Evaluation of Cold Chain System at PHCs (Primary Health Centers) of Rajkot District, Gujarat
Journal Title: Healthline - Year 2015, Vol 6, Issue 2
Abstract
[b]Introduction: [/b]Immunization of all children with potent vaccines is as important as to achieve desired immunization coverage in the fight against vaccine preventable diseases. Cold chain is an important device to maintain the efficacy and potency of the vaccine intact. [b]Objectives : [/b](1) To assess the adequacy of logistics required for proper cold chain maintenance. (2) To assess the quality of maintenance of the cold chain equipments. (3) To identify the gaps and help in correcting them. Method : A cross sectional study in the areas of Rajkot district was conducted during the period April 2013 to March 2015. Convenient Random Sampling technique was applied. Pretested semi-structured check list used as a study tool. [b]Results : [/b]73% of the cold chain handlers found trained for cold chain maintenance. At two sites ILR and DF were not available. Few sites were lacking in thermometer (8.3% DFs), vaccine carrier (5.3%), cold box (5.3%) or ice packs (2.6). At 100% sites vaccines were stored inside ILR and temperature of ILR was in the desired range of two to eight degree centigrade. Updated temperature log books found at 86.1% sites. Proper ice packs arrangement inside the DF in 83.3% cases. Only 85% BCG vials ad 93% of measles vials were having time of reconstitution written on the vials. Open vial policy was also followed only at about 75% sites on average.[b] Conclusion : [/b]There are no issues with infrastructure, equipments or logistics. Quality cold chain maintenance especially in the areas of maintaining temperature record, following open vial policy, writing time of reconstitution on the vial etc have scopes for improvement. All these can be done by quality supervision.
Authors and Affiliations
Bharat kumar Gohel, Dhara Jahangirporia, Amiruddin Kadri
Keywords
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