1. Operating ‘Beyond wireless’…

2. CONTENTS
 Introduction
 How Beyond Wireless Works
 Installation and Accessing the Units
 Generating Reports
 Analysis of reports
 Temperature excursion, Alarms and Responses
 Roles and Responsibility of Responders
 Reporting Tools

3.  ‘Beyond Wireless’ – A remote temperature monitoring platform/system.
The platform is a made up of multi-devices interworking to give real-time data/information on cold-
room
 A Beyond wireless Unit powered by electricity and a standby battery for 48hours
 2 Mobile Sims-card to uninterrupted provide internet services
 A temperature monitoring sensors –Probes
 Cloud service provided by Beyond wireless
 Online portal serviced by beyond wireless
INTRODUCTION

4. HOW THE SYSTEM WORKS

6. • The BW unit is a box-like device with electrical joints for 8 different temperature monitoring sensors
• One temperature monitoring sensors are run from each WICR/WIFR/ICR/ICF
• For every 10 min, temperature readings is transmitted through the unit to the cloud services and displays on the
online portals.
• Temperature information can then be viewed on the online portal, analyzed and readily available for download using
a provided username and password.
Installation of Units / Accessing the Units;

7. Company level Dashboard
NO ALARMS

8. Site Level Dashboard

9. • Holdover time
• Power outage frequency
Report page

10. • Functional status of
the coldroom

11. General aim of analysis should be focused on ensuring the potency of
vaccines.
Determination of holdover time of cold-chain equipment
Functional status of the Cold-chain equipment
Frequency of power outage for the purpose of fuel requirement
Performance tracking on the frequency of response to excursions
Reasons for temperature excursions
ANALYSIS OF REPORT

12. TEMPERATURE EXCUSIONS ,
ALARMS & RESPONSE

13. The excursions response SOPs define when alarms go off, who receives the SMS, and
when the alert escalates to the next level.
• When an excursion is detected, an audible
alarm goes off, and the unit sends an email &
SMS to the responsible vaccine office (Asst.
CCO/ CCO).
What happens when
the alarm goes off?
• Depending on the type of excursions, vaccine
officers may have to arrive on site quickly to
protect vaccines. (20 -30min)
How fast should the
first respondent act?
• If an alarm extends for a long time, the store
supervisor (CCO /SIO) is notified, so that they
can confirm and support the actions being
taken.
If an alarm persists,
when is the next
level notified?
RESPONSE SOPS ANSWER THREE MAIN QUESTIONS

14. Freeze risk events must be responded to very quickly, as some vaccines can freeze after
just one hour below -0.5°C. This alarm tree gives users time to respond before vaccines
are damaged.
Alarm Stage 3 – Director PHC or Executive Secretary of the SPHCMB
SMS sent after two (2) hours below 1°C
Alarm Stage Two – State Immunization Officer / VSL
SMS sent after one (1) hours below 1°C
Alarm Stage One – Asst. CCO / CCO / VSL
SMS sent after one (30min) hour below 1°C
ESCALATION TREE FOR FREEZE RISK

15. Heat exposure takes a long time – often days - to damage vaccines, so this excursion
response protocol is less sensitive. However, it is still critical to identify excursions and
respond to excursions promptly.
Alarm Stage 3 – Regional Medical Officer
SMS sent after 6 (6) hours above 8°C
Alarm Stage Two – Regional Immunization and Vaccination Officer
SMS sent after 3 (3) hours above 8°C
Alarm Stage One – Vaccine Stock Officer
SMS sent after one (1) hours above 8°C
ESCALATION TREE FOR HEAT EXCURSION RESPONSE

16. Freeze excursions are almost always caused by mechanical faults or issues with the
thermostat, a technician should be called once the immediate risk of vaccine damage is
resolved.
Response
Speed
Key Response
Actions
Concluding
Steps
Upon receiving the Stage 1 Alert, the CCO should
arrive on site within 30 MINUTES (0.5) HOUR, night or
day.
1. Open the fridge or WICR door for 30 minutes, to remove
risk of freezing.
2. Confirm that the thermostat is set properly
3. Check for obvious signs of cooling unit malfunction
1) Conduct Shake Test on
vaccines taken from
coldest area of the fridge.
2) Contact SIO and arrange
for maintenance visit.
1) Execute “Contingency
Plan.”
2) Contact SIO and
arrange for repair visit
If the issue has been
identified and solved
If the issue has not been
identified or solved

