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J Family Med Prim Care. 2018 Nov-Dec;7(6):1510-1514. doi: 10.4103/jfmpc.jfmpc_128_18.

Cold chain maintenance in Rajnandgaon and Bilaspur districts of Chhattisgarh: A process evaluation.

Journal of family medicine and primary care

Harshal Mendhe, Kiran Makade, Dhiraj Bhawanani, Rohit David, Nitin Kamble, Daneshwar Singh, Monika Dengani

Affiliations

  1. Department of Community Medicine, Government Medical College, Rajnandgaon, Chhattisgarh, India.

PMID: 30613551 PMCID: PMC6293890 DOI: 10.4103/jfmpc.jfmpc_128_18

Abstract

BACKGROUND: Cold chain and vaccine logistic is a key driver of immunization program. 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 Rajnandgaon and Bilaspur districts undertaken by the Department of Community Medicine, Government Medical College, and Rajnandgaon with the objectives to assess the background information about cold chain points (CCPs), to observe the vaccine storage and handling practices, and to study the knowledge and practices of VCCH.

MATERIALS AND METHODS: A cross-sectional facility based study was conducted from August 2017 to February 2018. Among60 CCPs, 48 from Rajnandgaon and 12 from Bilaspur district were considered for analysis. Structured questionnaires as a part of standard tool prescribed by Government of India was used for the collection of required data.

RESULT: In 92% CCPs, the temperature of cold chain equipment (CCE) was recorded twice a day. In 93% CCPs, vaccines were correctly stored in ILR. In 75% CCPs, icepacks were correctly stored in DF, 90% vaccine cold chain handler (VCCH) could correctly demonstrate temperature reading from thermometer, 91% could tell about stages of VVM correctly.

CONCLUSION: Most CCPs in both districts are doing good enough, and there is a scope of improvement in all the parameters by means of ongoing project of Strengthening of Supportive Supervision of Routine Immunization in both districts. It was evident that Rajnandgaon district scored more than Bilaspur in some parameters related to vaccine storage and handling practices.

Keywords: Cold chain equipment; cold chain points; deep freezer; ice lined refrigerator; vaccine cold chain handler

Conflict of interest statement

There are no conflicts of interest.

References

  1. Indian J Pediatr. 2000 Apr;67(4):253-4 - PubMed
  2. Indian J Public Health. 2004 Oct-Dec;48(4):200-4 - PubMed
  3. Public Health Rep. 2007 Jan-Feb;122(1):112-21 - PubMed
  4. Indian J Med Microbiol. 2010 Apr-Jun;28(2):184-5 - PubMed
  5. Afr Health Sci. 2011 Mar;11(1):128-33 - PubMed
  6. Int J Prev Med. 2013 Dec;4(12):1395-401 - PubMed

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