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JHARKHAND

Fact Sheet

Immunization Cold
Chain and Vaccine
Logistics Network

1
JHA
1
State
Vaccine
Store

1 Regional
Vaccine
Store The cold chain system
in Jharkhand consists
of 816 working cold
chain equipment.

24
District
Vaccine 2
Stores Walk-in
Freezers

4
Walk-in
Coolers

215
Cold
Chain
Points 350
Ice-Lined
Refrigerators

456

36,732
Deep
Freezers

Session Sites 4
Solar
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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ARKHAND
JHARKHAND
The 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 Electronic Vaccine


26 215 Intelligence Network (eVIN)
Vaccine
Store
Cold
Chain has been implemented across
Keepers Handlers
all the vaccine stores and cold
The human resource network chain points in Jharkhand.
to manage vaccine logistics eVIN has facilitated capacity-
in Jharkhand consists of 26 building of all vaccine store
vaccine store keepers and keepers and cold chain
215 cold chain handlers. They
handlers in the state through
work under the guidance
of the State Immunization 17 batches of training
Officer, the State Cold Chain programmes on eVIN, during
Officer, District Immunization the last two quarters of 2016.
Officers and Medical Officers
eVIN equipped them with
in-Charge.
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.
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A Vaccine Supply Network
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 Stocks
The 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).

B Vaccine Delivery Mechanism


●● 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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C Cold Chain Equipment
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

Type of Equipment
Type of Store
WIF WIC ILR DF Solar Equipment
816
Total
2 4 350 456 4
SVS 1 3 - - -
RVS 1 1 3 7 -
DVS - - 87 97 -
CCP - - 260 352 4

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 equipment


The state has 1,686 functional large cold boxes and 2,043 functional small cold boxes.

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

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

D Human Resource
●● 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
State Vaccine

1 Regional Vaccine Store


Stores

24 District Vaccine Stores


215 Cold Chain Points
36,732 Session Sites

Ranchi Deoghar RVS


Regional Vaccine
Stores

17 DVSs 7 DVSs
157 CCPs 58 CCPs
25,723 SSs 11,009 SSs

Bokaro DVS Koderma DVS Deoghar DVS

9 CCPs 4 CCPs 9 CCPs


2,291 SSs 749 SSs 1,574 SSs

Chatra DVS Latehar DVS Dumka DVS

6 CCPs 8 CCPs 11 CCPs


1,101 SSs 1,132 SSs 1,716 SSs

Dhanbad DVS Lohardaga DVS Giridih DVS

8 CCPs 6 CCPs 12 CCPs


2,287 SSs 704 SSs 2,222 SSs

East Singhbhum DVS Palamu DVS Godda DVS


10 CCPs 11 CCPs 7 CCPs
1,797 SSs 1,953 SSs 1,636 SSs
Garhwa DVS Ramgarh DVS Jamtara
District Vaccine

8 CCPs 6 CCPs 4 CCPs


Stores

1,310 SSs 627 SSs 1,256 SSs

Gumla DVS Ranchi DVS Pakur DVS


12 CCPs 17 CCPs 7 CCPs
1,541 SSs 2,919 SSs 1,103 SSs

Hazaribagh DVS Saraikela DVS Sahebganj DVS

11 CCPs 8 CCPs 8 CCPs


1,729 SSs 1,429 SSs 1,502 SSs

Khunti DVS Simdega DVS

6 CCPs 8 CCPs
789 SSs 944 SSs

West Singhbhum DVS

19 CCPs
2,421 SSs

6
0 35 70 140 Kilometers
#
0

22

8
#
0
#
0
Deoghar
13
#
0 #
0
E 16

7 3 5
#
0
17 #
0
2 #
0
6 #
0
10
#
0 #
0
#
0 11

14 #
04
#
0 20 1 #
0
#
0
Code District
1 Bokaro 15
2 Chatra #
0
3 Deoghar 21 #
0
Ranchi
4 Dhanbad
5 Dumka
6 Garhwa
^
7 Giridih
8 Godda
9
#
0 #
0
12
9 Gumla
10 Hazaribagh
#
0
11 Jamtara
Figure 2: Map of Immunization Cold Chain Network in Jharkhand

