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Immunization Cold Chain and Vaccine Logistics Network

Fact Sheet

JHARKHAND

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JHARKHANDState Vaccine Store1

Regional Vaccine Store1

District Vaccine Stores24

Cold Chain Points215

Session Sites36,732

The cold chain system in Jharkhand consists of 816 working cold chain equipment.

4 Walk-in Coolers

2 Walk-in Freezers

350 Ice-Lined

Refrigerators

456Deep

Freezers

4Solar

Refrigerators

Sources of data:

॰ Live data from Electronic Vaccine Intelligence Network (eVIN), as accessed in July 2017. ॰ eVIN Preparatory Assessment Study, conducted by UNDP in year 2016, with updates provided by the state in 2017.

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JHARKHANDJHARKHANDThe Universal Immunization Programme in Jharkhand aims to immunize a target population of 8.41 lakh children and 9.34 lakh pregnant women, every year.

The human resource network to manage vaccine logistics in Jharkhand consists of 26 vaccine store keepers and 215 cold chain handlers. They work under the guidance of the State Immunization Officer, the State Cold Chain Officer, District Immunization Officers and Medical Officers in-Charge.

The Electronic Vaccine Intelligence Network (eVIN) has been implemented across all the vaccine stores and cold chain points in Jharkhand. eVIN has facilitated capacity-building of all vaccine store keepers and cold chain handlers in the state through 17 batches of training programmes on eVIN, during the last two quarters of 2016. eVIN equipped them with standardised stock registers and smartphones to digitise the vaccine stocks. The entire vaccine logistics data in Jharkhand is now digitised and real-time data is available for informed decision-making.

26 Vaccine Store Keepers

215 Cold Chain Handlers

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Vaccine Supply NetworkA

Vaccine Delivery MechanismB

The state vaccine store located at Ranchi, caters to the entire vaccine supply in the state, through 1 regional and 24 district vaccine stores. The district vaccine stores supply vaccines to the cold chain points located at the sub-district level that further provide vaccines to the session sites.

Dry StocksThe supply of dry stock in Jharkhand follows the same route as vaccines till the district vaccine store. The state dry stock store is supplied auto-disabled syringes of 0.1ml, and 0.5ml and disposable reconstitution syringes of 5ml, from manufacturers. The state dry stock store supplies these to all DVSs.

Cold Chain Points ● Jharkhand has an average number of 9 CCPs per district. However, there is a wide variation,

ranging from 4 CCPs each in Jamtara and Koderma to 19 CCPs in West Singhbhum (Chaibasa).

● 27 per cent of CCPs cater to a population of above 2 lakh, 38 per cent of CCPs cater to a population of 1-2 lakh and only 35 per cent of CCPs cater to a population of below 1 lakh.

Session Sites ● On an average, a district in Jharkhand has 1,531 session sites. Varying from 627 session sites in

district Ramgarh to 2,919 sites in district Ranchi.

● On an average, 171 session sites are catered by one CCP; ranging from 31 session sites catered by CHC Churchu in district Hazaribagh to 672 session sites catered by CHC Chas in district Bokaro. There are three other CCPs which cater to over 400 session sites, namely CHC Nirsa (451) and CHC Baghmara (432) in district Dhanbad and CHC Jugslai-cum-Golmuri (417) in district East Singhbhum.

● Majority of the session sites in Jharkhand are within the range of 30 km from respective CCPs. However, a couple of CCPs have farthest session sites at very long distances. These include three CCPs in district West Singhbhum - CHC Anandpur (145 km), CHC Manoharpur (130 km), and CHC Goilkera (110 km).

● Some other CCPs with session sites located at very long distances are CHC Manatau, Palamu (70 km), CHC Nawadih, Bokaro (65 km), CHC Chainpur, Gumla (65 km), CHC Ghatshila, East Singhbhum (60 km), CHC Mahuwadar, Latehar (58 km), CHC Bhandaria, Garhwa (55 km) and CHC Itkhori, Chatra (53 km).

● Around 96 per cent of vaccine delivery from CCPs to session sites is done by AVD and the rest is delivered through ANMs.

● Functional vaccine vans are available in all DVSs and districts Dumka, Giridih and Simdega have two functional vaccine vans each.

● Nineteen districts have a driver available for vaccine vans and majority of these are full-time drivers.

