Cold chain capacity analysis evm for new vaccines introduction
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Cold chain capacity analysis & EVM for new vaccines introduction. Geneva, Oct 2012 S. Kone, IVB/EPI. Both cold chain capacity & EVM are essential for NUVI CCL deals with the physical status of the infrastructure to store and transport the new vaccines

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Cold chain capacity analysis & EVM for new vaccines introduction

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Cold chain capacity analysis evm for new vaccines introduction

Cold chain capacity analysis & EVM for new vaccines introduction

Geneva, Oct 2012

S. Kone, IVB/EPI


Cold chain evm in support to nuvi

Both cold chain capacity & EVM are essential for NUVI

CCL deals with the physical status of the infrastructure to store and transport the new vaccines

EVEM looks at the quality of vaccine management processes to ensure that new expensive vaccines will be handled and used efficiently

Cold chain & EVM in support to NUVI


Assessing ccl evm for nvi

Suggested checklists:

CCL:

Available/planned capacity stated (yes/no)

Supply parameters defined (yes/no)

Volume of vaccines estimated, including NV (yes/no)

Capacity gap identified (yes/no)

EVM:

Assessment conducted within 36 months (yes/no)

EVM report available (yes/no)

EVM improvement developed (yes/no)

Improvement plan addresses gaps (yes/no)

Assessing CCL & EVM for NVI


Cold chain capacity analysis evm for new vaccines introduction

Cold chain capacity for new vaccine introduction


Cold chain capacity analysis evm for new vaccines introduction

Vaccine cold storage estimations

  • 1. Total annual volume of vaccines:

    • = ∑n(Packed volume x No. of doses x wastage factor)

  • Supply intervals,

  • Safety stock

  • Grossing factor,

  • Equipment layout

Gross capacity

~ 3.5-4.2 time

net capacity

  • Grossing factor,

  • Equipment layout

2. Available net cold storage capacity:

= Measured net storage capacity

or

Total gross storage capacity

= -----------------------------------------

Grossing factor


Planning tools output

Amount of supplies needed

vaccines

injection equipment

distribution plan (routes!!)

Capacities needed

storage (cold and ambient)

cooling/freezing packs (transport & vaccination)

transportation (shipping containers, vans)

vaccination force (teams, staff)

Amount waste generated

empty vials/ampoules

used syringes

Planning tools - Output


Central cold storage analysis 1

Central cold storage analysis-1

  • Central/national store:

  • Specify existing equipment (type, No.)

  • State the total gross cold storage capacity

  • State the total net cold storage capacity

  • Analysis:

  • Estimation on the total net annual volume of vaccines

  • Explain how existing cold storage capacity can accommodate this volume

  • Any of the following is valid:

    • frequency of shipments (but not >4/year)

    • additional capacity (within 6-12 months prior introduction)

    • Lyo. vaccines @ -20°C

    • Sub-national stores as primary (with clear explanation on how NRA will be involved)


Central cold storage analysis 2

Central cold storage analysis-2


Cold chain capacity analysis evm for new vaccines introduction

Analysis of SN/district cold storage

  • For the first year of introduction:

  • Indicate number of stores with or w/o adequate capacity

  • Describe actions to be taken to fill the gap

2012

2015

  • For the last year of introduction:

  • Indicate number of stores with or w/o adequate capacity

  • Describe actions to fill the gap:

    • No. of cold chain equipment

    • Redistribution plan


Cold chain capacity analysis evm for new vaccines introduction

Exple: Additional CC equipment needed

  • Total needs by 2015 at sub-national stores:

  • xxx refrigerators (MK404)

  • yyy WICR of 15 m3.

  • zzz WICR of 30 m3

  • Note:

  • Number of additional equipment could be procured and installed in phased manner

  • Selection should be based on the national policy and the availability of energy source


Cold chain capacity analysis evm for new vaccines introduction

Effective Vaccine Management


Nine criteria for evm

E9

Information

systems &

supportive

management

E8

Vaccine

management

E1Pre-shipment

&

arrival

E2

Storagetemperature

E7

Distribution

E6

Stock management

E3Capacity

80%

E5

Maintenance

E4

Buildings, equipment,transport

Nine criteria for EVM

All 9 criteria

scores at least:

EVM sets minimum standard

for immunization supply chain

Each criteria includes both hardware-related and management-related indicators


Evm results tool for communication

9 global criteria with requirement and set of indicators

Identify strength and areas for improvement

Guide development and implementation of improvement plan

EVM results – tool for communication

  • 7 general categories for action improvement

  • Identify strength and areas for improvement

  • Direct actions for improvement


Evm scores guidance for improvement

80% target is set globally as satisfactory level

Depending the magnitude of gap, countries may set mile stones towards the target

Identify for each criteria indicators with poor score for action

Priority to critical indicators, i.e. with high weighted scores. Those will have maxi impact on overall score

EVM scores – guidance for improvement

Criteria & categories

Supply chain levels


Evm scores guidance for improvement1

EVM scores & guidance for improvement

  • EVM improvement plan:

  • Set priorities from criteria

  • Define activities from categories

  • Develop budget & implementation schedule

  • (current) EVM scores present the situation in the past!

  • Improvement plan provides ways towards satisfactory performance

  • Implementation of the improvement plan will realize a better future


Cold chain capacity analysis evm for new vaccines introduction

Network of EVM experts of immunization partners

Supportive

supervision

Quality

improvement

Training

plan

EVM assessment

Follow-up

(to address gaps

(Identifies strengths

assessments

identified)

and weaknesses)

Technical

assistance

Investment

Implement

(As necessary)

After minimum

improvement

Evaluation and planning

of 12 months

plan

EVM – A continuous process of quality improvement

EVM a good tool for NVI


Cold chain capacity analysis evm for new vaccines introduction

Thank you!


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