12 Khunti 23
13 Kodarma
#
0
14 Latehar
15 Lohardaga #
024
16 Pakur #
0 19
17 Palamu Legend
18 Pashchimi Singhbhum 18
19 Purbi Singhbhum
20 Ramgarh
State Vaccine Store
21 Ranchi
^
22 Sahibganj E Regional Vaccine Store
23 Saraikela-kharsawan
24 Simdega #
0 District Vaccine Store
Cold Chain Points

7
8
Working Cold Chain Equipment
CCE Under
District SVS RVS DVS CCP Total CCE on Stand-By
Repair
WIF WIC WIF WIC ILR DF ILR DF ILR DF Solar
4 12 184 616
Total 816 7 83
1 3 1 1 3 7 87 97 260 352 4
Bokaro 3 3 13 17 36 1 1
Chatra 3 1 6 8 18
Deoghar 1 1 3 7 6 5 12 18 53 9
Dhanbad 4 4 11 14 33 7
Dumka 4 5 12 13 34 24
East Singhbhum 5 13 20 20 58 3
Garhwa 4 3 12 13 32 3
Giridih 2 4 11 12 29 5
Godda 2 4 7 10 23 5
Gumla 2 3 12 16 33 5
Hazaribagh 4 4 11 22 41 2 1
Jamtara 4 2 9 13 28 3
Khunti 2 3 7 6 18
Koderma 4 4 4 4 16
Latehar 2 3 9 13 27 3 5
Lohardaga 3 2 7 14 26
Pakur 2 3 8 10 23 8
Palamu 4 3 14 18 39
Ramgarh 3 3 7 10 23 1
Table 2: District-Wise Availability of Cold Chain Equipment in Jharkhand

Ranchi 1 3 4 5 18 29 60
Sahebganj 5 7 10 15 37 3
Saraikela 3 3 9 16 31 1
Simdega 4 4 9 13 30
West Singhbhum 8 6 22 28 4 68
Table 3: List of Vaccine Storage Points in Jharkhand

Name of Vaccine Name of Vaccine


Sr. No. District Sr. No. District
Storage Point Storage Point
1 Ranchi Ranchi SVS 45 Deoghar Karon CHC
2 Deoghar Deoghar RVS 46 Deoghar Madhupur CHC
3 Bokaro Bokaro DVS 47 Deoghar Mohanpur CHC
4 Chatra Chatra DVS 48 Deoghar Palajori CHC
5 Deoghar Deoghar DVS 49 Deoghar Sarath CHC
6 Dhanbad Dhanbad DVS 50 Deoghar Sarwan CHC
7 Dumka Dumka DVS 51 Dhanbad Baghmara CHC
8 East Singhbhum East Singhbhum DVS 52 Dhanbad Baliapur CHC
9 Garhwa Garhwa DVS 53 Dhanbad Dhanbad Sadar CHC
10 Giridih Giridih DVS 54 Dhanbad Govindpur CHC
11 Godda Godda DVS Jharia cum Jorapokhar
55 Dhanbad
12 Gumla Gumla DVS CHC