● Over 54 per cent DVSs follows pull mechanism of vaccine distribution, based on the requisition raised by CCPs, whereas 46 per cent DVSs supply vaccines as per availability.

● 75 per cent of the DVSs supply vaccines to CCPs on a monthly basis. The remaining percentage of CCPs supply vaccines more frequently.

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The immunization cold chain network of Jharkhand runs on 816 working cold chain equipment installed

across 241 vaccine stores and cold chain points. These include 2 walk-in freezer, 4 walk-in coolers, 350

ice-lined refrigerators, 456 deep freezers and 4 solar equipment.

Table 1: Working Cold Chain Equipment in Jharkhand

Moreover, there are 7 cold chain equipment on stand-by and 83 cold chain equipment under repair.

Additionally, around 330 ILRs and 200 DFs are under the process of procurement by the Government of

India for strengthening the cold chain infrastructure in Jharkhand.

Non-electrical cold chain equipmentThe state has 1,686 functional large cold boxes and 2,043 functional small cold boxes.

StabiliserAround 83 per cent of the functional ILRs and 81 per cent DFs are attached with a functional stabiliser.

ThermometerAround 85 per cent of DFs and ILRs are attached with a functional thermometer.

Cold Chain EquipmentC

Human ResourceD

Type of StoreType of Equipment

WIF WIC ILR DF Solar Equipment

Total816

2 4 350 456 4

SVS 1 3 - - -

RVS 1 1 3 7 -

DVS - - 87 97 -

CCP - - 260 352 4

● The state has 26 vaccine store keepers and 215 cold chain handlers. The position of CCHs is not vacant at any of the cold chain points.

● There is no dedicated position of CCH in the state and it is an assigned responsibility. In Jharkhand, over 65 per cent of the CCHs are either nurse or other health workers, the remaining are mostly fourth-grade staff.

● Nearly 31 per cent of CCHs hold diploma, graduate or post graduate qualification; 42 per cent are qualified upto 12th standard; and the remaining are qualified upto 10th standard.

● Only 72 per cent of the CCHs have received the training for cold chain handlers.

● All the CCHs have received the eVIN training.

● CCHs are provided supportive supervision on a regular basis.

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Figure 1: Immunization Cold Chain Network in Jharkhand

Ranchi SVS

1

24

215

36,732

Regional Vaccine Store

District Vaccine Stores

Cold Chain Points

Session Sites

Ranchi Deoghar RVS

17

157

25,723

DVSs

CCPs

SSs

7

58

11,009

DVSs

CCPs

SSs

Bokaro DVS Koderma DVS Deoghar DVS

9

2,291

CCPs

SSs

4

749

CCPs

SSs

9

1,574

CCPs

SSs

Chatra DVS Latehar DVS Dumka DVS

6

1,101

CCPs

SSs

8

1,132

CCPs

SSs

11

1,716

CCPs

SSs

Dhanbad DVS Lohardaga DVS Giridih DVS

8

2,287

CCPs

SSs

6

704

CCPs

SSs

12

2,222

CCPs

SSs

East Singhbhum DVS Palamu DVS Godda DVS

10

1,797

CCPs

SSs

11

1,953

CCPs

SSs

7

1,636

CCPs

SSs

Garhwa DVS Ramgarh DVS Jamtara

8

1,310

CCPs

SSs

6

627

CCPs

SSs

4

1,256

CCPs

SSs

Gumla DVS Ranchi DVS Pakur DVS

12

1,541

CCPs

SSs

17

2,919

CCPs

SSs

7

1,103

CCPs

SSs

Hazaribagh DVS Saraikela DVS Sahebganj DVS

11

1,729

CCPs

SSs

8

1,429

CCPs

SSs

8

1,502

CCPs

SSs

Khunti DVS Simdega DVS

6

789

CCPs

SSs

8

944

CCPs

SSs

West Singhbhum DVS

19

2,421

CCPs

SSs

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Regi

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7

Figure 2: Map of Immunization Cold Chain Network in Jharkhand

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eter

s

Code

1 2 3 4 5 6 7 8 9 10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

District

Bo

karo

Ch

atra

Deo

gh

arD

han

bad

Du

mka

Gar

hw

aG

irid

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od

da

Gu

mla

Haz

arib

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Jam

tara

Kh

un

tiK

od

arm

aL

ateh

arL

oh

ard

aga

Pak

ur

Pal

amu

Pas

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ing

hb

hu

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urb

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gh

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um

Ram

gar

hR

anch

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kela

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wan

Sim

deg

a

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Table 2: District-Wise Availability of Cold Chain Equipment in JharkhandD

