Assessment of vaccine wastage in the immunization clinic attached to S. P. Medical College, Bikaner, Rajasthan

Gaurav Sharma, Renu Sethia, Rekha Acharya, Ratti Ram Meena


Background: India released its first National Vaccine Policy in 2011. The country is presently developing new strategies to increase immunization coverage and reach more children with quality vaccine. High vaccine wastage increase vaccine demand and inflate overall program cost.

Methods:This was records based descriptive study carried out at Immunization Clinic, Sardar Patel Medical College, Bikaner, Rajasthan. The information regarding vaccine vials used at Immunization Clinic and children vaccinated were retrieved from Immunization register for the reference period 1st April 2014 to 31st March 2015.

Results: Among individual vaccine, wastage factor and rates was highest (1.42 and 29.45% respectively) for Oral Polio Vaccine (OPV) and lowest (1.10 and 9.21% respectively) for Hepatitis-B vaccine. The wastage rate for multi-dose vial was 27.66% for 5 doses vial, 13.88% for 10 doses vial and highest 29.45% for 20 doses vials. Among vaccines wastage rate of lyophilized vaccines (23.30%) were higher when compared to liquid vaccines (20.66%).

Conclusions:Vaccine wastage rate can be obtained by monitoring of the immunization centre. Monitoring vaccine wastage will help not only to improve quality of the programme but it will also increase the efficiency of the programme. This can thus help save significant funds for an immunization programme.


Vaccine wastage rate, BCG, DPT, OPV, Pentavalent, Hepatitis-B

Full Text:



Available from: publication/277594217_Mission_Indradhanush_targets_India%27s_unvaccinated _children. Accessed Dec 14, 2015.

Cheryl T. Mission Indradhanush targets India’s unvaccinated children. The 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.

UNICEF. Vaccine wastage assessment: field assessment and observations from National stores and five selected state of India. New York; UNICEF. 2010. Available at /India/vaccine_wastage_ assessement_india pdf. Accessed on 10 December 2015.

Department of Health and Family Welfare. Immunization handbook for medical officers. New Delhi: Ministry of Health and Family Welfare, Government of India. 2008:31-2.

Mehta S, Umrigar P, Patel P, Bansal RK. Evaluation

of vaccine wastage in Surat. Nat J Community Med. 2013;(4):15-9.

Praveena DA, Selvaraj K, Veerkumar AM, Nair DM. Vaccaine wastage assessement in 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 Popul Nutr. 2004;22(1):13-8.

Palanivel C, Kulkarni V, Kalaiselvi S, Baridalyne N. Vaccine wastage assessment in primary care setting in urban India. Journal of Pediatric Sciences. 2012;4(1)119.

WHO. Monitoring vaccine wasting at country, Geneva: WHO. 2011. Available at vaccine_document. Accessed on 10 March 2015.