Assessment of vaccine wastage in an immunization clinic of a tertiary care hospital, Kolkata, West Bengal

Nabanita Chakraborty, Gautam Kumar Joardar


Background: Universal Immunization Programme was launched by Government of India in 1985 with the aim of immunizing all children and pregnant women across the country free of cost. However high vaccine wastage and lack of proper vaccine management could not meet the demand and increased the cost.

Methods: A descriptive record based study was conducted in the immunization clinic of KPC Medical College and Hospital. Vaccination records of all children and pregnant women attending clinic from 1st July 2018 to 30th June 2019 was retrieved from the immunization registers.

Results: Wastage rate was found to be highest for bacillus Calmette–Guérin vaccine vaccine (68.9%) and lowest for oral polio vaccine (27.7%). Wastage rate was higher for 10 dose vial vaccine compared to 5 dose vial and 20 dose vial vaccine and the differences were statistically significant (p<0.00001).The wastage rate was higher for lyophilized vaccine compared to liquid vaccine and for injectable vaccine compared to oral vaccine. These differences were also statistically significant (p<0.00001).

Conclusions: Thus regular monitoring of immunization sessions should be done to estimate the vaccine wastage in each session. Reducing wastage is expected to increase the quality and efficiency of the programme and also reduce the cost without compromising the coverage.


Vaccine wastage rate, Bacillus Calmette–Guérin vaccine, Pentavalent, Measles and rubella virus vaccine, Hepatitis B

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Zhou F, Santoli J, Messonnier ML, Yusuf HR, Shefer A, Chu SY, et al. Economic evaluation of the and-vaccine routine childhood immunization schedule in the United States, 2001. Arch Pediatr Adolesc Med. 2005;159(12):1136-44.

Available at http://www. publication/277594217 _ Mission _ Indradhanush _ targets_India%27s_unvaccinated _children. Accessed 14 August 2019.

Cheryl T. Mission Indradhanush targets India’s unvaccinated children. BMJ. 2015;350:h1688.

National Immunization Technical Advisory Group. National vaccine policy. New Delhi: Ministry of Health and Family Welfare, Government of India; 2011.

NHM Health Management Information System (HMIS) Portal. Result of District Level Household Survey-IV. New Delhi: Ministry of Health and Family Welfare, Government of India; 2012-13.

Monitoring vaccine wastage at country level. Guidelines for programme managers. Vaccines and Biologicals. World Health Organization. Available at Accessed on 18th August 2019.

Immunization Handbook for Medical Officers. Department of Health and Family Welfare, Ministry of Health and Family Welfare, Government of India, 2008: 31-32.

World Health Organization. Monitoring vaccine wastage at country. Geneva: World Health Organization. 2011. Available at vaccines-documents/. Accessed on 18th August 2019.

Palanivel C, Vaman K, Kalaiselvi S, Nongkynrith B. Vaccine wastage assessment in a primary care setting in urban. Indian J Paediatr Sci. 2012;4(1):2-6.

United Nation International Children’s Emergency Fund. Vaccine wastage assessment: field assessment and observations from national stores and five selected states of India. New York: UNICEF; 2010. Available at Wastage_Assess-ment_India.pdf. Accessed on 10th March 2015.

Mehta S, Umrigar P, Patel PB, Bansal RK. Evaluation of vaccine wastage in Surat. National J Community Med. 2013;4:15-9.

Praveena DA, Selvaraj K, Veerakumar AM, Nair D, Ramaswamy G, Chinnakali P. Vaccine wastage assess-ment in a primary care setting in rural India. Int J Contemp Pediatr. 2015;2:7-11.

Mukherjee A, Ahluwalia TP, Gaur LN, Mittal R, Kambo I, Saxena NC, et al. Assessment of vaccine wastage during a pulse polio immunization programme in India. J Health Population Nutr. 2004;22:13-8.

Palanivel C, Kulkarni V, Kalaiselvi S, Baridalyne N. Vac-cine wastage assessment in a primary care setting in urban India. J Ped Sci. 2012;4:119.

National Immunization Schedule for Infants, Children and Pregnant Women. Revised IPHS guidelines. Directorate General of Health Services. Ministry of Health & Family Welfare. Government of India; 2010.

National Family Health Survey 2015-16 (NFHS-4) Madhya Pradesh State Fact sheet 2015-2016. Available from: Accessed on 10th March 2015.

Gupta V, Mohapatra D, Kumar V. Assessment of Vaccine Wastage in a Tertiary Care Centre of District Rohtak,Haryana. National J Community Med. 2015:6(2);292-6.

Mentay V, Moduga M, Jain M, Chadaram B. Can reduction in vaccine wastage spare financial resources for introduction of new and expensive vaccines? Int J Pharmaceu Med Res. 2015;3(2):9-13.

Sharma G, Sethia R, Acharya R, Meena RR. Assessment of vaccine wastage in the immunization clinic attached to S. P. Medical College, Bikaner, Rajasthan. Int J Community Med Public Health. 2016;3(3):675-8.

Tiwari R, Dwivedi S, Swami P, Mahore R, Tiwari S. A study to assess vaccine wastage in an immunization clinic of tertiary care centre, Gwalior, Madhya Pradesh, India. Int J Res Med. Sci. 2017;5:2472-6.