A Comparative Study on Effective Vaccine Management of Cuttack and Jagatsinghpur Districts in Eastern India Using Global Assessment Tool

Surajit Garabadu, Mayadhar Panda, Satyaranjan Acharya, Sikata Nanda

Abstract


 Background: “Health for all” can be achieved by implementing primary preventive measures like immunization which is carried out by frontline health workers, who form the huge workforce in the country. Immunization has contributed significantly to the decline in child morbidity and mortality in recent decades. India reported 62% fully immunized children between 12 and 23 months (63.9% in urban and 61.3% in rural) whereas in Odisha its 78.6% (75% in urban and 79.2% in rural). Objectives: The objectives of the study were (1) to assess the effectiveness of vaccine management of Cuttack and Jagatsinghpur districts and (2) to identify gaps in effective vaccine management and suggest necessary recommendations for its improvement. Materials and Methods: Place of the study: District Vaccine Store (DVS) and Cold Chain Points (CCPs) in Cuttack and Jagatsinghpur districts. Type of study: Facility based cross-sectional. Study design: Under Cuttack district there are 72 CCPs from which 10%, that is, 7 CCPs are taken by simple random sampling. Similarly, 3 CCPs are taken from 32 CCPs by SRS technique from Jagatsinghpur district. Both the DVSs were included in the study purposively. Total 12 numbers of facilities were assessed. Collection of data was done in accordance with the global assessment tool designed by the WHO. The tool consist of both open-ended and close-ended questions regarding the infrastructure of the facility, man power, on various aspects of vaccine management, supervisory activities, and storage practice of vaccines in the facility. Results: Training on cold chain management was received by 91.3% and 76.9% of staffs of Cuttack and Jagatsinghpur district, respectively. More number of staffs (80.95% and 70% in Cuttack and Jagatsinghpur district, respectively) had taken the training on cold chain management more than a year back. Among the CCHs, 87.5% and 75% had the knowledge on correct storage temperature of different vaccines in Cuttack and Jagatsinghpur district respectively. Similar percentages of staffs have the correct knowledge on reading of thermometers. All the staffs of the CCP had correct knowledge on interpretation of VVM. Conclusion: All the staffs of the CCP had correct knowledge on interpretation of VVM and also have correct knowledge on ice pack conditioning.

Key words: Global assessment tool, immunization, VVM


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