ODISHA Fact Sheet Immunization Cold Chain and Vaccine Logistics Network
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ODISHA Fact Sheet Immunization Cold Chain and Vaccine Logistics Network 1 ODISHA State Vaccine 1 Store The cold chain system in Odisha consists of 2,649 working cold chain equipment. Regional Vaccine 8 Stores 1 Walk-in Freezer 8 District Walk-in Vaccine Coolers 31 Stores 1,313 Ice-Lined Refrigerators 1,310 Deep Cold Freezers Chain 1,123 Points 11 Solar Equipment Sources of data: ॰ Live data from Electronic Vaccine Intelligence Network (eVIN), as accessed in July 2017. ॰ eVIN Preparatory Assessment Study, conducted by UNDP in year 2016, with up- dates provided by the state in 2017. 2 ODISHAODISHA The Universal Immunization Programme in Odisha aims to immunize a target population of 8.68 lakh children and 9.55 lakh pregnant women, every year. The Electronic Vaccine Intelligence Network (eVIN) Vaccine31 Cold1,123 Store Chain has been implemented across Keepers Handlers all the vaccine stores and cold The state human resource chain points in Odisha. eVIN has network to manage vaccine facilitated capacity-building logistics in Odisha consists of 1 state vaccine logistics manager, of all vaccine store keepers 8 regional vaccine cold chain and cold chain handlers in the managers, 31 district vaccine state through 69 batches of store keepers, 31 district vaccine training programmes on eVIN, logistics managers and 1,123 cold chain handlers. They work during the last two quarters of under the guidance of the State 2016. eVIN equipped them with Immunization Officer, the State standardised stock registers Cold Chain Officer, District and smartphones to digitise Immunization Officers and the vaccine stocks. The entire Medical Officers in-Charge. vaccine logistics data in Odisha is now digitised and real-time data is available for informed decision-making. 3 A Vaccine Supply Network The state vaccine store located at Bhubaneswar in district Khurda supplies vaccine stocks in the state, through regional and district vaccine stores. These DVSs supply vaccines to the cold chain points located at sub-district level. The CCPs provide vaccines to the session sites for immunization. Dry Stocks The supply of dry stock such as auto-disabled syringes of 0.1ml, and 0.5ml and disposable reconstitution syringes of 5ml follows the same route as the vaccines. Syringes are bundled along with the vaccine stocks. Cold Chain Points ● Odisha has an average number of 36 CCPs per district. However, there exists some variation in this number, ranging from 10 CCPs in Deogarh and Boudh to maximum 77 CCPs in Ganjam. ● Only 11 per cent of CCPs cater to a population of more than 1 lakh, including 18 CCPs that cater to a population of over 2 lakh. Half of these CCPs are in district Baleswar. About 30 per cent of CCPs cater to a population of less than 25,000. B Vaccine Delivery Mechanism ● The entire vaccine delivery from CCPs to session sites is done by AVD. ● At least one functional vaccine van with a full-time driver is available in 29 districts. The remaining two districts - Rayagada and Malkangiri do not have any vaccine van. ● District Sundargarh has three functional vaccine vans with full-time drivers, six other districts have two functional vaccine vans with full-time drivers. ● Over 70 per cent DVSs follow pull mechanism of vaccine distribution, based on requisition raised by CCPs. The remaining DVSs supply vaccines as per availability. ● Supply of vaccines from DVS to CCP is mostly done on monthly basis, subject to availability of stocks. 4 C Cold Chain Equipment The immunization cold chain network of Odisha runs on 2,643 working cold chain equipment installed across 1,163 vaccine stores and cold chain points. These include 1 walk-in freezer, 8 walk-in coolers, 1,313 Ice- lined refrigerators, 1,310 deep freezers and 11 solar equipment. Table 1: Working Cold Chain Equipment in Odisha Type of Equipment Type of Store WIF WIC ILR DF Solar 2,643 Total 1 8 1,313 1,310 11 SVS 1 1 - - - RVS - 7 2 20 - DVS - - 139 78 - CCP - - 1,172 1,212 11 Moreover, there are 181 cold chain equipment on stand-by and 73 cold chain equipment under repair. Additionally, around 500 ILRs and 450 DFs are under the process of procurement by the Government of India for strengthening the cold chain infrastructure in Odisha. Non-electrical cold chain equipment ● The state has 4,141 large cold