13 Hazaribagh Hazaribagh DVS 56 Dhanbad Nirsa CHC

14 Jamtara Jamtara DVS 57 Dhanbad Topchanchi CHC

15 Khunti Khunti DVS 58 Dhanbad Tundi CHC

16 Koderma Koderma DVS 59 Dumka MCH Dumka DH

17 Latehar Latehar DVS 60 Dumka Sadar Block CHC

18 Lohardaga Lohardaga DVS 61 Dumka Gopikander CHC

19 Pakur Pakur DVS 62 Dumka Jama CHC

20 Palamu Palamu DVS 63 Dumka Jarmundi CHC

21 Ramgarh Ramgarh DVS 64 Dumka Kathikund CHC

22 Ranchi Ranchi DVS 65 Dumka Masaliya CHC

23 Sahebganj Sahebganj DVS 66 Dumka Ramgarh CHC

Saraikela Kharsawan 67 Dumka Raneshwar CHC


24 Seraikela Kharsawan
DVS 68 Dumka Saraiyahat CHC
25 Simdega Simdega DVS 69 Dumka Shikaripara CHC
26 West Singhbhum West Singhbhum DVS 70 East Singhbhum Bahragora CHC
27 Bokaro Bermo CHC 71 East Singhbhum Chakulia CHC
BSL Sail Ispatnagar PH 72 East Singhbhum Dhalbhumgarh CHC
28 Bokaro
Hospital
73 East Singhbhum Dumaria CHC
29 Bokaro Chandankiyari CHC
74 East Singhbhum Ghatshila CHC
30 Bokaro Chas CHC
75 East Singhbhum Sadar Hospital DH
31 Bokaro Gomia CHC
Jugslaicum Golmuri
32 Bokaro Jaridih CHC 76 East Singhbhum
CHC
33 Bokaro Kasmar CHC 77 East Singhbhum Musabani CHC
34 Bokaro Nawadih CHC 78 East Singhbhum Patamda CHC
35 Bokaro Petarbar CHC 79 East Singhbhum Potka CHC
36 Chatra Chatra CHC 80 Garhwa Bhandaria CHC
37 Chatra Hunterganj CHC 81 Garhwa Bhawnathpur CHC
38 Chatra Itkhori CHC 82 Garhwa Dhurki CHC
39 Chatra Pratappur CHC 83 Garhwa Garhwa Sadar CHC
40 Chatra Simaria CHC 84 Garhwa Majhigaon CHC
41 Chatra Tandwa CHC 85 Garhwa Meral CHC
42 Deoghar Sadar DH 86 Garhwa Nagar Untari CHC
43 Deoghar Devipur CHC 87 Garhwa Ranka CHC
44 Deoghar Jasidih CHC 88 Giridih Bagodar CHC

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Name of Vaccine Name of Vaccine
Sr. No. District Sr. No. District
Storage Point Storage Point
89 Giridih Bengabad CHC 136 Khunti Khunti CHC
90 Giridih Birni CHC 137 Khunti Murhu CHC
91 Giridih Deori CHC 138 Khunti Rania CHC
92 Giridih Dumri CHC 139 Khunti Torpa RH
93 Giridih Gandey CHC 140 Koderma Jainagar CHC
94 Giridih Gawan CHC 141 Koderma Koderma CHC
95 Giridih Sadar Girdih CHC 142 Koderma Markacho CHC
96 Giridih Jamua CHC 143 Koderma Satgawan CHC
97 Giridih Pirtand CHC 144 Latehar Balumath CHC
98 Giridih Rajdhanwar CHC 145 Latehar Barwadih CHC
99 Giridih Tisri CHC 146 Latehar Chandwa CHC
100 Godda Boarijore CHC 147 Latehar Garu RH
101 Godda Sadar Godda CHC 148 Latehar Latehar CHC
102 Godda Mahagama CHC 149 Latehar MCH Latehar DH
103 Godda Meharma CHC 150 Latehar Mahuwadar CHC
104 Godda Pathergama CHC 151 Latehar Manika CHC
105 Godda Poraiyahat CHC 152 Lohardaga Bhandra CHC
106 Godda Sunderpahari CHC 153 Lohardaga Kisko CHC
107 Gumla Basia RH 154 Lohardaga Kuru CHC
108 Gumla Bharno CHC 155 Lohardaga Lohardaga CHC
109 Gumla Bishunpur CHC 156 Lohardaga MCH Unit DH
110 Gumla Chainpur CHC 157 Lohardaga Senha CHC
111 Gumla Dumri CHC 158 Pakur Amrapara CHC
112 Gumla Ghaghra CHC 159 Pakur Hiranpur CHC
113 Gumla Gumla DH 160 Pakur Littipara CHC
114 Gumla Gumla Sadar CHC 161 Pakur Maheshpur CHC
115 Gumla Kamdara CHC 162 Pakur Pakur Sadar CHC
116 Gumla Palkot CHC Sadar Hospital Sonajori
163 Pakur
DH
117 Gumla Raidih CHC
164 Pakur Pakuria CHC
118 Gumla Sisai RH
165 Palamu Bishrampur CHC
119 Hazaribagh Barhi CHC
166 Palamu Chainpur CHC
120 Hazaribagh Barkagawn CHC
167 Palamu Chatarpur CHC
121 Hazaribagh Barkatha CHC
168 Palamu Daltonganj CHC
122 Hazaribagh Bishnugarh CHC
169 Palamu Daltonganj UHC
123 Hazaribagh Chouparan CHC
170 Palamu Hariharganj CHC
124 Hazaribagh Churchu CHC
171 Palamu Hussainabad CHC
125 Hazaribagh Sadar CHC
172 Palamu Lesliganj CHC
126 Hazaribagh Sadar DH
173 Palamu Manatau CHC
127 Hazaribagh Ichak CHC
174 Palamu Panki CHC
128 Hazaribagh Katkamsandi CHC
175 Palamu Patan CHC
129 Hazaribagh Keredari CHC
176 Ramgarh Bharech Nagar RH
130 Jamtara Jamtara CHC
177 Ramgarh Gola CHC
131 Jamtara Kundhit CHC
178 Ramgarh Mandu CHC
132 Jamtara Nala CHC
179 Ramgarh Patratu CHC
133 Jamtara Narayanpur CHC
180 Ramgarh Ramgarh CHC
134 Khunti Arki CHC
181 Ramgarh Ramgarh DH
135 Khunti Karra CHC
182 Ranchi Angara CHC

