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RAJASTHAN Fact Sheet

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RAJASTHAN Fact Sheet RAJASTHAN Fact Sheet Immunization Cold Chain and Vaccine Logistics Network 1 RAJASTHAN State Vaccine 2 Stores Regional Vaccine The cold chain system 7 Stores in Rajasthan consists of 4,701 working cold chain equipment. District Vaccine 2 34 Stores Walk-in Freezers 9 Walk-in Cold Coolers Chain 2,184 Points 2,313 Ice-Lined Refrigerators 2,367 Deep 39,189 Freezers Session Sites 10 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 RAJASTHANRAJASTHAN The Universal Immunization Programme in Rajasthan aims to immunize a target population of 17.3 lakh children and 20.1 lakh pregnant women, every year. The Electronic Vaccine Intelligence Network (eVIN) Vaccine43 Cold2,184 Store Chain Keepers Handlers has been implemented across all the vaccine stores The human resource network and cold chain points in to manage vaccine logistics in Rajasthan consists of 43 Rajasthan. eVIN has facilitated vaccine store keepers and capacity-building of all 2,184 cold chain handlers. They vaccine store keepers and work under the guidance of cold chain handlers in the the State Immunization Officer, state through 98 batches of the State Cold Chain Officer, District Immunization Officers training programmes on eVIN, and Medical Officers in-Charge. through late 2015 and early The state has 41 refrigerator 2016. eVIN equipped them with mechanics to maintain the cold standardised stock registers chain equipment. and smartphones to digitise the vaccine stocks. The entire vaccine logistics data in Rajasthan is now digitised and real-time data is available for informed decision-making. 3 A Vaccine Supply Network The state vaccine stores located at Jaipur and Udaipur supply vaccine in the state through 7 regional vaccine stores and 34 district vaccine stores located at the district headquarters. The DVSs supply vaccines to 2,184 cold chain points located at the district hospitals, sub- divisional hospitals, satellite hospitals, community health centres, primary health centres and urban health care centers. The CCPs cater to 39,189 session sites in the state. Dry Stocks The supply of dry stock in Rajasthan follows a separate route from the vaccine flow. The state drug warehouse at Jaipur is supplied with auto-disabled syringes of 0.1ml, and 0.5ml and disposable reconstitution syringes of 5ml, from the manufacturers. It supplies the dry stock to all the regional drug warehouses and further to the district drug warehouses. These district warehouses send the dry supply to health facilities at the district and block levels. Cold Chain Points ● Rajasthan has an average number of 64 CCPs per district. However, there is a wide variation, ranging from 22 CCPs in district Dholpur to 120 CCPs in district Nagaur. ● 19 per cent of CCPs cater to a population of more than 1 lakh. Session Sites ● On an average, a district in Rajasthan has 1,153 session sites, varying from 307 session sites in district Sawai Madhopur to 2,219 sites in district Bhilwara. ● On an average, one CCP provides vaccines to 19 session sites. However, 43 CCPs cater to more than 50 session sites each. Some of the outliers are office of the Block Chief Medical Officer, Rajgarh, Churu (135 SSs), CHC Chhoti Shadari, Pratapgarh (103 SSs), CHC Govindgarh, Alwar (93 SSs), SDH YN Hospital, Kishangarh, Ajmer (90 SSs), PHC Sirsi, Jaipur 1 (81 SSs) and BCMO Churu (80 SSs). ● In some districts, vaccines travel large distances to reach the final beneficiary. 