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NATIONAL COLD CHAIN &
VACCINE MANAGEMENT
RESOURCE CENTRE
(NCCVMRC)
NATIONAL INSTITUTE OF HEALTH & FAMILY WELFARE
MINISTRY OF HEALTH & FAMILY WELFARE
GOVERNMENT OF INDIA
VISION
NCCVMRC will facilitate the establishment of a high
quality, effective and efficient immunization supply
chain in India to ensure universal immunization
coverage with safe and potent vaccines
MISSION
 Provide technical support for all cold chain & vaccine
logistics management initiatives at the national level
as per the directives of the Immunization Division,
Ministry of Health & Family Welfare, Government of
India
 Enhance the capacity of all staff, program managers
and policy makers in the country to run an effective
and efficient immunization supply chain
 Ensure the development of a comprehensive and
integrated monitoring system across all levels of the
immunization supply chain in the country
 Function as the nodal resource centre for all
immunization supply chain related research, training,
planning and policy initiatives in India
MANDATE
• Develop, operationalize and scale up the National Cold
Chain MIS and Vaccine Logistics management MIS across all
states, districts and cold chain points of India
• Conduct periodic assessments/ studies in CC&VLM
• Develop training packages on cold chain and vaccine
management based on training need, performance gap and
programme need
• Capacity building of Programme managers at all levels on
cold chain and vaccine management in addition to cold
chain technicians
• Undertake regular reviews of cold chain and vaccine
management both at national and state level
• Provide technical support to MoHFW and states on cold
chain equipment, building, spare parts standard and other
CC&VLM components.
• Undertake regular vaccine & cold chain temperature
monitoring of bulk vaccine storage sites to ensure vaccine
quality
• Function as the Secretariat for the NCCVLAP development
and implementation
• Function as national resource centre for conducting EVM at
national and state and development of improvement Plan
following the assessment
ACHIEVEMENTS
Activities
Training
Studies and
Assessment
Consultation
workshop
Technical
support to
MOHFW
NCCTC,
Pune
• 197 technicians trained on
WIC/WIF
• 3 batches SNCU Training for 3
states
• Developed draft training
module for ILR/DF and
WIC/WIF
• Temperature study of vaccine
carrier hold over time
• Prepared Proposal for Freeze
Markers study
• WHO-PQS workshop
NCCVMRC
New Delhi
• 280 technicians trained on
ILR/DF
• 172 state trainers trained on
NCCMIS
• Facilitators orientation on
ECCVMC
• Revised Cold chain handlers
training module
• National Cold Chain
assessment 2014
• Hybrid Solar System
evaluation in Maharashtra
• EVM assessment in Assam
and Odisha
• NCCVLAP workshop
• Participated in 3 MOHFW
• GOI Coding of spares in 2
meetings of CCE and vaccine
GMSDs
van specification
• Delhi and Himachal Pradesh
• Delhi SVS WIC failure
Support to
SVS WIC failure
• All NE states for CC planning
state ( Major
• All NE states for CC planning
and strengthening of CC
Cold chain
and strengthening of CC
• District level NCCMIS review
failure ,
• Health Equipment MIS
and training in 8 states
NCCMIS
Development for MH state
training ,
• Hybrid Solar Scale up in MH
• Retro fitting of WIC
NCCTC, Pune
• Developed and piloted face plate with Electronic
Innovation and microprocessor for replacement of spares in 11 states
CCE test
• Mapping of Indian compatible spare parts
laboratory
• Develop prototype of integrated AMF controller ,master logger
development
and temp controller for WIC/WIF
• Completed WHO-PQS laboratories visit and developed draft
Lab establishment proposal
MIS
NCCVMRC
development • NCCMIS implementation in all states and UTs
and
• NCCMIS maintenance and helpline support
maintenance • NCCMIS augmentation proposal
Temperature
NCCVMRC has a temperature monitoring cell which provides
Monitoring of
regular feedback to the 10 states with 54 cold room with
WIC/WIF
wireless data loggers
NATIONAL COLD CHAIN ASSESSMENT 2014
Primary Objective:
To assess the adequacy of the existing cold chain space in the country.
Secondary Objectives:

To project future cold chain requirements in view of newer vaccine
introduction.

To update the status of cold chain points across the country, including
electricity supply.

To assess the cold chain related staff and training status.

To provide information on dry storage space requirements at various levels.

To update the status of spare parts availability and requirement.

To assess the readiness of states for cold room installation.

To recommend solutions to develop improvement plan by states.

