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A solution to overcome erratic supply of vaccine & logistics in public health

system: E-VIN

Ujjain Division16-09-2015Gyan SharmaProject Officer

UNDP – MP

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Aims & Objective

• To assess the role of information technology (IT) in supply chain management of vaccine & cold chain / logistics in order to ensure effective management and real-time monitoring.

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Study Design, Duration & Area

• Study design: Descriptive, Quantitative• Place & duration of the study: Ujjain: Department of Health

& Family Welfare, Divisional Vaccine Store, and Regional Joint Directorate Ujjain from April 2015 to July 2015.

• Data Collection: vaccine stock position data collected from 142 focal points (Cold Chain Points) of seven districts Ujjain from April 2015 to July 2015.

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Demographic Profile

Table: 1.1 Ujjain Division Estimated Target PopulationS. No.

DISTRICT Estimated Total Population 2014

( in lacs)

CBR (AHS 2012-13)

Annual Expected ANC (MCTS 2013-14)

Annual Expected Birth

(MCTS 2013-14)

No. of FP

1 Dewas 16.54 21.2 38,582 35,075 252 Mandsaur 13.92 18.6 28,498 25,907 263 Nemuch 8.,60 21.7 20,529 18,663 154 Ratlam 15.40 26.4 44,731 40,664 265 Agar 6.08 26.4 16,472 14,975 76 Shajapur 9.,81 24.6 26,560 24,146 157 Ujjain 20.82 23.6 54,064 49,149 33

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Monthly Vaccine RequirementTable 1.2 Estimated Monthly Doses of vaccine & Syringes Requirement

S. No.

DISTRICT BCG (Wastage rate 50%)

OPV (Wastage rate 10%)

Hep-B (Wastage rate 10%)

DPT (Wastage rate 10%)

Penta (Wastage rate 10%)

TT (Wastage rate 10%)

Measles (Wastage rate 25%)

0.1 ML Syr. (10% wastage)

0.5 ML Syr. ( 10% wastage)

5 ML Syr.( 10% wastage)

1Dewas

5,846

12,861

3,215

6,430

9,646

12,378

7,775

6,430

424,405

2,295

2Mandsaur

4,318

9,499

2,375

4,750

7,124

9,143

5,743

4,750

313,473

1,695

3Nemuch

3,111

6,843

1,711

3,422

5,132

6,586

4,137

3,422

225,823

1,221

4Ratlam

6,777

14,910

3,728

7,455

11,183

14,351

9,014

7,455

492,040

2,661

5Agar

2,496

5,491

1,373

3,319

4,118

5,285

3,319

2,745

181,196

980

6Shajapur

4,024

8,853

2,213

4,427

6,640

8,521

5,352

4,427

292,165

1,580

7Ujjain

8,192

18,021

4,505

9,011

13,516

17,346

10,895

9,011

594,708

3,216

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Reasons for Wastage

These wastage rates are mainly due to these reasons as per listed below:•Supply of vaccine & logistics on the basis of availability•Poor monitoring of Open Vial Policy•Poor documentation of vaccine loss during transportation•Poor FIFO/ EEFO implementation•Technical issues i.e. freezing of vaccine, poor temperature management &VVM etc.

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How does it work?

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Expected Outcomes

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Thank You