4 B Cold Chain Equipment The immunization cold chain network of Rajasthan runs on 4,701 working cold chain equipment installed across 2,227 vaccine stores and cold chain points. There are 2 walk-in freezers, 9 walk-in coolers, 2,313 ice-lined refrigerators, 2,367 deep freezers and 10 solar equipment. Table 1: Working Cold Chain Equipment in Rajasthan Type of Equipment Type of Store WIF WIC ILR DF Solar 4,701 Total 2 9 2,313 2,367 10 SVS 2 4 5 14 - RVS - 5 9 13 - DVS - - 103 92 - CCP - - 2,196 2,248 10 The state has 355 cold chain equipment on stand-by and 313 cold chain equipment under repair. Additionally, around 550 ILRs and 280 DFs are under the process of procurement by the Government of India for strengthening the cold chain infrastructure in Rajasthan. Non-electrical cold chain equipment In addition to this, there are 13,820 large cold chain boxes, of which 13,500 are functional and there are 82,850 small cold chain boxes, of which 72,328 are functional. C Human Resource ● The state has 43 vaccine store keepers and 2,184 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. The LHVs, ANMs, GNMs or male nurses at the facilities have either been deputed or given additional charge to handle the cold chain equipment. ● Majority of the cold chain handlers have received induction training for cold chain management, within the last three years. ● All the CCHs have received the eVIN training. ● CCHs are provided supportive supervision on a regular basis. 5 Figure 1: Immunization Cold Chain Network in Rajasthan Jaipur SVS Udaipur SVS 6 Regional Vaccine Stores 1 Regional Vaccine Store Stores 28 District Vaccine Stores 6 District Vaccine Stores State Vaccine Vaccine State 1,823 Cold Chain Points 361 Cold Chain Points 31,759 Session Sites 7,430 Session Sites Jaipur RVS Bharatpur RVS Kota RVS Ajmer RVS Bikaner RVS Jodhpur RVS Udaipur RVS 6 DVSs 4 DVSs 4 DVSs 4 DVSs 4 DVSs 6 DVSs 6 DVSs Stores 463 CCPs 147 CCPs 184 CCPs 354 CCPs 262 CCPs 413 CCPs 361 CCPs Regional Vaccine Vaccine Regional 7,841 SSs 2,438 SSs 3,636 SSs 6,344 SSs 4,251 SSs 7,249 SSs 7,430 SSs Alwar DVS Bharatpur DVS Baran DVS Ajmer DVS Bikaner DVS Barmer DVS Banswara DVS 93 CCPs 59 CCPs 49 CCPs 87 CCPs 67 CCPs 86 CCPs 59 CCPs 1,990 SSs 614 SSs 850 SSs 1,577 SSs 1,218 SSs 1,827 SSs 1,468 SSs Dausa DVS Dholpur DVS Bundi DVS Bhilwara DVS Churu DVS Jaisalmer DVS Chittorgarh DVS 37 CCPs 22 CCPs 39 CCPs 91 CCPs 84 CCPs 28 CCPs 61 CCPs 528 SSs 587 SSs 535 SSs 2,219 SSs 1,112 SSs 518 SSs 1,439 SSs Jaipur I DVS Karauli DVS Jhalawar DVS Nagour DVS Ganganager DVS Jalor DVS Dungarpur DVS 110 CCPs 34 CCPs 43 CCPs 120 CCPs 57 CCPs 65 CCPs 56 CCPs 1,585 SSs 930 SSs 1,197 SSs 1,994 SSs 979 SSs 1,115 SSs 675 SSs Stores Jaipur II DVS Sawai Madhopur DVS