Evaluation of cold chain and logistics management practice in Durg district of Chhattisgarh: pointer from Central India

Abstract

Background: Immunization is the effective method of preventing childhood diseases. One of the important elements for improving the immunization is cold chain and vaccine logistics management which are the left and right hands of immunization programme. Keeping this in mind, the present study was done with the objectives a) to ascertain the status of cold chain equipment and logistics management using GOI monitoring format and b) to ascertain the awareness and practice of cold chain handlers about cold chain equipment and logistics management in Durg district of Chhattisgarh, India.Methods: A cross sectional study was conducted among randomly selected 20 cold chain points (CCPs) of Durg district using standard GOI structured questionnaires.Results: Out of 20 cold chain points (CCPs), 20% CCPs, vaccine were found in frozen state. Functional thermometer was available in 75% CCPs, out of which 65% had temperature in the recommended range. Twice daily recording of temperature was found only in 95 % CCPs. Record of power failures and defrosting was noted in temperature log books in 70% CCPs. The correct placement of ice packs inside Deep freezer was observed in only one CCPs. T-series vaccine vials were placed properly in ILR in 85% CCPs. With respect to knowledge on freeze sensitive vaccine and shake test, 74 % and 53% of cold chain handlers had correct knowledge.Conclusions: The quality of immunization programme can be increased by proper maintenance of cold chain and management of vaccine logistics at every designated cold chain points. There is need to improve the knowledge level of CCHs regarding cold chain maintenances and handling practices.

A cross sectional study to assess the functioning of cold chain in a tribal district of central India

“…(Table 5). 8 The present study stated that, all CCPs (100%) had separate temperature log book for ILR and DF in comparison to study done by Sinha et al observed only at 45% centers. 8 In similar study done by Rao et al observed at 94.2% centers.…”

“…8 The present study stated that, all CCPs (100%) had separate temperature log book for ILR and DF in comparison to study done by Sinha et al observed only at 45% centers. 8 In similar study done by Rao et al observed at 94.2% centers. 9 The findings in our study was more than that what Mallik et al (60%), Samath et al (65%) and Sachdeva et al (71.87%) found in their studies.…”

Assessment of cold chain maintenance for routine immunization in Jamnagar district, Gujarat

“…[12] Sinha et al in their study found that in 85% ILRs T-series and hepatitis B vaccine were stored in top of ILRs. [13] Similarly, Rao et al in their study done at Primary Health Care Centres in South India found improper storage of vaccine in 10% of study centers. [14] In other studies done in various areas of Gujarat state, similar findings were reported by Sharma et al (90%) and Tushar et al (93.2%) that vaccines were properly arranged in the ILR.…”

Assessment of cold chain and logistics management practices: a cross sectional study in Bundelkhand region of Madhya Pradesh

“…In a similar study Sinha et al reported that among all CCPs visited only 40% had dedicated space/room and 75% had dedicated space for syringes and diluents. 9 Ice packs are key components of cold chain, used for inside lining of cold boxes and vaccine carrier at facility and at field respectively for vaccine storage and transport. The water should be filled only up to the level of mark on the side and cork should be tight so that there is no leakage.…”

“…8 Success of national immunization program is highly dependent on supply chain system for delivery of vaccines and cold chain equipments. 9 Immunization against a disease is achieved only if a potent vaccine is administered. The system of transporting, storing and distributing vaccines in a potent state at the recommended temperature from the point of manufacture to the point of use is the cold chain.…”