Assessment of vaccine management in cold chain points of Jashpur and Sarguja districts of Chhattisgarh

Authors

  • Nitin H. Kamble Department of Community Medicine, Bharat Ratna Late Shree Atal Bihari Vajpayee Memorial Medical College, Rajnandgaon, Chhattisgarh, India
  • Daneshwar Singh Department of Community Medicine, Bharat Ratna Late Shree Atal Bihari Vajpayee Memorial Medical College, Rajnandgaon, Chhattisgarh, India
  • Harshal G. Mendhe Department of Community Medicine, Bharat Ratna Late Shree Atal Bihari Vajpayee Memorial Medical College, Rajnandgaon, Chhattisgarh, India
  • Kiran Makade Department of Community Medicine, Bharat Ratna Late Shree Atal Bihari Vajpayee Memorial Medical College, Rajnandgaon, Chhattisgarh, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20195845

Keywords:

Cold chain, Vaccine CCHs, CCPs, Cold chain equipment, ILRs, DFs

Abstract

Background: It has been observed that besides intensification of routine immunization, more strategic interventions are essential to strengthen the different aspects of immunization services like cold-chain management and monitoring/supportive supervision. The present study was considered as a part of ongoing UNICEF funded project on Supportive Supervision of Routine Immunization in Jashpur and Sarguja districts undertaken by the Department of Community Medicine, GMC Rajnandgaon with the objectives to assess the status of cold chain equipment and logistics management practices, knowledge and practice of cold chain handler (CCHs) about cold chain equipment and logistics management.

Methods: A cross-sectional facility based study was conducted from August 2017 to February 2018. Among 18 cold chain points (CCPs), 9 from Jashpur and 9 from Sarguja district were considered for analysis using structured questionnaires provided by UNICEF.

Results: In 83.33% CCPs cold chain technician or annual maintenance contract/computer-mediated communication service provider visit for preventive maintenance in the last 4 months. Vaccine CCHs carries out the daily and weekly planned preventive measures as per the checklist in 83.33% CCPs during our visit. In all CCPs iced line refrigerator (ILR) and deep freezer (DF) were placed as per specified guidelines. In 66.66% CCPs there was documentation of monthly review of temperature records. In all CCPs visited standard vaccine and logistics stock/issue registers were available.

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 by means of ongoing project of strengthening of SSRI in both districts.

References

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

Ministry of Health and Family Welfare, Government of India. Immunization handbook for medicalofficers. WHO, 2016. Available at: http://www.searo.who.int/india/publications/immunization_handbook2017/en/. Accessed on 15 July 2019.

Guidelines on how to maintain vaccine cold chain. Available at: https://www.moh-ela.gov.sg/ela/ content/Vaccine_Cold_ Chain.pdf2005. Accessed on 10 April 2019.

Immunization coverage: Fact Sheet (WHO). Available at: www.who.int /mediacentre /factsheets/fs378/en/. Accessed on 15 July 2019.

NFHS-4– National Family Health Survey Available at: http://rchiips.org/NFHS/pdf/NFHS4/CT_Fact Sheet.pdf. Accessed on 18 April 2019.

District Level Household and Facility Survey 2007–08. Available at: http://www.rchiips.org/pdf/rch 3/state/India.pdf. Accessed on 18 April 2019.

Djibuti M, Gotsadze G, Zoidze A, Mataradze G, Esmail LC, Kohler JC. The role of supportive supervision on immunization program outcome –a randomized field trial from Georgia. BMC Int Health Hum Rights. 2009;9(1):11.

Centers for Disease Control (CDC), USA. CDC’s Advisory Committee on Immunization Practices, American Academy of Pediatrics (ACIP) General Recommendations on Immunization. Available at: www.cdc.gov/vaccines/pubs/vac-mgtbook.html. Accessed on 15 July 2019.

Ministry of Health and Family Welfare, Government of India. Immunization handbook for medicalofficers. WHO, 2016. Available at: http:/ /www.searo.who.int/india/publications/immunization_handbook2017/en/. Accessed on 15 July 2019.

Park K. Park’s Textbook of Preventive and Social Medicine. 23rd ed. Jabalpur: M/S Banarsidas Bhanot Publishers; 2015: 103-109.

Handbook for vaccines and cold chain handlers. Department of Health and Family Welfare, Ministry of Health and Family Welfare Government of India; 2011.

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.

Mallik S, Mandal PK, Chatterjee C, Ghosh P, Manna N, Chakrabarty D, et al. Assessing cold chain status in a metro city of India: an intervention study. Afr Health Sci. 2011;11(1):128-33.

Gupta A, Gupta R. Study of Cold Chain Practices at Community Health Centers of Damoh District of Madhya Pradesh. National J Community 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.

Bankole AM, Olusegun KK, Marian NB, Godswill I, Adebowale OA, Lukeman AJS, et al. The impact of health facility monitoring on cold chain management practices in Lagos, Nigeria. J Public Health Epidemiol. 2010;2(4):78-81. 9

Sachdeva S, Datta U. Status of vaccine cold chain maintenance in Delhi, India. Indian J Med Microbiol. 2010;28:184-5.

Biradar SM, Biradar MK. Evaluation of Vaccine Storage Practices in Primary Health Cen-tres of Bijapur District of Karnataka. Int J Pharm Bio Sci. 2013;4(4):1290-3.

Govani KJ, Sheth JK. Evaluation of Temperature Monitoring System of Cold Chain at all Urban Health Centres (UHCs) of Ahmedabad Municipal Corporation (AMC) area. J Indian Assoc Prevent Social Med. 2015;6(1):41-5.

Rao S, Naftar S, Unnikrishnana B. Evaluation, awareness, practice and management of cold chain at the primary health care centers in coastal South India. J Nepal Paediatric Societ. 2012;32(1):19-22.

Samant Y, Lanjewar H, Parker D, Block L, Tomar G, Stein B. Evaluation of the cold-chain for oral polio vaccine in a rural district of India. Public Health Rep. 2007;122(1):112-21.

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

Downloads

Published

2019-12-25

How to Cite

Kamble, N. H., Singh, D., Mendhe, H. G., & Makade, K. (2019). Assessment of vaccine management in cold chain points of Jashpur and Sarguja districts of Chhattisgarh. International Journal Of Community Medicine And Public Health, 7(1), 148–152. https://doi.org/10.18203/2394-6040.ijcmph20195845

Issue

Section

Original Research Articles