Assessment Of Vaccine Wastage in A Tertiary Care Centre of District Rohtak, Haryana
Keywords:
vaccine wastage rate, BCG, polio, pentavalent, Hep-BAbstract
Background: India released its first national vaccine policy in 2011. India is facing such less coverage and one of the rationales behind it is mismanagement of vaccine logistics. Vaccine wastage is de- fined as loss by use, decay, erosion or leakage or through wasteful- ness.
Methods: This was a record based descriptive study carried out at immunization clinic of Pt. B.D Sharma PGIMS, Rohtak. The infor- mation of vaccine vials used at immunization clinic and children (up to age of 16 years) vaccinated were retrieved from the immun- ization registers for the reference period of 1st October 2013 and 31st December 2013.
Results: Among individual vaccines, wastage factor and wastage rate was highest for BCG and was lowest for pentavalent vaccine. Differences in wastage rates for different vial size were statistically significant. Wastage factor and wastage rate were higher in lyoph- ilized vaccines (2.75) and (63.76%) compared to that of liquid vac- cines i.e. (1.35) and (26.36%).
Conclusion: Vaccine wastage can be obtained by actual monitoring of the immunization clinic. This can save significant funds for an immunization programme if wastage can be reduced without af- fecting the coverage.
References
National Immunization Technical Advisory Groups. Na- tional vaccine policy. New Delhi: Ministry of Health and Family Welfare, Government of India; 2011.
NHM Health Management Information System (HMIS) Portal. Results of District Level Household Survey-IV. New Delhi: Ministry of Health and Family Welfare, Gov- ernment of India; 2012-2013
Travasso Cheryl. “Mission Indradhanush” targets India’s unvaccinated children. The BMJ 2015;350:h1688.
United Nation International Children’s Emergency Fund.Vaccine wastage assessment: field assessment and observations from national stores and five selected states of India. New York: UNICEF; 2010. Available at http://www.unicef.org/india/Vaccine_Wastage_Assess- ment_India.pdf. Accessed on 10th March 2015
World Health Organization. Monitoring vaccine wastage at country. Geneva: World Health Organization; 2011. Available at www.who.int/vaccines-documents/. Ac- cessed on 10th March 2015.
Department of Health and Family Welfare. Immunization handbook for medical officers. New Delhi: Ministry of Health and Family Welfare, Government of India; 2008. P. 31-2.
Directorate General of Health Services National Immun- ization Schedule for Infants, Children and Pregnant Women. Revised IPHS guidelines. New Delhi: Ministry of Health & Family Welfare. Government of India; 2010.
Verma R, Khanna P, Chawla S, Bairwa M, Prinja S, Rajput
M. Haemophilus influenzae type b (Hib) vaccine: an effec- tive control strategy in India. Hum Vaccin 2011; 7:1158 - 60; http://dx.doi.org/10.4161/hv.7.11.17683; PMID: 22048118
Mehta S, Umrigar P, Patel PB, Bansal RK. Evaluation of vaccine wastage in Surat. Natl J Community Med 2013;4:15-9.
Praveena DA, Selvaraj K, Veerakumar AM, Nair D, Ramaswamy G, Chinnakali P. Vaccine wastage assess- ment in a primary care setting in rural India. Int J Contemp Pediatr 2015;2:7-11.
Mukherjee A, Ahluwalia TP, Gaur LN, Mittal R, Kambo I, Saxena NC, et al. Assessment of vaccine wastage during a pulse polio immunization programme in India. J Health Popul Nutr 2004;22:13-8.
Palanivel C, Kulkarni V, Kalaiselvi S, Baridalyne N. Vac- cine wastage assessment in a primary care setting in urban India. J Ped Sci 2012;4:119.
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