istr

ict

Wo

rkin

g C

old

Ch

ain

Eq

uip

me

nt

To

tal

CC

E o

n S

tan

d-B

yC

CE

Un

de

r R

ep

air

SV

SR

VS

DV

SC

CP

WIF

WIC

WIF

WIC

ILR

DF

ILR

DF

ILR

DF

So

lar

To

tal

41

21

84

61

68

16

78

31

31

13

78

79

72

60

35

24

Bo

karo

33

13

17

36

11

Ch

atra

31

68

18

Deo

gh

ar1

13

76

51

21

85

39

Dh

anb

ad4

41

11

43

37

Du

mka

45

12

13

34

24

Eas

t Sin

gh

bh

um

51

32

02

05

83

Gar

hw

a4

31

21

33

23

Gir

idih

24

11

12

29

5

Go

dd

a2

47

10

23

5

Gu

mla

23

12

16

33

5

Haz

arib

agh

44

11

22

41

21

Jam

tara

42

91

32

83

Kh

un

ti2

37

61

8

Ko

der

ma

44

44

16

Lat

ehar

23

91

32

73

5

Lo

har

dag

a3

27

14

26

Pak

ur

23

81

02

38

Pal

amu

43

14

18

39

Ram

gar

h3

37

10

23

1

Ran

chi

13

45

18

29

60

Sah

ebg

anj

57

10

15

37

3

Sar

aike

la3

39

16

31

1

Sim

deg

a4

49

13

30

Wes

t Sin

gh

bh

um

86

22

28

46

8

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Table 3: List of Vaccine Storage Points in Jharkhand

