UTTAR PRADESH Fact Sheet Immunization Cold Chain and Vaccine Logistics Network 1 UTTAR PRADESH State Vaccine 9 Stores The cold chain system in Uttar Pradesh consists of 5,564 working cold Divisional chain equipment. Vaccine 9 Stores 4 Walk-in Freezers District 23 Vaccine Walk-in 75 Stores Coolers 2,088 Ice-Lined Refrigerators Cold Chain 3,443 1,069 Points Deep Freezers 6 Solar Sources of data: Refrigerators ॰ 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 UTTAR UTTARPRADESH PRADESH The Universal Immunization Programme in Uttar Pradesh aims to immunize a target population of 57.1 lakh children and 66.1 lakh pregnant women, every year. The Electronic Vaccine Intelligence Network (eVIN) Vaccine93 Cold1,069 Store Chain Keepers Handlers has been implemented across all the vaccine stores The human resource network and cold chain points of to manage vaccine logistics in Uttar Pradesh consists of Uttar Pradesh. eVIN has 93 vaccine store keepers and facilitated capacity-building 1,069 cold chain handlers. of all vaccine store keepers They work under the guidance and cold chain handlers in of the State Immunization the state through 72 batches Officer, the State Cold Chain Officer, District Immunization of training programmes Officers and Medical Officers and 43 batches of refresher in-charge. training programmes on eVIN. eVIN equipped them with standardised stock registers and smartphones to digitise the vaccine stocks. The entire vaccine logistics data in Uttar Pradesh is now digitised and real-time data is available for informed decision-making. 3 A Vaccine Supply Network The nine state vaccine stores provide vaccines in the state through another nine divisional vaccine stores and 75 district vaccine stores. These DVSs supply vaccines to the 1,169 cold chain points located at the sub-district level. The CCPs supply vaccines to the session sites for immunization. Dry Stocks The supply of dry stock in Uttar Pradesh follows the same route as the vaccines. The state dry stock store at Lucknow receives auto-disabled syringes of 0.1ml, and 0.5ml and disposable reconstitution syringes of 5ml from the manufacturers and supplies to all the SVSs. Cold Chain Points ● Uttar Pradesh has an average number of 14 CCPs per district. However, there is a wide variation, ranging from 5 CCPs in Shamli to 36 CCPs in Gorakhpur. ● Over 80 per cent of CCPs cater to a population of more than 1 lakh. B Cold Chain Equipment The immunization cold chain network of Uttar Pradesh runs on 5,564 working cold chain equipment installed across 1,162 vaccine stores and cold chain points. These include 4 walk-in freezers, 23 walk- in coolers, 2,088 ice-lined refrigerators, 9 solar equipment and 3,443 deep freezers. Only 14 per cent of the functional DFs and 13 per cent of the functional ILRs are attached with a stabiliser. Table 1: Working Cold Chain Equipment in Uttar Pradesh Type of Equipment Type of Store WIF WIC ILR DF Solar 5,564 Total 4 23 2,088 3,443 6 SVS 4 13 30 42 - DiVS - 9 27 18 - DVS - - 411 280 - CCP - 1 1,620 3,103 6 There are 247 cold chain equipment on stand-by and 357 cold chain equipment under repair. Additionally, around 1,100 ILRs and 570 DFs are under the process of procurement by the Government of India for strengthening the cold chain infrastructure in Uttar Pradesh. 