Assessment on cold chain management system in selected blocks of Purulia district, West Bengal, India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20221230Keywords:
Cold chain point, Cold chain handler, Cold chain equipment, KnowledgeAbstract
Background: The study was done to assess the status of cold chain point, vaccine storage practice and practice of health workers about immunization activities at cold chain points. The aim was to evaluate the cold chain system in relation to infrastructure, manpower and maintenance of equipment in selected blocks of Purulia district.
Methods:It was a cross sectional descriptive study, done at randomly selected sites where vaccines were stored and outreach sessions where immunization services were provided. Five cold chain points were included in the study. Fully structured standardized checklists and questionnaire had been used to collect the data.
Results: Only 40% cold chain point (CCP) reported breakdown of cold chain equipment (CCE) in last one year. Ice lined refrigerator (ILR) and deep freezer (DF) were properly placed in 75% of the CCP. All the CCP have displayed contingency plans and latest standard job aids. Vaccines and ice packs were correctly placed. ILR and DF were connected to functional voltage stabilizer. A functional thermometer was placed inside every ILR and DF and twice daily recording of temperature was found in all the CCPs. Record of vaccine wastage was found only in 40% CCPs. CCPs have adequate space for conditioning. No frozen vaccine and vaccine vial beyond expiry date were found in any of the CCPs. All CC handlers had satisfactory knowledge about cold chain management.
Conclusions:This study was an effort to assess the status of cold chain points in Purulia district, West Bengal. Overall result was satisfactory, could have been maintained and further improve in future by good supportive supervision practice as a key measure in improvement of cold chain system.
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References
Immunization handbook for medical officers. Ministry of Health and Family Welfare. Government of India; 2017.
Kumar R, Sagar BPS. Cold chain for vaccines. J Drug Delivery Therapeut. 2012;2(4):46-50.
Ashok A, Brison M, LeTallec Y. Improving cold chain systems: challenges and solutions. Vaccine. 2017;35:2217-23.
Bogale HA, Amhare AB, Bogale AA. Assessment of factors affecting vaccine cold chain management practice in public health institutions in east Gojam zone of Amhara region. BMC Public Health. 2019:1433.
U. S. Department of health and human services. Center for disease control and prevention. Vaccine storage and handling toolkit updated with COVID-19 vaccine storage and handling information. 2021.
Sinha A, Verma A, Chandrakar A, Khes S. Evaluation of cold chain and logistics management practice in drug district of Chhattisgarh: pointer from Central India. Int J Community Med Public Health. 2017;4(2):390-5.
Panika RK, Prasad P, Nandeshwar S. Evaluation of vaccine storage and cold chain management practices during intensified mission Indradhanush in community health centers of Tikamgarh district of Madhya Pradesh. Int J Commun Med Public Health. 2019;6(2):823-8.
Kamble NH, Singh D, Mendhe GH, Makade K. Assessment of vaccine management in cold chain points of Jashpur and Sarguja districts of Chhattisgarh. Int J Commun Med Public Health. 2020;7(1):148-52.
Mendhe H, Makade K, Bhawanani D, David R, Kamble N, Singh D, et al. Cold chain maintenance in Rajnandgaon and Bilaspur districts of Chhattisgarh: a process evaluation. J Fam Med Prim Care. 2018;7(6).
UNICEF. Cold Chain support package; Procurement Guidelines: Vaccine carriers and cold boxes, 2021. Available at: https://www.unicef.org/supply/media/6391/file/VaccineCarrierColdBox-guideline-2021. Accessed on 11 February 2022.
Naik AK, Rupani MP, Bansal RK. Evaluation of vaccine cold chain in urban health centers of municipal corporation of Surat city, Western India. Int J Prevent Med. 2013;4(12):1395-401.
Sachdeva S, Datta U. Status of vaccine cold chain maintenance in Delhi, India. Indian J Med Microbiol. 2010;28:184-5.
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.
Choudhury D, Baruah R, Ojah J. Knowledge and practices of cold chain handler (CCH) regarding cold chain equipment and vaccines storage in Chirang district, Assam. Int J Curr Res. 2016;8(7):35464-7.
Bagdey P, Narlawar U, Surwase K. A cross- sectional study of assessment of vaccine wastage in tertiary care centre of Central India. Int J Health Sci Res. 2017;7(4):12-7.
Daya PA, Selvaraj K, Nair D. Vaccine wastage Assessment in a Primary Care setting in rural India. Int J Contemp Pediatr. 2015;2(1):7-11.