PMID- 32189678
OWN - NLM
STAT- MEDLINE
DCOM- 20201204
LR  - 20220413
IS  - 0019-557X (Print)
IS  - 0019-557X (Linking)
VI  - 64
IP  - 1
DP  - 2020 Jan-Mar
TI  - Assessment of cold chain equipments and their management in government health 
      facilities in a District of Delhi: A cross-sectional descriptive study.
PG  - 22-26
LID - 10.4103/ijph.IJPH_457_18 [doi]
AB  - BACKGROUND: Cold chain equipments (CCEs) at health facilities (HFs) are an 
      essential part of the immunization supply chain (ISC). The CCEs in government HFs 
      of Delhi were never assessed using the World Health Organization-United Nations 
      Children's Fund (WHO-UNICEF) Effective Vaccine Management (EVM) tool except that 
      of state vaccine store during National EVM assessment 2013. OBJECTIVES: The 
      objective of the study was to assess the CCEs and their management in government 
      HFs using the WHO-UNICEF EVM tool in a district of Delhi. METHODS: The assessment 
      was done during December 2017-March 2018 in one randomly selected district of 
      Delhi. Sample size and site selection were done using the WHO EVM site selection 
      tool. A total of 29 HFs were assessed along with District Vaccine Store. 
      Questions on CCEs in EVM tool 1.0.9 were used for data collection. RESULTS: Out 
      of 56 electrical CCEs, 8.9% were nonfunctional, 48.2% were noncompliant with WHO 
      standards, 5.4% were not chlorofluorocarbon free, 4.7% did not have temperature 
      monitoring device, and 18.8% did not have stabilizer. Eighty-six percent of 
      passive containers were compliant with the WHO standards. The storage capacity of 
      electrical vaccine storage equipment was insufficient in 3.4%, passive container 
      capacity in 65.5%, and ice packs preparation and storage capacity in 24.1% of 
      HFs. There was no planned preventive maintenance of CCEs and no standard 
      operating procedures for emergency event management. CONCLUSION: There was a 
      shortage of vaccine storage, ice packs preparation and storage, and passive 
      container capacity. Many CCEs used in ISC of assessed sites were noncompliant to 
      the WHO standards. There was no PPM of CCEs and no guidelines for emergency event 
      management.
FAU - Kumar, Gaurav
AU  - Kumar G
AD  - MD-CHA, Final Year Student, Academic Batch 2016-19, National Institute of Health 
      and Family Welfare, New Delhi, India.
FAU - Gupta, Sanjay
AU  - Gupta S
AD  - Dean and HOD, Department of Epidemiology, National Institute of Health and Family 
      Welfare, New Delhi, India.
LA  - eng
PT  - Journal Article
PL  - India
TA  - Indian J Public Health
JT  - Indian journal of public health
JID - 0400673
RN  - 0 (Chlorofluorocarbons)
RN  - 0 (Vaccines)
SB  - IM
MH  - Chlorofluorocarbons
MH  - Cross-Sectional Studies
MH  - Drug Storage/*standards/statistics & numerical data
MH  - Humans
MH  - India
MH  - Maintenance
MH  - Refrigeration/standards/*statistics & numerical data
MH  - Vaccines/supply & distribution
MH  - World Health Organization
OTO - NOTNLM
OT  - Cold chain equipments
OT  - Delhi
OT  - effective vaccine management
OT  - immunization supply chain
COIS- None
EDAT- 2020/03/20 06:00
MHDA- 2020/12/15 06:00
CRDT- 2020/03/20 06:00
PHST- 2020/03/20 06:00 [entrez]
PHST- 2020/03/20 06:00 [pubmed]
PHST- 2020/12/15 06:00 [medline]
AID - IndianJPublicHealth_2020_64_1_22_280775 [pii]
AID - 10.4103/ijph.IJPH_457_18 [doi]
PST - ppublish
SO  - Indian J Public Health. 2020 Jan-Mar;64(1):22-26. doi: 10.4103/ijph.IJPH_457_18.