4 C Human Resource ● The state has 93 vaccine store keepers and 1,069 cold chain handlers. The position of CCH 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 Uttar Pradesh, around 70 per cent CCHs are ANMs, MPWs, LHVs or health supervisors. ● Nearly half of the CCHs are qualified up to 12th standard or below. ● Nearly one-third of the 1,069 cold chain handlers are women. ● All the CCHs have received the eVIN training. ● CCHs are provided supportive supervision on a regular basis. 5 6 Figure 1:ImmunizationColdChainNetworkinUttarPradesh Figure Lucknow Faizabad Varanasi Gorakhpur Kanpur SVS SVS SVS SVS SVS Stores 0 DiVS 1 DiVS 2 DiVSs 2 DiVSs 0 DiVS State Vaccine Vaccine State 6 DVSs 9 DVSs 11 DVSs 10 DVSs 6 DVSs 125 CCPs 117 CCPs 165 CCPs 171 CCPs 71 CCPs Gonda Allahabad Mirzapur Azamgarh Basti Lucknow Faizabad Varanasi Gorakhpur Kanpur DiVS DiVS DiVS DiVS DiVS Vaccine Vaccine Stores 6 DVSs 4 DVSs 5 DVSs 4 DVSs 3 DVSs 4 DVSs 3 DVSs 3 DVSs 4 DVSs 6 DVSs Divisional 125 CCPs 51 CCPs 66 CCPs 67 CCPs 34 CCPs 64 CCPs 52 CCPs 36 CCPs 83 CCPs 71 CCPs Hardoi Bahraich Ambedker Allahabad Mirzapur Chandauli Azamgarh Basti Deoria Auraiya DVS DVS Nagar DVS DVS DVS DVS DVS DVS DVS DVS 20 CCPs 17 CCPs 9 CCPs 26 CCPs 13 CCPs 10 CCPs 24 CCPs 15 CCPs 18 CCPs 7 CCPs Lakhimpur Balrampur Amethi Fatehpur Bhadohi Ghazipur Ballia Sant Kabir Gorakhpur Etawah Kheri DVS DVS DVS DVS DVS DVS DVS Nagar DVS DVS DVS 16 CCPs 10 CCPs 13 CCPs 15 CCPs 6 CCPs 17 CCPs 18 CCPs 18 CCPs 37 CCPs 12 CCPs Lucknow Gonda Barabanki Kaushambi Sonbhadra Jaunpur Mau Siddharth Kushinagar Farrukhabad DVS DVS DVS DVS DVS DVS DVS Nagar DVS DVS DVS 33 CCPs 17 CCPs 16 CCPs 8 CCPs 15 CCPs 22 CCPs 10 CCPs 13 CCPs 16 CCPs 9 CCPs Stores Shrawasti Faizabad Pratapgarh Varanasi Maharajgang Kannuj Raebareilly DVS District Vaccine Vaccine District DVS DVS DVS DVS DVS DVS 17 CCPs 7 CCPs 14 CCPs 18 CCPs 13 CCPs 12 CCPs 8 CCPs Sitapur Sultanpur Kanpur Nagar DVS DVS DVS 20 CCPs 14 CCPs 24 CCPs Unnao Kanpur Dehat DVS DVS 19 CCPs 11 CCPs Jhansi Agra Bareilly Meerut SVS SVS SVS SVS Stores 0 DiVS 1 DiVS 1 DiVS 1 DiVS State Vaccine Vaccine State 6 DVSs 8 DVSs 9 DVSs 9 DVSs 71 CCPs 104 CCPs 124 CCPs 117 CCPs Banda Aligarh Muradabad Saharanpur Jhansi Agra Bareilly Meerut DiVS DiVS DiVS DiVS Vaccine Vaccine Stores 4 DVSs 3 DVSs 4 DVSs 4 DVSs 4 DVSs 3 DVSs 6 DVSs 3 DVSs Divisional 32 CCPs 43 CCPs 43 CCPs 61 CCPs 71 CCPs 34 CCPs 88 CCPs 29 CCPs Banda Jalaun Aligarh Agra Badaun Bijnor Baghpat Muzaffarnagar DVS DVS DVS DVS DVS DVS DVS DVS 10 CCPs 14 CCPs 18 CCPs 24 CCPs 17 CCPs 13 CCPs 6 CCPs 10 CCPs Chitrakoot Jhansi Bulandshahar Etah DVS Firozabad DVS Bareilly DVS Amroha DVS Saharanpur DVS DVS DVS DVS 6 CCPs 22 CCPs 9 CCPs 13 CCPs 26 CCPs 6 CCPs 20 CCPs 14 CCPs Hamirpur Lalitpur Mainpuri Pilibhit Moradabad Gautam Budh Shamli Hathrus DVS DVS DVS DVS DVS DVS Nagar DVS DVS 9 CCPs 7 CCPs 8 CCPs 11 CCPs 10 CCPs 15 CCPs 8 CCPs 5 CCPs Stores Mahoba Mathura