To validate the NCCMIS data through the NCCA field assessment.
Methodology
Desk Review
NCCMIS, CCO Review Meetings data
and National EVM Data
Data Collection
Certified copy of all the states on CCE
and infrastructure in the prescribed
Field validation
Field visits to assess the data as per
the primary and secondary
Analysis & documentation
Data analysis and report preparation
based on certified data and field
138 sites were covered by 48 investigators in the assessment consisting of 16 State Vaccine Stores, 30
Regional Vaccine Stores, 46 District Vaccine Stores and 46 Health Facilities.
Key findings:
Summary of cold chain equipment in the country
Equipment
type
WIC 32 m3
WIC 16.5 m3
No.
(CFC)
6
No.
Items stored
(CFCFree)
13 BCG, Measles, Pentavalent, TT, DPT, DT, HepB, JE
81
126 BCG, Measles, Pentavalent, TT, DPT, DT, HepB, JE
WIF 32 m3
NIL
8 OPV, Ice packs
WIF 20 m3
NIL
4 OPV, Ice packs
1
30 OPV, Ice packs
WIF 16.5 m3
ILR Large
1017
4325 BCG, Measles, Pentavalent, TT, DPT, DT, HepB, JE
ILR Small
9295
22,569 BCG, Measles, Pentavalent, TT, DPT, DT, HepB, JE,
DF Large
791
DF Small
7089
Cold box (20
Liters)
Cold box (5
Liters)
Vaccine
carrier
OPV
5499 OPV, ice packs
21,040 Ice packs
32,628 Mixed antigens
26,452 Mixed antigens
11,28,413 Mixed antigens
Summary requirement of additional cold chain equipment
Type of
equipment
Additional
equipment
required for
current UIP
Additional
requirement
for current UIP
+ IPV
Additional
equipment
required for
current UIP +
Rotavirus
Additional
equipment
required for
current UIP +
IPV + Rotavirus
WIC 32 m3
39
48
39
48
WIF 32 m3
23
23
38
38
ILR large
2124
2601
2742
3506
ILR small
11,641
11,641
11,641
11,641
DF large
54
54
54
54
DF small
10,327
10,327
10,327
10,327
Summary of HR requirement for cold chain
Total positions
needed
Designation
In position
Additional required
Cold chain officer
36
20
16
Vaccine and logistics
manager
36
5
31
Astt. Cold chain officer
15
Nil
15
Technical assistant
36
8
28
666
467
199
28,882
29,850
0
Cold chain technicians
Cold chain handlers
Distribution of Cold chain points
4000
No. of CCPs
3500
Pop/ CCP
3000
2500
2000
1500
1000
CCP
Pop/CCP
Daman & Diu
Lakshadweep
Dadra & Nagar Haveli
Goa
Sikkim
Puducherry
Andaman & Nicobar Islands
Mizoram
Chandigarh
Tripura
Manipur
Nagaland
Meghalaya
Jharkhand
Arunachal Pradesh
NCT Delhi
Uttarakhand
Chhattisgarh
Himachal Pradesh
Jammu & Kashmir
Bihar
Haryana
Assam
Punjab
Telangana
Orissa
Uttar Pradesh
Kerala
Madhya Pradesh
Andhra Pradesh
Gujarat
West Bengal
Rajasthan
Tamil Nadu
Karnataka
0
Maharashtra
500
200000
180000
160000
140000
120000
100000
80000
60000
40000
20000
0
NATIONAL COLD CHAIN MANAGEMENT
INFORMATION SYSTEM
During the various past State Expanded Programme Immunization Officers/Cold
Chain Officers Review meeting request has been made by the State Cold Chain
Officers to have a system which will be helpful in managing and monitoring the cold
chain equipment and also helpful in taking management decisions related to cold
chain using real time information. Acting on the felt need of a MIS system the MoHFW
in partnership with UNICEF developed the web based NCCMIS to monitor the cold
chain system in real time setting across the country.
The MoHFW looks at the NCCMIS not only as a software but as a comprehensive tool
to streamline the cold chain system. It is envisaged as a tool for planning and taking
management decisions based on real time information, as a monitoring tool for
current equipment status, as a repository of cold chain equipment for the country
and as a platform for future innovations in cold chain and vaccine management.
NIHFW, through the NCCVMRC, is responsible for the overall maintenance and
implementation monitoring of the NCCMIS across the country including providing
helpline support to end users.
The NCCMIS Dashboard
NCCMIS features
• More than 60 reports are generated at national, state, district, block and up
to PHC levels on key cold chain indicators including:
o Model Wise Inventory of cold chain equipment consisting of electrical
and non-electrical equipment
o Net Cold Chain Space availability
o Model wise breakdown status and durations
o Aging of equipment
o Repair and Preventive Maintenance details
o Availability and consumption of Spare parts
o Sickness rate
o Down time & Response time
o Cold chain point information
o Human resource and training status
• The NCCMIS enables program managers and policy makers to have a
comprehensive view of the cold chain system in their area and arrive at
decisions
o Track the entire life cycle and journey of cold chain equipment
o Provide an online inventory of cold chain equipment across the
country
o Record and monitor key cold chain performance indicators
o Facilitate cold chain equipment and space planning along with
replenishment strategy
o Facilitate cold chain point planning and rational distribution
o Human Resource availability and training status
o Procurement plan for cold chain equipment
o Projection of future space requirement in the event of increase
population, newer vaccine introduction
Proposed scope of NCCMIS augmentation
1. Integration of NCCMIS with various Vaccine and Logistic Management
Information System , Ex BVLMS, OVLMS, EVIN, State specific VLMIS with
creation of a Vaccine Management Module
2. Incorporate Effective Vaccine Management (EVM) assessment module with
NCCMIS
3. SMS system for Equipment and Vaccine update status at last cold chain point
4. File management system integration with NCCMIS for all official
communication related to cold chain and vaccine management
5. Cold chain & vaccine management Supportive Supervision Checklist
integration with NCCMIS.
6. GIS Mapping of all cold chain point, Sub center and Immunization session
7. Effective temperature monitoring system integration with NCCMIS for real
time temperature monitoring of all cold chain equipment
ONLINE TEMPERATURE MONITORING
54 WIC/ WIFs across 10 states have wireless data loggers installed which transmit
real time temperatures to the NCCMIS for continuous quality monitoring of bulk
vaccine stores
NCCVMRC regularly monitors the temperature reports and follows up with the states
in case any action is required based on the temperature readings observed.
The temperature monitoring dashboard