boxes; 65 per cent of these (2,698) are functional. ● The state has 12,990 small cold boxes; 79 per cent of these (10,325) are functional. Stabiliser Over 97 per cent of the deep freezers and ice-lined refrigerators are attached with a functional stabiliser and majority of these are dedicated stabilisers. Thermometer Over 98 per cent of deep freezers and ice-lined refrigerators are attached with a functional thermometer. D Human Resource ● The state has 9 vaccine cold chain managers, 31 district vaccine store keepers, 31 district vaccine logistics managers and 1,123 cold chain handlers. The position of CCHs is not vacant at any of the cold chain points. ● There is no dedicated position of CCH in the state and it is an assigned responsibility. In Odisha, 97 per cent CCHs are ANMs, MPHWs, LHVs, lady health supervisors or MPHSs. ● Nearly 67 per cent of CCH are qualified upto 10th standard and another 18 per cent are qualified upto 12th standard, the remaining hold a diploma, graduate or post graduate degree. ● 90 per cent of the CCHs have received the training for cold chain handlers. ● All the CCHs have received the eVIN training. ● CCHs are provided supportive supervision on a regular basis. 5 6 Figure 1:ImmunizationColdChainNetworkinOdisha Figure Bhubaneswar SVS 8 Regional Vaccine Stores Stores 31 District Vaccine Stores State Vaccine Vaccine State 1,123 Cold Chain Points Khurda Bolangir Balasore Ganjam Kandhamal Koraput Sambalpur Sundargarh (Bhubaneswar) Vaccine Vaccine RVS RVS RVS RVS RVS RVS RVS RVS Stores 10 DVSs 4 DVSs 4 DVSs 2 DVSs 2 DVSs 4 DVSs 3 DVSs 2 DVSs Divisional 379 CCPs 114 CCPs 234 CCPs 102 CCPs 42 CCPs 122 CCPs 61 CCPs 68 CCPs Angul Bolangir Balasore Ganjam Kandhamal Koraput Bargarh Jharsuguda DVS DVS DVS DVS DVS DVS DVS DVS 37 CCPs 34 CCPs 63 CCPs 77 CCPs 32 CCPs 36 CCPs 24 CCPs 21 CCPs Bhubaneswar MC Kalahandi Bhadrak Gajapati Boudh Malkangiri Deogarh Sundargarh DVS DVS DVS DVS DVS DVS DVS DVS 11 CCPs 45 CCPs 36 CCPs 25 CCPs 10 CCPs 23 CCPs 10 CCPs 47 CCPs Cuttack Nuapada Keonjhar Nabarangpur Sambalpur DVS DVS DVS DVS DVS 72 CCPs 19 CCPs 66 CCPs 25 CCPs 27 CCPs Dhenkanal Sonepur Mayurbhanj Rayagada DVS DVS DVS DVS 36 CCPs 16 CCPs 69 CCPs 38 CCPs Jagatsinghpur DVS 31 CCPs Stores Jajpur District Vaccine Vaccine District DVS 47 CCPs Kendrapada DVS 44 CCPs Khurda DVS 34 CCPs Nayagarh DVS 27 CCPs Puri DVS 41 CCPs Figure 2:MapofImmunizationColdChainNetworkinOdisha Figure Code District 1 Angul 0 55 110 220 Kilometers 2 Balangir 3 Balasore 4 Bargarh 5 Bhadrak 6 Boudh 7 Cuttack Sundargarh 8 Deogarh E0# 9 Dhenkanal 30 10 Gajapati 0# 22 11 Ganjam 0#14 12 Jagatsinghpur 13 Jajpur 0# 14 Jharsuguda Sambalpur 0# 18 Bala0#sore 15 Kalahandi E0# 28 8 3 16 Kandhamal 0# E 17 Kendrapara 18 Kendujhar 4 19 Khurda 0# 20 Koraput 29 6 21 Malkangiri 0# 0# 1 0# 13 0# 22 Mayurbhanj 0# Balangir 9 0# 5 17 23 Nabarangpur E 0# 24 Nayagarh 2 17 25 Nuapada 0# 25 7 0# 26 Puri Bhubaneswar 27 Rayagada Kandhamal ^E0# 0# 28 Sambalpur 240# 0# 12 29 Subarnapur 0# E16 19 30 Sundargarh 0# 26 15 0# 23 11 GaE0#njam 0# 27 0# 10 Koraput 0# 20E0# Legend 0# ^ State Vaccine Store 21 E Regional Vaccine Store 0# District Vaccine Store Cold Chain Points 7 8 Table 2: District-Wise Availability ofColdChainEquipmentinOdisha 2:District-WiseAvailability Table Working Cold Chain Equipment CCE CCE District SVS RVS DVS CCP Total on Under Stand-By Repair WIF WIC WIC ILR DF ILR DF ILR Solar DF 2 30 212 2,371 Total 2,607 169 104 1 1 8 2 20 134 78 1,151 10 1,210 Angul 4 3 37 37 81 0 4 Balasore 1 4 4 2 83 74 166 16 0 Bargarh 4 2 24 34 64 4 1 Bhadrak 5 2 36 36 77 1 1 Bhubaneswar MC 1 1 1 4 2 2 11 11 31 0 Bolangir 1 1 3 5 2 31 37 78 4 7 Boudh 2 2 10 10 24 5 18 Cuttack 4 2 72 72 150 0 5 Deogarh 2 2 10 15 29 2 7 Dhenkanal 4 2 35 36 77 0 17 Gajapati 3 2 25 25 55 5 0 Ganjam 1 2 4 2 77 77 163 3 0 Jagatsinghpur 7 4 32 31 73 6 0 Jajpur 3 3 47 48 101 8 2 Jharsuguda 4 3 21 21 49 12 1 Kalahandi 5 3 40 3 46 35 15 3 Kandhamal 1 2 2 2 32 32 72 0 4 Kendrapada 7 3 51 50 111 7 14 Keonjhar 8 3 66 66 168 1 1 Khurda 5 3 34 34 67 12 1 Koraput 1 1 1 4 2 36 1 40 86 0 Malkangiri 4 3 27 2 29 65 6 Mayurbhanj 6 3 70 74 139 1 1 Nabarangpur 6 3 26 34 69 12 Nayagarh 6 2 27 1 34 97 2 7 Nuapada 3 2 20 21 44 4 Puri 6 4 42 1 42 70 12 Rayagada 5 2 38 2 53 100 Sambalpur 1 3 3 2 27 27 63 0 1 Sonepur 3 2 16 16 97 9 2 Sundargarh 1 1 4 4 48 48 106 22 7 9 Table 3: List of Vaccine Storage Points in Odisha Name of Vaccine Name of Vaccine Sr.