR, Surechill, Coolfinity, temperature monitoring devices) linked to poor preventive maintenance, incomplete understanding of equipment thermal behaviour, and inappropriate technical decisions causing prolonged downtime.

GaneshAID Support in Tunisia
Cold Chain Equipment Maintenance Programme (Jan 2026)
A structured combination of three approaches: Applied theoretical sessions based on incidents observed in Tunisia and WHO/PQS standards; Practical workshops (two 5-day blocks: 18 biomedical technicians and engineers in session 1, 28 in session 2) with simulations of breakdowns and critical incidents; Targeted field visits for supervised application at selected EPI sites. Preparatory meetings: internal coordination (Dec 2025) and kick-off with PEV Tunisia and UNICEF (Jan 2026).
What changed as a result
Cohort 1: Average improvement +36.3 points (range: +4 to +68). Cohort 2: Average improvement +29.6 points (range: +4 to +52). Presence of improvements exceeding +50 among participants indicates strong educational impact on those initially at highest risk — improving their ability to reduce critical incident recurrence and ensure vaccine quality at all system levels.
Improved operational availability of PQS equipment and reduced recurrence of critical cold chain incidents