Assessment of cold chain and logistics management practices: a cross sectional study in Bundelkhand region of Madhya Pradesh
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20184781Keywords:
Cold chain, CCHs, CCPs, CCE, ILRs, DFsAbstract
Background: Immunization is one of the most effective disease prevention strategies. Potency of vaccine is dependent on effective management of cold chain system at all levels of vaccine handling. This study was carried out to assess the status of cold chain equipment and logistics management practices, Knowledge and practice of CCHs about cold chain equipment and logistics management.
Methods: Cross-sectional study was conducted in all functional cold chain points of Damoh district using structured questionnaires provided by UNICEF.
Results: Only 57.14% and 71% CCPs had dedicated space for dry storage and for conditioning of ice packs respectably. 50% CCPs had correct placement of ice-packs inside DFs. Functional thermometer inside every equipment was available in 86% CCPs. Twice daily temperature recording and temperature of ILRs was within normal range in 93% CCPs. Record of power failures and defrosting/cleaning in temperature log books was found in 57% and 43% CCPs. Temp log book was countersigned by facility in charge in 43% CCPs. UIP vaccines were stored within basket in 93%. Fractional IPV was stock out in 29% CCPs and in 07% CCPs OPV vials were found with not usable VVM. 86%, 72% and 64% of CCHs had knowledge on freeze/temperature sensitive vaccines, cold chain pray and, Shake test. In 79% CCPs expired/wasted vaccines were not documented in stock.
Conclusions: Most of the components of cold chain and logistics management practices were satisfactory while there is a gap in other components which needs to be improved.
References
Handbook for vaccines and cold chain handlers. Department of Health and Family Welfare, Ministry of Health and Family Welfare Government of India. Edition; 2011.
Handbook for vaccine and cold chain handlers, Department of Health and Family Welfare, Ministry of Health and Family Welfare Government of India 2nd edition. 2016
Park K. Park’s Textbook of Preventive and Social Medicine. 23rd ed. Jabalpur: M/s Banarsidas Bhanot Publishers; 2015: 122.
J Kishore’s National Health Programs of India.11th ed. New Delhi Century Publications; 2014 :178.
Immunization handbook for health worker. Department of Health and Family Welfare, Ministry of Health and Family Welfare Government of India. Revised edition 2011.
Immunization Handbook for Medical Officers. Dept. of Family Welfare. Ministry of Health & Family Welfare. Government of India. 2008: 15.
International institute of population sciences. National Family Health Survey -3. National Report. 2015;1:228.
Suryakantha A H. Community Medicine with Recent Advances. 3rd ed. New Delhi Jaypee Brothers Medical Publishers (P) Ltd; 2014: 280.
Sinha A, Verma A, Chandrakar A, Khes S. Evaluation of cold chain and logistics management practice in Durg district of Chhattisgarh: pointer from Central India. Int J Comm Med Pub Health. 2017;4(2):390-5.
Rao S, Naftar S, Baliga S, Unnikrishnana B. Evaluation, Awareness, Practice and Management of Cold Chain at the Primary Health Care Centers in Coastal South India. J Nepal Paediatr Soc. 2012;32(1):19-22.
Biradar S, Biradar M. Evaluation of Vaccine Storage Practices in Primary Health Centres of Bijapur District of Karnataka. Int J Pharm Bio Sci. 2013;4(4):1290-3.
Lalitha K, Anniappan A , Voderhobli N, Krishna S, Yathiraj S, Sreekantaiah P. Evaluation of Cold Chain Practices in Urban Health Centers of a Metro City in India. National J Comm Med. 2014;5(3):288-92.
Gupta A, Gupta R. Study of cold chain practices at community health centers of damoh district of Madhya Pradesh. National J Comm Med. 2015;6(4):528-32.
Naik A, Rupani M. Evaluation of Vaccine Cold Chain in Urban Health Centers of Municipal Corporation of Surat City, Western India. Int J Prev Med. 2013;4(12):1395-401.
Mallik S, Mandal P, Chatterjee C, Bagchi S, Dasgupta S. Assessing cold chain status in a metro city of India: an intervention study. African Health Sci. 2011;11(1):128-33.
Sanghavi M. Assessment of Routine Immunization Program at Primary Health Centre Level in Jamnagar District. National J Med Res. 2013;3(4):319-23.
Sharma D, Varun A, Patel R, Singh U. Process evaluation of immunization component in mamta diwas and support services in Kheda district, Gujarat. National J Comm Med. 2013;4(1):81-5.
