A STUDY ON COLD CHAIN MAINTENANCE AND VACCINE MANAGEMENT PRACTICES OF URBAN GOVERNMENT HEALTH FACILITIES IN JABALPUR DISTRICT, INDIA

Abstract

Introduction: Efficient cold chain and vaccine logistics management are made possible by the health system's processes, practices, and policies, which are evaluated by Effective Vaccine Management, a diagnostic tool. A significant number of urban Jabalpur children receive vaccinations from a government health facility. The aim of the study was to Assess the cold chain maintenance and vaccine management practices at urban government Cold Chain Points of Jabalpur district. Methods: A cross-sectional study was carried out at all of 13 urban government Cold Chain Points across Jabalpur district. Globally validated World Health Organization - United Nations International Children's Emergency Fund Effective Vaccine Management tool was used for this study. Criteria wise and Consolidated Effective Vaccine Management scores were calculated as per World Health Organization guidelines. Results: All the urban service point stores or cold chain points scored more than the target 80% in two criteria: storage capacity and building. The consolidated criteria score of all the cold chain points in urban Jabalpur, criteria like maintenance, stock management, management information system, and supportive functions, were lagging behind the 80% mark. Low scores in maintenance, stock management, and management information system and supportive functions criteria are somehow a setback for all the preparation and hard work done towards optimal vaccine management and supply chain in the area. Conclusion: The overall performance of the urban cold chain points in Jabalpur district was far better as compared to the state-level effective vaccine management assessment done in Madhya Pradesh in 2011 and 2016. Planned preventive maintenance for buildings and equipment needs to be strengthened. Issues like Lack of information for stock management, need for periodic refresher trainings are to be emphasized.

Keywords

• cold chain, vaccines, management, storage, who, uip, criteria