Report on Cold Chain Assessment of Jharkhand - 2005 - Nccvmtc.org

Cold Chain Assessment in Jharkhand!! APPENDIX A). Appendix B gives you a more detailed analysis.DistrictTable 21: Units of equipment required, summarized district-wiseNet requirement of new unitsILRDFSmall Large Small LargeBokaro 3 3 9 1Chatra 2 3Deoghar 1 4Dhanbad 3 4 4Dumka 5 8East Singhbhum 5 2 4Garhwa 1 4Giridih 1 4 2Godda 1 4Gumla 2 1 5Hazaribagh 2 1 2 2Jamtara 1 3Koderma 1 2Latehar 1 1 6Lohardaga 1Pakur 1Palamu 2 1 5Ranchi 5 4 11Sahebganj 3Saraikela Kharsawan 4 3Simdega 2 4West Singhbhum 6 7Grand Total 49 23 88 78.2. Medium-term! The WIC and the power back-up equipment at the Giridih district store must be repairedin order to supply vaccine to Deogarh, Godda, Sahibganj, Pakur, Dumka, Jamtara, andKoderma. It is recommended that an additional WIC be established at East Singhbhum(Jamshedpur) to supply vaccine to East and West Singhbhum, Saraikela, and Chaibasadistricts, and one at Palamu (Daltenganj) to supply vaccine to Chatra, Latehar, and Garwhadistricts. Districts like Hazaribagh, Gumla, Lohardaga and Dhanbad can continue toreceive vaccine directly from the Ranchi central store.! An intensive training programme needs to be conducted for all health workers with coldchain responsibilities covering importance of cold chain, equipment operation andmaintenance, site maintenance, temperature recording and its importance, handlingfreeze sensitive vaccines, conducting and interpreting the shake test, sharp waste disposaland efficient record keeping.! EPI training also needs to be conducted for middle-level managers.! Technician training programmes also need to be conducted, which should also cover bestpractices for CFC-free machines.! Drawing up a policy for systematic disposal of sharps and vaccine.! Budgetary allocations for fuel to run the generator must be made.45