Evaluation of Vaccine Cold Chain in Urban Health Centers (UHCs) of Jamnagar Municipal Corporation (JMC), Gujarat
Journal Title: Healthline - Year 2017, Vol 8, Issue 1
Abstract
Introduction: Immunization is a well-known and effective method of preventing childhood diseases. With the implementation of Universal Immunization Programme (UIP), significant achievements have been made in preventing/ controlling the vaccine preventable diseases (VPDs).An important element in immunization perceived as backbone of the program is cold chain and vaccine logistic management. Objective: To assess the status of various cold chain elements e.g. cold chain equipment& its maintenance, temperature maintenance, vaccines arrangement etc. at Urban Health Centers (UHCs) of Jamnagar Municipal Corporation (JMC).Method: It was cross sectional observational study, done at sites where vaccines are stored and at outreach sessions where immunization services are provided. Out of 11 UHCs under JMC, only 6 are having cold chain points and all of them are included in present study. Pretested fully structured specially designed checklist was used to collect the data. Results: Responsibility of cold chain handling is given to trained personnel at 50% UHCs. Proper maintenance of cold chain equipment was observed at 66% UHCs. Proper arrangement of vaccines was maintained at 60-70% of UHCs. Temperature record books were available at all 6 UHCs but its maintenance was up to date at only 4 centers. External and internal monitoring were observed at 50% and 66% of UHCs respectively. Conclusion: Overall maintenance of cold chain equipment, arrangement of vaccines, monitoring of cold chain at UHCs in JMC was satisfactory except at few pointslikes lake of training of cold chain handlers, lake of regular up to date of temperature record books & lake of monitoring by concerned medical officers at all urban health centres(UHCs).
Authors and Affiliations
Nirmika Patel, Sumit Unadkat, Dipesh Parmar, Mittal Rathod
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