A solution to overcome erratic supply of vaccine & logistics in public health system: E-VIN

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Explains the Role of IT in healthcare and its implementation, Aims and Objective of IT in Health Care. For more information visit: http://www.transformhealth-it.org/

1
A solution to overcome erratic supply of
vaccine & logistics in public health
system: E-VIN
Ujjain Division
16-09-2015
Gyan Sharma
Project Officer
UNDP – MP

2
Aims & Objective
• To assess the role of
information technology (IT)
in supply chain management
of vaccine & cold chain /
logistics in order to ensure
effective management and
real-time monitoring.

3
Study Design, Duration &
Area• Study design: Descriptive, Quantitative
• Place & duration of the study: Ujjain: Department of Health
& Family Welfare, Divisional Vaccine Store, and Regional
Joint Directorate Ujjain from April 2015 to July 2015.
• Data Collection: vaccine stock position data collected from
142 focal points (Cold Chain Points) of seven districts Ujjain
from April 2015 to July 2015.

5
Monthly Vaccine Requirement
Table 1.2 Estimated Monthly Doses of vaccine & Syringes Requirement
S.
No.
DISTRICT BCG
(Wastage
rate 50%)
OPV
(Wastage
rate 10%)
Hep-B
(Wastage
rate 10%)
DPT
(Wastage
rate 10%)
Penta
(Wastage
rate 10%)
TT
(Wastage
rate 10%)
Measles
(Wastage
rate 25%)
0.1 ML
Syr.
(10%
wastage)
0.5 ML
Syr. ( 10%
wastage)
5 ML
Syr.
( 10%
wastage
)
1
Dewas 5,846 12,861 3,215 6,430 9,646 12,378 7,775 6,430 424,405 2,295
2
Mandsaur 4,318 9,499 2,375 4,750 7,124 9,143 5,743 4,750 313,473 1,695
3
Nemuch 3,111 6,843 1,711 3,422 5,132 6,586 4,137 3,422 225,823 1,221
4
Ratlam 6,777 14,910 3,728 7,455 11,183 14,351 9,014 7,455 492,040 2,661
5
Agar 2,496 5,491 1,373 3,319 4,118 5,285 3,319 2,745 181,196 980
6
Shajapur 4,024 8,853 2,213 4,427 6,640 8,521 5,352 4,427 292,165 1,580
7
Ujjain 8,192 18,021 4,505 9,011 13,516 17,346 10,895 9,011 594,708 3,216

9
Reasons for Wastage
These wastage rates are mainly due to these reasons as per
listed below:
•Supply of vaccine & logistics on the basis of availability
•Poor monitoring of Open Vial Policy
•Poor documentation of vaccine loss during transportation
•Poor FIFO/ EEFO implementation
•Technical issues i.e. freezing of vaccine, poor temperature
management &VVM etc.

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A solution to overcome erratic supply of vaccine & logistics in public health system: E-VIN

1. 1 A solution to overcome erratic supply of vaccine & logistics in public health system: E-VIN Ujjain Division 16-09-2015 Gyan Sharma Project Officer UNDP – MP

2. 2 Aims & Objective • To assess the role of information technology (IT) in supply chain management of vaccine & cold chain / logistics in order to ensure effective management and real-time monitoring.

3. 3 Study Design, Duration & Area• Study design: Descriptive, Quantitative • Place & duration of the study: Ujjain: Department of Health & Family Welfare, Divisional Vaccine Store, and Regional Joint Directorate Ujjain from April 2015 to July 2015. • Data Collection: vaccine stock position data collected from 142 focal points (Cold Chain Points) of seven districts Ujjain from April 2015 to July 2015.

4. 4 Demographic Profile Table: 1.1 Ujjain Division Estimated Target Population S. No. DISTRICT Estimated Total Population 2014 ( in lacs) CBR (AHS 2012- 13) Annual Expected ANC (MCTS 2013- 14) Annual Expected Birth (MCTS 2013- 14) No. of FP 1 Dewas 16.54 21.2 38,582 35,075 25 2 Mandsaur 13.92 18.6 28,498 25,907 26 3 Nemuch 8.,60 21.7 20,529 18,663 15 4 Ratlam 15.40 26.4 44,731 40,664 26 5 Agar 6.08 26.4 16,472 14,975 7 6 Shajapur 9.,81 24.6 26,560 24,146 15 7 Ujjain 20.82 23.6 54,064 49,149 33

5. 5 Monthly Vaccine Requirement Table 1.2 Estimated Monthly Doses of vaccine & Syringes Requirement S. No. DISTRICT BCG (Wastage rate 50%) OPV (Wastage rate 10%) Hep-B (Wastage rate 10%) DPT (Wastage rate 10%) Penta (Wastage rate 10%) TT (Wastage rate 10%) Measles (Wastage rate 25%) 0.1 ML Syr. (10% wastage) 0.5 ML Syr. ( 10% wastage) 5 ML Syr. ( 10% wastage ) 1 Dewas 5,846 12,861 3,215 6,430 9,646 12,378 7,775 6,430 424,405 2,295 2 Mandsaur 4,318 9,499 2,375 4,750 7,124 9,143 5,743 4,750 313,473 1,695 3 Nemuch 3,111 6,843 1,711 3,422 5,132 6,586 4,137 3,422 225,823 1,221 4 Ratlam 6,777 14,910 3,728 7,455 11,183 14,351 9,014 7,455 492,040 2,661 5 Agar 2,496 5,491 1,373 3,319 4,118 5,285 3,319 2,745 181,196 980 6 Shajapur 4,024 8,853 2,213 4,427 6,640 8,521 5,352 4,427 292,165 1,580 7 Ujjain 8,192 18,021 4,505 9,011 13,516 17,346 10,895 9,011 594,708 3,216

6. 6

7. 7

8. 8

9. 9 Reasons for Wastage These wastage rates are mainly due to these reasons as per listed below: •Supply of vaccine & logistics on the basis of availability •Poor monitoring of Open Vial Policy •Poor documentation of vaccine loss during transportation •Poor FIFO/ EEFO implementation •Technical issues i.e. freezing of vaccine, poor temperature management &VVM etc.

10. 10 How does it work?

11. 11 Expected Outcomes

12. 12 Thank You

A solution to overcome erratic supply of vaccine & logistics in public health system: E-VIN

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