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Name of Vaccine Name of Vaccine
Sr. No. District Sr. No District
Storage Point Storage Point
183 Ranchi Bero CHC 213 Seraikela Kharsawan Rajnagar CHC
184 Ranchi Bundu CHC 214 Seraikela Kharsawan Saraikela CHC
185 Ranchi Burmu CHC 215 Simdega Bano CHC
186 Ranchi Chanho CHC 216 Simdega Bolba CHC
187 Ranchi Kanke CHC 217 Simdega Jaldega CHC
188 Ranchi Lapung CHC 218 Simdega Kolebira CHC
189 Ranchi Mander CHC 219 Simdega Kurdeg CHC
190 Ranchi Namkum CHC 220 Simdega MCH DH
191 Ranchi Ormanjhi CHC 221 Simdega Simdega CHC
192 Ranchi Doranda UHC 222 Simdega Thethaitangar RH
193 Ranchi Hatia UHC 223 West Singhbhum Anandpur PHC
194 Ranchi MCH Sadar DH 224 West Singhbhum Bandgaon CHC
195 Ranchi Ratu CHC 225 West Singhbhum Barajamda CHC
196 Ranchi Silli CHC 226 West Singhbhum MCH Sadar Hospital DH
197 Ranchi Sonahatu CHC 227 West Singhbhum Sadar Chaibasa CHC
198 Ranchi Tamar CHC 228 West Singhbhum Chakradharpur CHC
199 Sahebganj Barhait CHC 229 West Singhbhum Goilkera CHC
200 Sahebganj Barharwa CHC 230 West Singhbhum Jagannathpur CHC
201 Sahebganj Borio CHC 231 West Singhbhum Jhinkpani CHC
202 Sahebganj Pathna CHC 232 West Singhbhum Karaikela PHC
203 Sahebganj Rajmahal CHC 233 West Singhbhum Khuntpani CHC
204 Sahebganj Sadar Block CHC 234 West Singhbhum Kumar Dungi CHC
205 Sahebganj Taljhari CHC 235 West Singhbhum Majhgoan CHC
206 Sahebganj Udhwa PHC 236 West Singhbhum Manjhari CHC
207 Seraikela Kharsawan Chandil CHC 237 West Singhbhum Manoharpur CHC
208 Seraikela Kharsawan Gamharia CHC 238 West Singhbhum Noamundi PHC
209 Seraikela Kharsawan Ichagarh CHC 239 West Singhbhum Sonua CHC
210 Seraikela Kharsawan Kharswan CHC 240 West Singhbhum Tantanagar CHC
211 Seraikela Kharsawan Kuchai CHC 241 West Singhbhum Tonto CHC
212 Seraikela Kharsawan Nimdih CHC

List of Abbreviations
AVD Alternate Vaccine Delivery PHC Primary Health Centre
ANM Auxiliary Nurse and Midwife RH Referral Hospital
CCE Cold Chain Equipment RVS Regional Vaccine Store
CCH Cold Chain Handler SE Solar Equipment
CCP Cold Chain Point SS Session Sites
CHC Community Health Centre SVS State Vaccine Store
DF Deep Freezer UHC Urban Health Centre
DH District Hospital UNDP United Nations Development Programme
DVS District Vaccine Store WIC Walk-in Cooler
eVIN Electronic Vaccine Intelligence Network WIF Walk-in Freezer
ILR Ice-Lined Refrigerator

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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.
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