Sr. No. District Name of Vaccine Storage Point

1 Ranchi Ranchi SVS

2 Deoghar Deoghar RVS

3 Bokaro Bokaro DVS

4 Chatra Chatra DVS

5 Deoghar Deoghar DVS

6 Dhanbad Dhanbad DVS

7 Dumka Dumka DVS

8 East Singhbhum East Singhbhum DVS

9 Garhwa Garhwa DVS

10 Giridih Giridih DVS

11 Godda Godda DVS

12 Gumla Gumla DVS

13 Hazaribagh Hazaribagh DVS

14 Jamtara Jamtara DVS

15 Khunti Khunti DVS

16 Koderma Koderma DVS

17 Latehar Latehar DVS

18 Lohardaga Lohardaga DVS

19 Pakur Pakur DVS

20 Palamu Palamu DVS

21 Ramgarh Ramgarh DVS

22 Ranchi Ranchi DVS

23 Sahebganj Sahebganj DVS

24 Seraikela Kharsawan Saraikela Kharsawan DVS

25 Simdega Simdega DVS

26 West Singhbhum West Singhbhum DVS

27 Bokaro Bermo CHC

28 Bokaro BSL Sail Ispatnagar PH Hospital

29 Bokaro Chandankiyari CHC

30 Bokaro Chas CHC

31 Bokaro Gomia CHC

32 Bokaro Jaridih CHC

33 Bokaro Kasmar CHC

34 Bokaro Nawadih CHC

35 Bokaro Petarbar CHC

36 Chatra Chatra CHC

37 Chatra Hunterganj CHC

38 Chatra Itkhori CHC

39 Chatra Pratappur CHC

40 Chatra Simaria CHC

41 Chatra Tandwa CHC

42 Deoghar Sadar DH

43 Deoghar Devipur CHC

44 Deoghar Jasidih CHC

Sr. No. District Name of Vaccine Storage Point

45 Deoghar Karon CHC

46 Deoghar Madhupur CHC

47 Deoghar Mohanpur CHC

48 Deoghar Palajori CHC

49 Deoghar Sarath CHC

50 Deoghar Sarwan CHC

51 Dhanbad Baghmara CHC

52 Dhanbad Baliapur CHC

53 Dhanbad Dhanbad Sadar CHC

54 Dhanbad Govindpur CHC

55 Dhanbad Jharia cum Jorapokhar CHC

56 Dhanbad Nirsa CHC

57 Dhanbad Topchanchi CHC

58 Dhanbad Tundi CHC

59 Dumka MCH Dumka DH

60 Dumka Sadar Block CHC

61 Dumka Gopikander CHC

62 Dumka Jama CHC

63 Dumka Jarmundi CHC

64 Dumka Kathikund CHC

65 Dumka Masaliya CHC

66 Dumka Ramgarh CHC

67 Dumka Raneshwar CHC

68 Dumka Saraiyahat CHC

69 Dumka Shikaripara CHC

70 East Singhbhum Bahragora CHC

71 East Singhbhum Chakulia CHC

72 East Singhbhum Dhalbhumgarh CHC

73 East Singhbhum Dumaria CHC

74 East Singhbhum Ghatshila CHC

75 East Singhbhum Sadar Hospital DH

76 East Singhbhum Jugslaicum Golmuri CHC

77 East Singhbhum Musabani CHC

78 East Singhbhum Patamda CHC

79 East Singhbhum Potka CHC

80 Garhwa Bhandaria CHC

81 Garhwa Bhawnathpur CHC

82 Garhwa Dhurki CHC

83 Garhwa Garhwa Sadar CHC

84 Garhwa Majhigaon CHC

85 Garhwa Meral CHC

86 Garhwa Nagar Untari CHC

87 Garhwa Ranka CHC

88 Giridih Bagodar CHC

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Sr. No. District Name of Vaccine Storage Point

