POST 00992E : COLD CHAIN CAPACITY ASSESSMENT
Follow-up on Posts 00965E, 00971E, 00974E and 00980E
15 October 2006
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NOTE : As posted on our website, we wish to inform you that registration
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This posting contains three contributions.
The first is from Anil Varshney (mailto:[email protected]) from India.
It was originally two contributions that were merged. He also sends the
"Cold Chain Volume Calculator" to which he referred in his previous
contribution. It is available for download at :
http://www.technet21.org/ColdChainVolumes-Varshney.xls . Figures show its
use in six districts.
The second contribution comes from Alejo Bejemino
(mailto:[email protected]) now with UNICEF/Pakistan. He also shares
spreadsheets for calculating cold chain capacity requirement used in the
earthquake-affected district of Muzaffarabad in Pakistan. It can be
downloaded from :
http://www.technet21.org/VaccineVolCalEADRoutine.xls (140K)
Finally, the third contribution is from Sanzan Diarra
(mailto:[email protected]) from Zimbabwe. He refers to two tools
that he used. The Cold Chain Capacity Planning Tool was sent to me by
Souleymane Koné along with the last revision of the Vaccine Volume
Calculator. These tools are not yet official but have circulated and been
used in some countries. So you can download them from :
http://www.technet21.org/Cold_Chain_Capacity_Planning_Tool_rev06.xls
(460K) and
http://www.technet21.org/Vaccine_Volume_Calculator_rev06.xls (310K)
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Dear ALL
The development and especially the IT power management software is good
news. One needs to look at it as well as how it is being implemented in the
state and levels at PHC. Difficulties faced ?
The success of such a software will save many dollars by way of better
vaccine management.
For calculating volumes, in the evsm _uzbk, was the external packaging
volume taken in consideration while calculating the total volume required
since vials are individually packed in paper cartons and these packages in
a large box which are kept in cold chain, at the Service delivery point. At
a later stage are the vials kept individually
regards,
Dr Anil Varshney
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Dear All,
Thanks for sharing the guide for cold chain capacity assessment at regional
level. I don't know if anyone has shared the same calculation done at
facility level.
I would like to share four spreadsheets for calculating cold chain capacity
requirement for Muzaffarabad district in Pakistan which was badly hit by
Oct 8, 2005 earthquake. The calculation was used as our guide for
revitalizing all the EPI facilities that were completely destroyed. Almost
all the cold chain refrigeration equipment were totally destroyed beyond
repair. Sixty EPI facilities with population data were included in this
exercise.
1. Spread sheet 1- Shows cold chain capacity requirement for earthquake
affected areas in Muzaffarabad with a vaccine working stock and safety
stock of 1 and 0.5 months respectively and calculated for EPI routine only.
RHC Danna which has the highest total population was highlighted to show
the corresponding quantities in doses and vials of each vaccine in the
Pakistan EPI programme. None of the facility has exceeded the 20 liters net
vaccine capacity of the ILR unit.
2. Spread sheet 2- just differs from Spreadsheet no. 1 in terms of vaccine
working stock and safety stock of 0.5 and 0.5 months respectively.
Again RHC Danna was highlighted to show a substantial reduction in the
quantities in doses, vials and liters of each vaccine in the Pakistan EPI
Programme.
3.Spread sheet 3- shows a combination of routine with vaccine working stock
and safety stock of 0.5 and 0.5 respectively and measles campaign only.
This time about 26 facilities have exceeded 20 liters net vaccine capacity
of the same ILR.
4.Spreadsheet 4- similar to spreadsheet no. 3 but combined with OPV NIDs
only. It was observed that only 3 EPI facilities have exceeded the 20
liters net vaccine capacity of the ILR.
All the EPI facilities in the earthquake affected districts/areas of
Pakistan have been reactivated in terms of EPI activities. Building
construction for completely destroyed facilities is still in progress.
Facilities with no electricity were provided with solar powered
refrigeration units with solar panels mounted on a separate support outside
the building or temporary shelter.
We know that this guide is not a perfect one however it helps in our cold
chain inventory and replacement of old cold chain equipment. Many of the
EPI facilities have more cold chain capacity when it comes to routine only
but insufficient capacity with the occurence of campaigns and mopping up
activities.
Hope this helps.
Best regards,
Alejo H. Bejemino
UNICEF-Pakistan
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To TechNet21 readers,
Following up on the ongoing discussions on cold chain capacity assessment,
I would like to share with you my experience on the subject.
As an independent consultant, I recently concluded a 2-month mission in
Central African Republic for national cold chain Inventory and assessment.
The main points of the terms of reference are as follows:
* To carry out the physical inventory and evaluation of the
functionality of cold chain equipments in the field at all levels: central
store, regional store, district store and health centres.
* To check the availability of management tools for cold chain
equipments at the different levels.
* To check and ensure that cold chain equipment is being correctly used
for the right purpose
* To constitute a database for cold chain equipment at all immunisation
centres and all the facilities involved in vaccines conservation. The
database to include: serial number of equipment, date of commissioning,
working state, used source of energy and name of the donor agency
* To draw the distribution map of cold chain equipment per category and
per location.
* To determine the cold chain storage capacity at regional, central and
national levels and make recommendations on future storage needs.
* To make recommendations for improvement of the management system of
cold chain equipments.
The collection of relevant information took us to 21 out of the 24 health
districts of the country, on a health centre to health centre basis. For
those districts we could not visit physically, the required information was
relayed to us through international NGOs based therein.
The “Cold Chain Inventory Toolâ€
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