Kota DVS Nagour DVS Hanumangarh DVS Jodhpur DVS Pratapgarh DVS District Vaccine Vaccine District 55 CCPs 32 CCPs 53 CCPs 56 CCPs 54 CCPs 109 CCPs 32 CCPs 1,138 SSs 307 SSs 1,054 SSs 554 SSs 942 SSs 1,558 SSs 985 SSs Jhunjhunu DVS Pali DVS Rajsamand DVS 87 CCPs 95 CCPs 49 CCPs 1,319 SSs 1,728 SSs 767 SSs Sikar DVS Sirohi DVS Udaipur DVS 81 CCPs 30 CCPs 104 CCPs 1,281 SSs 503 SSs 2,096 SSs 6 Jaipur SVS Udaipur SVS 6 Regional Vaccine Stores 1 Regional Vaccine Store 28 District Vaccine Stores 6 District Vaccine Stores 1,823 Cold Chain Points 361 Cold Chain Points 31,759 Session Sites 7,430 Session Sites Jaipur RVS Bharatpur RVS Kota RVS Ajmer RVS Bikaner RVS Jodhpur RVS Udaipur RVS 6 DVSs 4 DVSs 4 DVSs 4 DVSs 4 DVSs 6 DVSs 6 DVSs 463 CCPs 147 CCPs 184 CCPs 354 CCPs 262 CCPs 413 CCPs 361 CCPs 7,841 SSs 2,438 SSs 3,636 SSs 6,344 SSs 4,251 SSs 7,249 SSs 7,430 SSs Alwar DVS Bharatpur DVS Baran DVS Ajmer DVS Bikaner DVS Barmer DVS Banswara DVS 93 CCPs 59 CCPs 49 CCPs 87 CCPs 67 CCPs 86 CCPs 59 CCPs 1,990 SSs 614 SSs 850 SSs 1,577 SSs 1,218 SSs 1,827 SSs 1,468 SSs Dausa DVS Dholpur DVS Bundi DVS Bhilwara DVS Churu DVS Jaisalmer DVS Chittorgarh DVS 37 CCPs 22 CCPs 39 CCPs 91 CCPs 84 CCPs 28 CCPs 61 CCPs 528 SSs 587 SSs 535 SSs 2,219 SSs 1,112 SSs 518 SSs 1,439 SSs Jaipur I DVS Karauli DVS Jhalawar DVS Nagour DVS Ganganager DVS Jalor DVS Dungarpur DVS 110 CCPs 34 CCPs 43 CCPs 120 CCPs 57 CCPs 65 CCPs 56 CCPs 1,585 SSs 930 SSs 1,197 SSs 1,994 SSs 979 SSs 1,115 SSs 675 SSs Jaipur II DVS Sawai Madhopur DVS Kota DVS Nagour DVS Hanumangarh DVS Jodhpur DVS Pratapgarh DVS 55 CCPs 32 CCPs 53 CCPs 56 CCPs 54 CCPs 109 CCPs 32 CCPs 1,138 SSs 307 SSs 1,054 SSs 554 SSs 942 SSs 1,558 SSs 985 SSs Jhunjhunu DVS Pali DVS Rajsamand DVS 87 CCPs 95 CCPs 49 CCPs 1,319 SSs 1,728 SSs 767 SSs Sikar DVS Sirohi DVS Udaipur DVS 81 CCPs 30 CCPs 104 CCPs 1,281 SSs 503 SSs 2,096 SSs 7 8 Figure 2:MapofImmunizationColdChainNetworkinRajasthan Figure 0 80 160 320 Kilometers 0# 0# 15 16 Bikaner 11 0# 8 E 0# 0# 21 0# 20# 30 Bharatpur 0# 6E0# 18 Jaipur 0# 25 170#^E 0#12 22 Jodhpur Ajmer 13 0# E E0# 0# 0# 23 1 320# 29 Code District 0# 1 Ajmer 2 Alwar 0# 0# 5 26 3 Banswara 4 Baran 7 90# 5 Barmer 0# 0# Kota 6 Bharatpur 28 E0# 7 Bhilwara 0# 24 0# 19 4 8 Bikaner 0# Udaipur # 0 10 9 Bundi 31 ^E 10 10 Chittaurgarh 0# 0# 11 Churu 20 12 Dausa 33 13 Dhaulpur 14 Dungarpur 270# 15 Ganganagar Code District 0# 16 Hanumangarh 25 Nagaur Legend 17 Jaipur 26 Pali 14 0# 18 Jaisalmer 27 Pratapgarh 3 ^ State Vaccine Store 19 Jalor 28 Rajsamand 20 Jhalawar 29 Sawai Madhopur E Regional Vaccine Store 21 Jhunjhunun 30 Sikar 22 Jodhpur 31 Sirohi 0# District Vaccine Store 23 Karauli 32 Tonk 24 Kota 33 Udaipur Cold Chain Points Table 2: District-Wise Availability ofColdChainEquipmentinRajasthan 2:District-WiseAvailability Table Working Cold Chain Equipment CCE on Stand- CCE Under District SVS RVS DVS CCP Total By Repair WIF WIC ILR DF WIC ILR DF Solar ILR DF ILR DF Solar 25 27 195 4,454 Total 4,701 355 313 2 4 5 14 5 9 13 0 103 92 2,196 2,248 10 Ajmer 1 2 4 4 84 87 3 185 70 4 Alwar 4 3 93 93 193 13 Banswara 5 5 60 65 135 4 4 Baran
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