89 Giridih Bengabad CHC

90 Giridih Birni CHC

91 Giridih Deori CHC

92 Giridih Dumri CHC

93 Giridih Gandey CHC

94 Giridih Gawan CHC

95 Giridih Sadar Girdih CHC

96 Giridih Jamua CHC

97 Giridih Pirtand CHC

98 Giridih Rajdhanwar CHC

99 Giridih Tisri CHC

100 Godda Boarijore CHC

101 Godda Sadar Godda CHC

102 Godda Mahagama CHC

103 Godda Meharma CHC

104 Godda Pathergama CHC

105 Godda Poraiyahat CHC

106 Godda Sunderpahari CHC

107 Gumla Basia RH

108 Gumla Bharno CHC

109 Gumla Bishunpur CHC

110 Gumla Chainpur CHC

111 Gumla Dumri CHC

112 Gumla Ghaghra CHC

113 Gumla Gumla DH

114 Gumla Gumla Sadar CHC

115 Gumla Kamdara CHC

116 Gumla Palkot CHC

117 Gumla Raidih CHC

118 Gumla Sisai RH

119 Hazaribagh Barhi CHC

120 Hazaribagh Barkagawn CHC

121 Hazaribagh Barkatha CHC

122 Hazaribagh Bishnugarh CHC

123 Hazaribagh Chouparan CHC

124 Hazaribagh Churchu CHC

125 Hazaribagh Sadar CHC

126 Hazaribagh Sadar DH

127 Hazaribagh Ichak CHC

128 Hazaribagh Katkamsandi CHC

129 Hazaribagh Keredari CHC

130 Jamtara Jamtara CHC

131 Jamtara Kundhit CHC

132 Jamtara Nala CHC

133 Jamtara Narayanpur CHC

134 Khunti Arki CHC

135 Khunti Karra CHC

Sr. No. District Name of Vaccine Storage Point

136 Khunti Khunti CHC

137 Khunti Murhu CHC

138 Khunti Rania CHC

139 Khunti Torpa RH

140 Koderma Jainagar CHC

141 Koderma Koderma CHC

142 Koderma Markacho CHC

143 Koderma Satgawan CHC

144 Latehar Balumath CHC

145 Latehar Barwadih CHC

146 Latehar Chandwa CHC

147 Latehar Garu RH

148 Latehar Latehar CHC

149 Latehar MCH Latehar DH

150 Latehar Mahuwadar CHC

151 Latehar Manika CHC

152 Lohardaga Bhandra CHC

153 Lohardaga Kisko CHC

154 Lohardaga Kuru CHC

155 Lohardaga Lohardaga CHC

156 Lohardaga MCH Unit DH

157 Lohardaga Senha CHC

158 Pakur Amrapara CHC

159 Pakur Hiranpur CHC

160 Pakur Littipara CHC

161 Pakur Maheshpur CHC

162 Pakur Pakur Sadar CHC

163 Pakur Sadar Hospital Sonajori DH

164 Pakur Pakuria CHC

165 Palamu Bishrampur CHC

166 Palamu Chainpur CHC

167 Palamu Chatarpur CHC

168 Palamu Daltonganj CHC

169 Palamu Daltonganj UHC

170 Palamu Hariharganj CHC

171 Palamu Hussainabad CHC

172 Palamu Lesliganj CHC

173 Palamu Manatau CHC

174 Palamu Panki CHC

175 Palamu Patan CHC

176 Ramgarh Bharech Nagar RH

177 Ramgarh Gola CHC

178 Ramgarh Mandu CHC

179 Ramgarh Patratu CHC

180 Ramgarh Ramgarh CHC

181 Ramgarh Ramgarh DH

182 Ranchi Angara CHC

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Sr. No. District Name of Vaccine Storage Point

183 Ranchi Bero CHC

184 Ranchi Bundu CHC

185 Ranchi Burmu CHC

186 Ranchi Chanho CHC

187 Ranchi Kanke CHC

188 Ranchi Lapung CHC

189 Ranchi Mander CHC

190 Ranchi Namkum CHC

191 Ranchi Ormanjhi CHC

192 Ranchi Doranda UHC

193 Ranchi Hatia UHC

194 Ranchi MCH Sadar DH

195 Ranchi Ratu CHC

196 Ranchi Silli CHC

197 Ranchi Sonahatu CHC

198 Ranchi Tamar CHC

199 Sahebganj Barhait CHC

200 Sahebganj Barharwa CHC

201 Sahebganj Borio CHC

202 Sahebganj Pathna CHC

203 Sahebganj Rajmahal CHC

204 Sahebganj Sadar Block CHC

205 Sahebganj Taljhari CHC

206 Sahebganj Udhwa PHC

207 Seraikela Kharsawan Chandil CHC

208 Seraikela Kharsawan Gamharia CHC

209 Seraikela Kharsawan Ichagarh CHC

210 Seraikela Kharsawan Kharswan CHC

211 Seraikela Kharsawan Kuchai CHC

212 Seraikela Kharsawan Nimdih CHC

Sr. No District Name of Vaccine Storage Point

213 Seraikela Kharsawan Rajnagar CHC

214 Seraikela Kharsawan Saraikela CHC

215 Simdega Bano CHC

216 Simdega Bolba CHC

217 Simdega Jaldega CHC

218 Simdega Kolebira CHC

219 Simdega Kurdeg CHC

220 Simdega MCH DH

221 Simdega Simdega CHC

222 Simdega Thethaitangar RH

223 West Singhbhum Anandpur PHC

224 West Singhbhum Bandgaon CHC

225 West Singhbhum Barajamda CHC

226 West Singhbhum MCH Sadar Hospital DH

227 West Singhbhum Sadar Chaibasa CHC

228 West Singhbhum Chakradharpur CHC

229 West Singhbhum Goilkera CHC

230 West Singhbhum Jagannathpur CHC

231 West Singhbhum Jhinkpani CHC

232 West Singhbhum Karaikela PHC

233 West Singhbhum Khuntpani CHC

234 West Singhbhum Kumar Dungi CHC

235 West Singhbhum Majhgoan CHC

236 West Singhbhum Manjhari CHC

237 West Singhbhum Manoharpur CHC

238 West Singhbhum Noamundi PHC

239 West Singhbhum Sonua CHC

240 West Singhbhum Tantanagar CHC

241 West Singhbhum Tonto CHC

PHC Primary Health Centre

RH Referral Hospital

RVS Regional Vaccine Store

SE Solar Equipment

SS Session Sites

SVS State Vaccine Store

UHC Urban Health Centre

UNDP United Nations Development Programme

WIC Walk-in Cooler

WIF Walk-in Freezer

AVD Alternate Vaccine Delivery

ANM Auxiliary Nurse and Midwife

CCE Cold Chain Equipment

CCH Cold Chain Handler

CCP Cold Chain Point

CHC Community Health Centre

DF Deep Freezer

DH District Hospital

DVS District Vaccine Store

eVIN Electronic Vaccine Intelligence Network

ILR Ice-Lined Refrigerator

List of Abbreviations

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Jharkhand - Factsheet, Immunization Cold Chain and Vaccine Logistics Network, 2017.

Prepared and printed by the United Nations Development Programme for the Ministry of Health and Family Welfare, Government of India.