Progress Report eVIN Roll-out in Madhya Pradesh Jan- Dec 2018
1 A brief state profile of MADHYA PRADESH ...... 3 Introduction: eVIN & UIP in Madhya Pradesh ………………………...... 3
Overview: Vaccine Logistic Network in MADHYA PRADESH ...... 4 Manpower: eVIN team in MADHYA PRADESH ...... 5 How eVIN Works: ...... 5 Support to UIP in Madhya Pradesh ...... 7 Financial Report: ...... 8 eVIN Dashboard Indicators ...... 8 eVIN showcase in Madhya Pradesh……………………………………..…...11
Acknowledgements:
Digitalizing Immunization supply chain is optimistic and challenging task in a huge state like Madhya Pradesh. eVIN team acknowledge the support provided by Mrs. Gauri Singh, IAS, Principal Secretary, Health, Dr Pallavi Jain Govil, IAS, Commissioner Health, Mr Nishant Warwade, IAS, Mission Director, NHM, MP & Dr B N Chauhan, Director Health Services & NHM Madhya Pradesh for their invaluable support and guidance during eVIN Roll‐ out and eVIN transition to the NHM. eVIN team express heartfelt gratitude towards Mr V.Kiran Gopal, IAS, Ex‐MD NHM, MP, Mr S. Vishwanathan, IAS, Ex‐Mission Director, NHM,MP, Dr Santosh Shukla, SEPIO Madhya Pradesh, Er Vipin Shrivastav, SCCO, MP for being instrumental in utilizing eVIN for strengthening vaccine logistics and cold chain management in MP and projecting it as a sustainable model. eVIN team acknowledges the support extended by State NHM team for extending support to sustain eVIN with NHM resources and all the tireless efforts of the concerned officials of districts, the CMHOs, District Immunization Officers, state vaccine stores, district vaccine stores, cold chain technicians and cold chain handlers for their vital roles in eVIN implementation and its continuation in Madhya Pradesh. eVIN team is committed to strengthen Vaccine Logistics and Cold Chain management in Madhya Pradesh and will continue to excel and project Madhya Pradesh as an Ideal Supply Chain management model for the country.
2 State Profile: Madhya Pradesh
As its name suggests, Madhya Pradesh is situated in the very heart of India. It shares its borders Location with five other states viz., Rajasthan in the north-west, Uttar Pradesh in the north, Gujarat in the west, Maharashtra in the south and Chhattisgarh in the north-east.
Area The state spans over a geographical area of 3,08,000 sq.km.
The state, by and large, tends to have a pleasant moderate climate round the year, sometimes Climate interspersed with extreme weather. Regions
Regions Malwa, Nimar, Bundelkhand, Baghelkhand, Chambal and Mahakaushal.
The main language of communication is Hindi. In and around the places viz., Bhopal, Sironj, Languages Burhanpur, Kurwai etc., Urdu mixed with Hindi is commonly used. Different dialects in different regions are spoken like Bundeli in Bundelkhand, Malwi in Malwa, Nimari in Nimar, Bagheli in and Dialects Baghelkhand and Bhili and Gondi in Tribal areas of Jhabua, Mandla, Dindori, Balaghat and Seoni districts.
Means of Agriculture is the main source of livelihood of a large number of the people of the state. About 150.75 lakh hec. area is under cultivation and above 70% of total working population depends on Livelihoods agriculture sector.
Main Crops Soybean, Wheat, Paddy, Jowar, Maize, Gram, Masur, Tuar, Mustard.
Rivers Narmada, Chambal, Mahi, Tapti, Betwa, Sone, Banganga, Ken, Pench, Tawa and Shipra.
Madhya Pradesh takes pride in having the country's largest forest coverage of 94689.38 sq.km. Out Forest Area of 94689.38 sq.km., 61886.49 sq.km. is reserved forest, 31098 sq.km. is protected forest and 1705.85 sq.km. falls under unclassified forest.
Introduction:
Madhya Pradesh has got highest Forest areas in the Country after Assam. It has got 21 Tribal districts with 89 blocks with Tribal population. Tribal, hard to reach, forest areas lack infrastructure development in terms of network in some parts of MP. Health infrastructure and availability of human resources are major concerns in the state. The state is relatively sparsely populated, with an average population density of 230 per square kilometer, compared to the country average of 274 per square kilometer. Madhya Pradesh is the second largest state in the country and accounts for 13.5 percent of the total area of India. The state is organized into small hamlets fragmented throughout the state. This geographic arrangement makes it difficult to position and develop health centers in the state. India conducts one of the largest Universal Immunization program (UIP) in the world. The coverage is more than 26 million newborns and 30 million pregnant women each year translating into more than 30 million doses of vaccine each year. At Madhya Pradesh, there are total 4 Regional Vaccine Stores, 3 Divisional Stores, 51 District vaccine stores and 1126 Cold Chain Points (CCPs) in which 95% are below the district level. The full immunization coverage for infants is 56% (NFHS 2015‐16) in Madhya Pradesh. A key challenge for Madhya Pradesh in realizing its vision of 100 percent immunization is to address inadequate vaccine logistics and temperature monitoring systems right from manufacturer down to the mother and child. The availability of quality vaccines at session sites is a contributor to low coverage.
3 The Madhya Pradesh was the first state in India to launch Electronic Vaccine Intelligence Network (eVIN)under GAVI Health System Strengthening (HSS) support. During the training 2480 CCH & Link mobile handset (smartphone) by the United Nations Development Programme (UNDP) with Data sims by the National Health Mission (NHM), amounting to Rs. 5 lacs per month approx. Post implementation the Vaccine Cold Chain Managers (VCCMs) monitored the work of CCH and gave feedback to the District Level Managers and corrective measures were taken. This resulted into: