DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20190215

Evaluation of vaccine storage and cold chain management practices during intensified mission Indradhanush in community health centers of Tikamgarh district of Madhya Pradesh

Ram K. Panika, Pankaj Prasad, Sunil Nandeshwar

Abstract


Background: Vaccination is one of the most effective disease prevention strategies and potency of vaccine is dependent on effective management of cold chain at all levels of vaccine handling. An effective cold chain maintenance system is the backbone of success of any immunization program. This study was done to assess the cold chain management and vaccine storage practices in Tikamgarh district of Madhya Pradesh.

Methods: Cross-sectional study was carried out using a structured questionnaire.

Results: Dedicated room/space for dry storage not available in any of 03 CHCs. Dedicated table for conditioning of icepacks, dedicated clean clothes for wiping of icepacks after conditioning and power back up was available, ILR and DF were connected to separate functional voltage stabilizer and thermometers were placed correctly only in 66.6% CHCs. ILRs and DFs were properly placed, cabinet temperature of ILR and DFs was maintained in normal range in all the three (100%) CHCs. Record of power failure, records of defrosting/cleaning was maintained in temperature log book and cold chain handlers had knowledge of shake test in only 33.3% CHC.

Conclusions: Proper vaccine storage and management of cold chain system is essential for immunization. In order to improve quality of immunization services there is a need of space, temperature monitoring and regular defrosting with record keeping and regular training of cold chain handlers to keep their knowledge and skills updated. Monitoring and supervision of cold chain points by DIO should be on regular basis.

 


Keywords


Cold chain, Cold chain handler, ILRs, DFs

Full Text:

PDF

References


Sunder LAP. Textbook of Community Medicine: preventive and Social Medicine. 4th ed. CBS Publishers and distributors Pvt. Ltd.; 2011: 557.

Handbook for vaccine and cold chain handlers. Department of Health and Family Welfare, Ministry of Health and Family Welfare Government of India. 2nd ed. 2016.

Park K. Park’s Textbook of Preventive and Social Medicine. 23rd Ed. Jabalpur M/s Banarsidas Bhanot Publishers; 2015: 122.

Kishore J. National Health Programs of India. 11th ed. Century Publications; 2014: 178.

Government of India. Immunization Handbook for Medical Officers. Department of Health and Family Welfare. Ministry of Health and Family Welfare; 2008: 15.

Suryakantha AH. 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 Community Med Public 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.

Gupta A, Gupta R. Study of cold chain practices at community health centers of damoh district of Madhya Pradesh. Natl J Community Med. 2015;6(4):528-32.

Biradar S, Biradar M. Evaluation of vaccine storage practices in primary health centres of Bijapur district of Karnataka. Int J Pharm Bio Sci. 2013;4:1290-3.

Lalitha K, Anniappan A, Voderhobli N, Krishna S, Yathiraj S and Sreekantaiah P. Evaluation of cold chain practices in urban health centers of a metro city in India. Natl J Community Med. 2014;5(3):288-92.

Sharma D, Varun A, Patel R, Singh U. Process evaluation of immunization component in mamta diwas and support services in Kheda district, Gujarat. Natl J Community Med. 2013;4(1):81-5.

Choudhury D, Baruah R, Ojah J. Knowledge and practices of cold chain handler regarding cold chain equipment and vaccines storage in Chirang district, Assam. Int J Current Res. 2016;8(7):35464-7.

Sanghavi M. Assessment of routine immunization program at primary health centre level in Jamnagar district. National J Med Res. 2013;3(4):319-23

Mallik S, Mandal P, Chatterjee C, Bagchi S, Dasgupta S. Assessing cold chain status in a metro city of India: an intervention study. Afr Health Sci. 2011;11(1):128-33.

Bhatnagar P, Chopra H, Garg S, Bano T, Kumar A, Kumar S. Status of knowledge and skills of cold chain handlers in district Meerut, Uttar Pradesh, India. IOSR J Dental Med Sci. 2018;17(2):44-8.