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Cold Chain . Surveillance Coordinator Provincial EPI cell. What is cold chain system. From the manufacture to the recipient, all the steps n people involved in keeping the vaccine in the required temperature is called the cold chain system . The cold chain.

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cold chain

Cold Chain

Surveillance Coordinator

Provincial EPI cell

what is cold chain system
What is cold chain system
  • From the manufacture to the recipient, all the steps n people involved in keeping the vaccine in the required temperature is called the cold chain system
the cold chain
The cold chain
  • Vaccines are sensitive biological.
  • Needs special attention.
  • Damages by heat – freezing.
  • Once potency is lost – cannot be regained.
  • Requires special storage mechanism.
  • From manufacturer to site of use.
  • Two major factors.
      • Staff
      • Equipment
epi cold rooms
EPI cold rooms
  • Peshawar.
  • Malakand.
  • Mansehra.
  • Kohat.
  • Bannu.
  • D.I.Khan.
vaccine storage
Vaccine storage
  • Ideal temperature (2 to 8 ) so that pneumococcal, penta & TT do not freeze
  • Polio if needed to be stored for more then 3 months can be stored in – 20.
  • Thermometers
    • Dial, cold chain monitor card, mercury
  • VVM, Shake test
conclusion
Conclusion.
  • Good installations are available.
  • Have trained staff posted.
  • Have the vaccine storage capacity for entire divisions.
  • Working back up is available in most of the cold rooms.
  • Stock registered are maintained.
conclusion 2
Conclusion-2
  • Cold rooms remained out of order for considerable time.
  • No mechanism for local repair.
  • No allocation for POL of generators.
  • Did not serve during the past 2 years.
  • No proper supervision mechanism of concerned staff.
  • No leave account maintained.
  • No written job description of staff.
  • Not trained on storekeeping.
conclusion 3
Conclusion-3
  • No procedures for
      • Receiving vaccines.
      • Issuing vaccines. (vit A during NIDs)
  • No proper vaccine management system. (Frequency & quantity of vaccine)
  • Vaccine is collected from provincial cold room instead of divisional.
  • Divisional cold rooms are under utilized.
  • No allocation for maintenance and repair.
suggestions
Suggestions
  • Much more is desired to be done.
  • Vaccine management system.
      • Date of collection – vaccine stock at different levels.
  • Regular review/signing of stock registers.
  • Mechanism for monitoring of the system.
  • Development of SOPs for various tasks.
  • Using checklists for various occasions.
suggestions 2
Suggestions-2
  • Ensuring vaccine stock at every level.
  • Collection of vaccine from divisional, instead of provincial cold room.
  • Allocation of maintenance and repair funds beyond the PC-1 period.
  • POL issue for generators to be taken.
suggestions 3
Suggestions-3
  • Training of personnel on storekeeping practices.
  • Installation of automatic temperature recording equipment.
  • Developing mechanism for utilization of technical staff.
  • Provincial cell should deliver vaccine to cold rooms.
proposed vaccine management system
Proposed vaccine management system
  • Vaccine should be collected from federal cell on quarterly basis.
  • Provincial store to supply vaccine to cold rooms.
  • Divisional cold room have 3 months quota.
  • Districts will collect vaccine from divisional cold rooms.
  • District stores – 2 months supply.
  • EPI centers – 1 month stock.
checklist for receiving vaccine
Checklist for receiving vaccine
  • When Vaccine Consignments Arrive at the Storage Point :
      • All details of the consignment must be checked.
      • All detail be recorded in the stock register.
      • District
      • Name of cold room/store/health facility
      • Name of storekeeper/worker
      • Designation
        • The type of vaccine
        • The quantity received (in doses)
        • The vaccine manufacturer
        • The batch or lot number.
        • The expiry date.
        • The status of the VVM
        • Balance
issuing vaccine
Issuing vaccine
  • Record of each consignment leaving the store is appropriate.
  • All details should be recorded.
    • The quantity issued.
    • Batch number.
    • Expiry dates .
    • To whom issued.
    • The remaining balance.
while vaccine is in storage
While vaccine is in storage
  • All vaccines must be systematically arranged .
  • Older stock should normally be distributed first. (FIFO).
  • Expiry must be checked regularly.
  • All stocks must be distributed well before their expiry date.
  • Ensure that no batch or lot remains too long in storage.
  • Regularly check the integrity of the stocks by reviewing the status of VVM.
  • Any expired, damaged or vials with VVMs beyond the discard point should not appear in the stock balance.
slide18
Vaccine demand
    • Requirement/Target.
    • Vaccine in balance.
    • Consumption in previous month (s)
    • Vaccine received in previous month.
    • Vaccine issued.
    • Vaccination coverage.