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 1Dewas16.5421.238,58235,07525 2Mandsaur13.9218.628,49825,90726 3Nemuch8.,6021.720,52918,66315 4Ratlam15.4026.444,73140,66426 5Agar6.0826.416,47214,9757 6Shajapur9.,8124.626,56024,14615 7Ujjain20.8223.654,06449,14933

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

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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