Document Detail

Assessing cold chain status in a metro city of India: an intervention study.
MedLine Citation:
PMID:  21572868     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Cold chain maintenance is an essential activity to maintain the potency of vaccines and to prevent adverse events following immunization. One baseline study highlighted the unsatisfactory cold chain status in city of Kolkata in India.
OBJECTIVES: To assess the changes which occurred in the cold chain status after the intervention undertaken to improve the status and also to assess the awareness of the cold chain handlers regarding cold chain maintenance.
METHODS: Intervention consisted of reorganization of cold chain points and training of health manpower in Kolkata Municipal area regarding immunization and cold chain following the guidelines as laid by Govt of India. Reevaluation of cold chain status was done at 20 institutions selected by stratified systematic random sampling after the intervention. The results were compared with baseline survey.
RESULTS: Significant improvement had been observed in correct placing of cold chain equipment, maintenance of stock security, orderly placing of ice packs, diluents and vaccines inside the equipment, temperature recording and maintenance. But awareness and skill of cold chain handlers regarding basics of cold chain maintenance was not satisfactory.
CONCLUSIONS: The success of intervention included significant improvement of cold chain status including creation of a designated cold chain handler. The gaps lay in non-availability of non-electrical cold chain equipment and separate cold chain room, policy makers should stress. Cold chain handlers need reorientation training regarding heat & cold sensitive vaccines, preventive maintenance and correct contingency plan.
S Mallik; P K Mandal; C Chatterjee; P Ghosh; N Manna; D Chakrabarty; S N Bagchi; S Dasgupta
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  African health sciences     Volume:  11     ISSN:  1729-0503     ISO Abbreviation:  Afr Health Sci     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-05-16     Completed Date:  2011-07-28     Revised Date:  2013-06-28    
Medline Journal Info:
Nlm Unique ID:  101149451     Medline TA:  Afr Health Sci     Country:  Uganda    
Other Details:
Languages:  eng     Pagination:  128-33     Citation Subset:  IM    
Dept of Community Medicine, Midnapur Medical College, West Midnapur, West Bengal, India.
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MeSH Terms
Cold Temperature
Drug Storage / standards*
Health Knowledge, Attitudes, Practice
Health Personnel
Intervention Studies
Professional Competence
Program Evaluation
Quality Assurance, Health Care
Refrigeration / methods,  standards*
Urban Population
Vaccines / supply & distribution*
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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