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Success-Stories-on-Health-Sector

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PunJab<br />

PrEvEntivE maintEnanCE oF ColD CHain sYstEm anD nCCmis<br />

ProblEm statEmEnt<br />

Protecting health of the newborn children through<br />

immunisati<strong>on</strong> is an important interventi<strong>on</strong>. The<br />

delivery of safe and effective vaccines and minimising<br />

AEFIs requires a very efficient cold chain management<br />

system.<br />

ProgrammE DEsCriPti<strong>on</strong><br />

The State of Punjab has a populati<strong>on</strong> of 2.82 crores.<br />

There are 22 districts, 40 sub-divisi<strong>on</strong>s and 118<br />

health blocks. The 740 cold chain points require<br />

c<strong>on</strong>tinuous m<strong>on</strong>itoring for delivery of safe and<br />

effective vaccines. Preventive maintenance of Cold<br />

Chain Management was started in 2010. it was<br />

envisaged that the Refrigerator Mechanics (Cold Chain<br />

Technicians) would visit every cold chain point at least<br />

<strong>on</strong>ce in three m<strong>on</strong>ths in smaller districts (cold chain<br />

points less than 40) and <strong>on</strong>ce in 4 m<strong>on</strong>ths in larger<br />

districts (cold chain points more than 40). Mobility<br />

support was provided to all cold chain technicians<br />

under nRHM/nHM.<br />

Al<strong>on</strong>gwith preventive maintenance, NCCMIS was<br />

started as a pilot in the State of Punjab by Government of<br />

india. all informati<strong>on</strong> <strong>on</strong> cold chain system is available<br />

<strong>on</strong>line.<br />

ProgrammE outComEs<br />

There has been remarkable improvement in the<br />

breakdown rate of cold chains. as of December<br />

2014, the Cold Chain Sickness Rate in the State of<br />

Punjab is 0.3% which is probably the lowest in the<br />

country.<br />

imPlEmEnting PartnErs<br />

government of india for funding through nRHM/nHM.<br />

sCalabilitY<br />

The Preventive Maintenance System started by Punjab is<br />

now being scaled-up at the nati<strong>on</strong>al level.<br />

C<strong>on</strong>Clusi<strong>on</strong>s/lEss<strong>on</strong>s lEarnt<br />

Preventive maintenance of Cold Chain is very effective in<br />

maintaining the vaccines in good c<strong>on</strong>diti<strong>on</strong>. it lowers the<br />

Cold Chain Sickness Rate with the result that the vaccines<br />

are always stored in perfect c<strong>on</strong>diti<strong>on</strong> and lowers the risk<br />

of aEFis.<br />

C<strong>on</strong>tact<br />

Director Family Welfare, Punjab<br />

Email: ripunjab@gmail.com<br />

134 | Making a Difference : good, Replicable and innovative Practices

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