Assessment of cold chain equipments and their management in government health facilities in a District of Delhi: A cross-sectional descriptive study

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dc.contributor.authorKumar, Gen_US
dc.contributor.authorGupta, Sen_US
dc.date.accessioned2020-04-10T03:46:51Z
dc.date.available2020-04-10T03:46:51Z
dc.date.issued2020-03
dc.description.abstractBackground: Cold chain equipments (CCEs) at health facilities (HFs) are an essential part of the immunization supply chain (ISC). The CCEs in government HFs of Delhi were never assessed using the World Health Organization-United Nations Children's Fund (WHO-UNICEF) Effective Vaccine Management (EVM) tool except that of state vaccine store during National EVM assessment 2013. Objectives: The objective of the study was to assess the CCEs and their management in government HFs using the WHO-UNICEF EVM tool in a district of Delhi. Methods: The assessment was done during December 2017朚arch 2018 in one randomly selected district of Delhi. Sample size and site selection were done using the WHO EVM site selection tool. A total of 29 HFs were assessed along with District Vaccine Store. Questions on CCEs in EVM tool 1.0.9 were used for data collection. Results: Out of 56 electrical CCEs, 8.9% were nonfunctional, 48.2% were noncompliant with WHO standards, 5.4% were not chlorofluorocarbon free, 4.7% did not have temperature monitoring device, and 18.8% did not have stabilizer. Eighty-six percent of passive containers were compliant with the WHO standards. The storage capacity of electrical vaccine storage equipment was insufficient in 3.4%, passive container capacity in 65.5%, and ice packs preparation and storage capacity in 24.1% of HFs. There was no planned preventive maintenance of CCEs and no standard operating procedures for emergency event management. Conclusion: There was a shortage of vaccine storage, ice packs preparation and storage, and passive container capacity. Many CCEs used in ISC of assessed sites were noncompliant to the WHO standards. There was no PPM of CCEs and no guidelines for emergency event management.en_US
dc.identifier.affiliationsMD-CHA, Final Year Student, Academic Batch 2016-19, National Institute of Health and Family Welfare, New Delhi, Indiaen_US
dc.identifier.affiliationsDean and HOD, Department of Epidemiology, National Institute of Health and Family Welfare, New Delhi, Indiaen_US
dc.identifier.citationKumar G, Gupta S. Assessment of cold chain equipments and their management in government health facilities in a District of Delhi: A cross-sectional descriptive study. Indian Journal of Public Health. 2020 Mar; 64(1): 22-26en_US
dc.identifier.issn0019-557X
dc.identifier.issn2229-7693
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/198194
dc.languageenen_US
dc.publisherIndian Public Health Associationen_US
dc.relation.issuenumber1en_US
dc.relation.volume64en_US
dc.source.urihttps://dx.doi.org/10.4103/ijph.IJPH_457_18en_US
dc.subjectCold chain equipmentsen_US
dc.subjectDelhien_US
dc.subjecteffective vaccine managementen_US
dc.subjectimmunization supply chainen_US
dc.titleAssessment of cold chain equipments and their management in government health facilities in a District of Delhi: A cross-sectional descriptive studyen_US
dc.typeJournal Articleen_US
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