17. Heat excursions can be caused by diverse factors – the goal of this SOP is to isolate
whether the problem is rapidly fixable, and if not, to initiate the contingency plan in a
timely manner.
Response Speed
Key Response
Actions
Concluding
Steps
Upon receiving the Stage 1 Alert, the CCO should arrive on
site within 2 HOURS, night or day.
1. Determine if the CCE unit is receiving power from mains
or generator sources.
2. Ensure that the door is closed and all seals are intact.
3. Check for obvious signs of cooling unit malfunction.
1) Confirm VVM status for
all vaccines.
2) Contact SIO and discuss
need for maintenance
visit
1) Execute Contingency
Plan
2) Contact SIO and arrange
for repair visit if needed
If the issue has been
identified and solved
If the issue has not been
identified and/or solved

19. Roles and Responsibility of
Responders

20. In order to provide consistent and high-level protection to vaccines, each major user
must be aware of their expectations within the system.
State Cold
Chain Officer
State
Immunisation
Officer
Director
PHC/Director
Immunisation
Act quickly and effectively in the event of any alarm.
Support the VSO in carrying out effective excursion
response and monitor performance indicators.
Monitor the performance of CCE and users, following up
with supportive supervision if necessary.
Role Primary Responsibilities
UNICEF
Logistician
Ensure that system settings are accurate and up-to-date, as
well as providing performance oversight.

21. As the primary recipient of all alarms, the cold chain officer is tasked with responding
quickly to all alarms, diagnosing the issue, and initiating any follow-up processes.
SCCO
• For Freeze Alerts: Respond within 3omin.
• For Heat Alerts: Respond within two HOURS.
• Respond to alerts NIGHT or DAY, 365 DAYS A YEAR.
• Take proper steps to protect vaccines – fixing
underlying causes where possible, and executing
contingency plans if not.
Key Roles & Expectations
Excursion
Response
Follow-up &
Prevention
• Request a technician visit after every freeze alert
• Inform SIO of major events, and record on tracking
form

22. The SIO serves as the secondary respondent in the event of an excursion. Their primary
role is to ensure that excursions are being addressed, and are followed up as needed.
SIO
• To act as the Stage 2 Responder – ensuring that
actions are being taken, and supporting as needed.
Key Expectations
Excursion
Response
Follow-up &
Prevention
• Following major excursions, ensure that
technician visits are arranged and occur quickly.
• Monitor CCE and response performance using web
portal dashboard, and taking action as needed.
• Prepare monthly reports for the RMO and IVD on
performance and any issues encountered.

23. The DPHC/DI’s role is one of oversight, responsible for monitoring performance and
supporting the SCCO and SIO as necessary.
DPHC/DI
• As the Stage 3 responder, the RMO is responsible
for helping support the resolution of extended
excursions.
Key Expectations
Excursion
Response
Follow-up &
Prevention
• Monitor the performance of the WICR and staff
responses, using the web portal dashboards and
regular reports submitted by the RIVO. Key
Indicator Include:
– Number of Freeze Events in the past month
– Speed of response (<2 hours for freeze, <8 hours
for heat)
– Overall performance of fridge (time not in 2-8C)

24. The National Logistician’s primary role is to ensure that all system settings are
current and accurate, and to monitor national performance.
UNICEF
Logistician
Key Expectations
Follow-up &
Prevention
• Monitor the performance of the WICR and staff
responses, using the web portal dashboards and
regular reports submitted by the RIVO. Example:
– Number of Freeze Events in the past month
– Speed of response (<2 hours for freeze, <8 hours for
heat)
– Overall performance of fridge (time not in 2-8C)
System
Management
• Ensure that all user information, escalation trees
and system settings are kept up to date.

25. REPORTING TOOLS

26. Regular CCE performance tracking and review is critical to preventing future excursions
and ensuring that vaccines are being adequately protected.
Web Portal
Dashboard
Repair
Tracking on
CCIT
Monthly
Summary
Report
Allows users to review CCE
performance at any time
In the event of a breakdown, the CCIT
should be updated.
To provide SIOs and National
Logistician a summary of CCE
performance.
Reporting Tool Purpose Tool (User)
BW Portal
(All users)
CCIT
(SIO)
BW Portal
(SIO)