Shahjahanpur Rampur Kasganj DVS Ghaziabad DVS DVS DVS DVS DVS District Vaccine Vaccine District 7 CCPs 8 CCPs 13 CCPs 18 CCPs 8 CCPs 24 CCPs Sambhal Hapur DVS DVS 10 CCPs 6 CCPs Meerut DVS 24 CCPs 7 8 Figure 2: Vaccine Storage PointsinUttarPradesh Storage 2:Vaccine Figure Code District 1 Agra 0 70 140 280 Kilometers 2 Aligarh 3 Allahabad Saharanpur Code District 4 Ambedkar Nagar 0#)" 54 Mau 5 Amethi 63 55 Meerut 6 Amroha 56 Mirzapur 7 Auraiya 57 Moradabad 8 Azamgarh 60#8 0# 58 Muzaffarnagar 9 Baghpat 58 0# 17 59 Pilibhit 10 Bahraich 60 Pratapgarh 11 Ballia Meerut 61 Raebareli 9 0# 12 Balrampur 0# 55 Moradabad 62 Rampur 13 Banda ^ 0# 0# 63 Saharanpur )"57 0#62 14 Barabanki 0#30 0# 6 64 Sambhal 15 Bareilly 0# 35 0# 65 Sant Kabir Nagar 16 Basti Bareilly 59 66 Sant Ravi Das Nagar 29 0# 640# 17 Bijnor 19 ^150# 67 (Bhadohi) 18 Budaun 47 Shahjahanpur 19 Bulandshahr 180# 68 Shamli 20 Chandauli Aligarh # 69 Shravasti 0#)" 67 0 21 Chitrakoot 2 0# 0# 70 Siddharthnagar 22 Deoria 44 10 0# 71 Sitapur 23 Etah # 69 72 Sonbhadra 53 037 0# 0# 0# 24 Etawah 0# 23 71 0# 12 73 Sultanpur 25 Faizabad 26 0# 0# 74 Unnao Agra 36 Go0#nda 26 Farrukhabad 0# )"70 75 Varanasi 27 Fatehpur ^ 0#28 520# 0# 50# 0# 32 28 Firozabad 1 41 Luckno0#w Faizabad Gorakhpur 29 Gautam Buddha Nagar 0# 14 Bas#ti 0# 0# 74 ^49 # )"0#0 46 30 Ghaziabad 24 ^0 16 ^0# 7 31 Ghazipur 0# 25 65 33 32 Gonda Kanpur 0#Nagar 0# 42 0#0# 33 Gorakhpur 0# 4^3 5 4 22 34 Hamirpur 0#61 0# 0# 35 Hapur 73 Azamgarh 38 0#)" 54 36 Hardoi 0# 0# 0# 0# 8 0# 37 Hathras 27 60 11 38 Jalaun 34 39 0# 0# 39 Jaunpur Jhansi Banda Allahabad 0# 40 Jhansi 0# 40 0#)" Varanasi 31 41 Kannauj ^ 13 45 )"0# 66 0# 51 0#75 42 Kanpur Dehat 0# 0# 3 ^ 0# 0# 21 Mirzapur 43 Kanpur Nagar )"0# 20 44 Kasganj 56 45 Kaushambi Legend 46 Kushinagar 0# 0# 47 Lakhimpur Kheri 48 ^ State Vaccine Store 48 Lalitpur 49 Lucknow 72 )" Divisional Vaccine Store 50 Maharajganj 51 Mahoba 0# District Vaccine Store 52 Mainpuri 53 Mathura Cold Chain Points Table 2: District-Wise Availability ofColdChainEquipmentinUttarPradesh 2:District-WiseAvailability Table Working Cold Chain Equipment CCE on Stand- CCE Under District SVS DiVS DVS CCP Total By Repair WIF WIC ILR DF WIC ILR DF WIC ILR DF WIC ILR DF Solar 89 54 691 47,30 Total 5,564 247 357 4 13 30 42 9 27 18 0 411 280 1 1,620 3,103 6 Agra 1 2 2 7 2 34 56 104 4 10 Aligarh 1 3 3 3 8 25 54 97 13 10 Allahabad 1 5 0 35 69 110 10 3 Ambedker Nagar 5 1 15 33 54 2 Amethi 9 3 27 32 71 7 Amroha 4 4 20 39 67 6 Auraiya 4 1 9 33 47 2 4 Azamgarh 1 2 6 7 27 57 100 7 12 Baghpat 4 2 13 29 1 49 5 Bahraich 7 4 28 37 76 1 6 Ballia 3 4 21 31 59 11 16 Balrampur 7 3 15 21 46 3 Banda 1 9 3 4 4 15 28 3 67 3 1 Barabanki 10 2 32 48 92 2 1 Bareilly 1 2 13 16 11 5 1 40 61 150 3 Basti 1 2 7 3 24 50 87 12 2 Bhadohi 3 1 9 17 30 2 Bijnor 8 13 27 74 122 10 Budaun 6 3 28 60 97 1 2 Bulandshahar 6 3 26 49 2 86 6 Chandauli 4 2 12 44 62 8 Chitrakoot 2 2 11 25 40 4 5 Deoria 10 5 34 43 92 4 2 Etah 4 2 18 39 63 5 12 Etawah 1 2 15 38 56 12 Faizabad 1 2 5 8 6 20 37 79 8 2 Farrukhabad 4 3 12 31 50 Fatehpur 4 2 20 31 57 3 4 Firozabad 8 2 27 55 92 4 11 Gautam Budh Nagar 9 13 15 20 57 1