Status of Knowledge and Skills of Cold Chain Handlers in District Meerut, Uttar Pradesh, India
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Immunization is one of the most cost effective measures to prevent childhood diseases. Vaccines are sensitive biological products and their potency can diminish irreversibly when exposed to inappropriate temperatures. Hence for effective implementation of the immunization programme, Cold Chain and Vaccine Management need a great focus and attention. Cold Chain Handler (CCH) is the most crucial person at a Cold Chain Point as his/her correct knowledge and skills regarding cold chain practices, vaccine management and handling are immensely vital for the success of Universal Immunization Programme. Keeping this in mind, this cross-sectional study was carried out at all 26 Cold Chain Points in district Meerut, Uttar Pradesh. Globally validated WHO-UNICEF Effective Vaccine Management (EVM) tool was used for this study. It was found out that all 26 CCH could correctly read and interpret Vaccine Vial Monitor (VVM), know about vaccines that could be damaged by freezing, know the correct storage temperature for vaccines, know about Open Vial Policy and know and correctly identify the diluents of BCG and Measles Vaccines. However only 57.6% could demonstrate the correct way of reading the thermometer and only 11.6% had knowledge about when and how to conduct a shake test. Only 69.2% CCH actually carried out conditioning of ice-packs as per the guidelines. The present study contemplates for periodic training and capacity building of all the Cold Chain Handlers. Medical officers supported by District Immunization Officer should be actively involved in the monitoring and supervision of the Cold Chain Handlers.
Authors and Affiliations
Prashaant Kumar Bhatnagar, Harivansh Chopra, Sunil Kumar Garg, Tanveer Bano, Arun, Kumar2, Sanjeev Kumar4
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