In northern Ghana, extreme heat and unreliable electricity are affecting vaccines. Vaccines that must stay cold are spoiling before they reach remote communities.  

Temperatures here can climb to over 42°C between November and April. To remain effective, vaccines must be stored at 2°C to 8°C temperatures.

With only 15 vaccine refrigerators for more than 50 health facilities in Bawku West District,  maintaining the cold chain is a constant struggle.