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

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

doi:10.18203/2394-6040.ijcmph20160631

Cited by 6 publications

(4 citation statements)

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“…The current study reported high wastage for oral, lyophilized, and multi-dose vaccines. Similar results have also been observed in studies from various parts of the world [10,[15][16][17][18]. The current findings support that multi-dose vials with a multi-dose vial policy has less wastage compared to those without a multi-dose vial policy.…”

Section: Discussionsupporting

confidence: 91%

Small Session Size and Big Vial Size: Operational Research Assessing Open Vial Vaccine Wastage at the Service Delivery Points in the Mandalay Region of Myanmar During 2018

Thekkur

Thar

et al. 2020

TropicalMed

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The World Health Organization (WHO) recommends immunization programmes to monitor vaccine wastage at storage and service delivery points. As there were no vaccine wastage assessments in Myanmar, we aimed to assess the vaccine wastage rates in the Mandalay region. We conducted a cross-sectional descriptive study with the inclusion of all immunization sessions conducted through the twenty randomly selected subcentres in the year 2018. The wastage rates were calculated by aggregating vaccine utilization data from selected subcentres. The vaccine wastage rates for Bacillus Calmette-Guérin (BCG) (54.9%), inactivated polio vaccine (28.3%), and measles-rubella (27.4%) were higher than the WHO indicative rates. The high vaccine wastage rates were seen in lyophilized vaccines (36.9%), vaccines requiring only a single dose per child for complete immunization (39.1%), and those with a large vial size of 20 doses (38.8%). The median session size for BCG (6), measles-rubella (4) and inactivated polio vaccine (2) were lower than their vaccine vial size of 20, 10, and 5 doses, respectively. The wastage was high due to smaller session size and larger vial size, necessitating the disposal of unused doses. Better micro-planning to increase the session size and procuring vaccines with smaller vial sizes needs to be tested as a strategy to reduce vaccine wastage.

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Section: Discussionsupporting

confidence: 91%

Small Session Size and Big Vial Size: Operational Research Assessing Open Vial Vaccine Wastage at the Service Delivery Points in the Mandalay Region of Myanmar During 2018

Thekkur

Thar

et al. 2020

TropicalMed

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“…The reverse is likely for SC level regarding beneficiaries and may be controls too, as perceived in National Vaccine Policy; session size and formulation were found to be responsible in containing vaccine wastage to a reasonable extent. [ 23 ]…”

Section: Discussionmentioning

confidence: 99%

Vaccine wastage at primary, secondary, and tertiary level of healthcare system—A study from Northern India

Oberoi

Mishra

Gupta

et al. 2021

Journal of Family Medicine and Primary Care

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Background: High vaccine wastage results in escalation of budget of immunization program. Objective: To analyze vaccine wastage at three levels of service delivery under public sector, such as at district level, community health Centre (CHC), and sub center (SC). Study Design: A retrospective cross-sectional record based study in a north Indian state. Materials and Methods: The record from January to June 2016 was taken from randomly selected 5 districts of the state at 3 levels; for number of doses of vaccine used and number of children vaccinated for BCG, OPV, Hepatitis B, Pentavalent, DPT, IPV, Measles, and TT (vaccines being given in state in the study year). A total of 67,550 vaccine doses in routine immunization were studied. Statistical analysis used: Data were presented in mean ± standard deviation. One-way ANOVA test was used to compare the means among three levels. Results: Vaccine wastage for Pentavalent was remarkably low (4.86% at district level, 8.35% at CHC and 11.50% at SC) in contrast to other similar 10 dose vials of vaccines like DPT, TT, Hep B. For both the lyophilized vaccines, interestingly BCG wastage was not only significant but over the permissible levels at 60.39%, whereas it is not so for measles. Result indicated that mean difference of the vaccine wastage among three levels was significant for the BCG, OPV, Hepatitis B, Pentavalent, and TT ( P < 0.05); while insignificant for the DPT, IPV, and Measles ( P > 0.05). Conclusions: Not all vaccine wastage is preventable, but pruning the corners where feasible and allowing where it is desirable should depend on prioritizing stakeholders at the receiving end.

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“…The wastage rate of OPV was 27.7% with a wastage factor of 1.38 which was lowest among all vaccines given in the clinic. In similar studies by Gupta et al and Sharma et al the wastage rate of OPV was found to be 28.97% and 29.45% respectively 17,19. However studies by UNICEF, Palanivel et al and Mehta et al found much higher wastage rates for OPV which were 47%, 48.1% and 51.2% respectively whereas studies by Tiwari et al and Praveena et al showed much lower wastage rates of 14.65% and 2.4% respectively [10][11][12]14,20.…”

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confidence: 69%

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

Chakraborty

Joardar

2019

Int J Community Med Public Health

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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 1 st July 2018 to 30 th 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.

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

Cited by 6 publications

References 0 publications

Small Session Size and Big Vial Size: Operational Research Assessing Open Vial Vaccine Wastage at the Service Delivery Points in the Mandalay Region of Myanmar During 2018

Small Session Size and Big Vial Size: Operational Research Assessing Open Vial Vaccine Wastage at the Service Delivery Points in the Mandalay Region of Myanmar During 2018

Vaccine wastage at primary, secondary, and tertiary level of healthcare system—A study from Northern India

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

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