Improving Efficiency of Vaccination Systems in Multiple States

What the Project is About

Improving Efficiency of Vaccination Systems in Multiple StatesPhoto: UNDP india

In partnership with the Ministry of Health and Family Welfare, Government of India, UNDP aims to support the UIP through designing and implementing the Electronic Vaccine Intelligence Network (eVIN), and strengthening the evidence base for improved policymaking in vaccine delivery, procurement and planning for new antigens. Supported by GAVI-the Vaccine Alliance, the health systems strengthening project aims to streamline and regularize the vaccine flow network by ensuring data-driven and efficient management of the immunization supply chain. The goal is to ensure equity in easy and timely availability of vaccines to all children. This will be achieved by systemizing vaccine recordkeeping, digitizing vaccine inventory, empowering cold chain handlers through capacity building, and tracking real-time temperature information of the cold chain equipment across all the vaccine storage cold chain points in the country. 

Achievements

What Have We Accomplished So FarPhoto: Prashanth Vishwanathan/UNDP india

●      Assessed the preparedness of states for adopting eVIN through a survey of the entire immunization cold chain network, enlisting details of personnel and processes.

●      Designed and implemented eVIN to enable real-time information on cold chain temperatures and vaccine stocks and flows in more than 505 districts, across 21 states and Union territories – Andhra Pradesh, Assam, Bihar, Chhattisgarh, Dadra and Nagar Haveli, Daman and Diu, Goa, Gujarat, Himachal Pradesh, Jharkhand, Karnataka, Madhya Pradesh, Maharashtra, Manipur, Nagaland, Odisha, Rajasthan, Telangana, Tripura, Uttar Pradesh and Uttarakhand.

●      Facilitated capacity building of more than 30,800 government staff, including store keepers, data entry operators and cold chain handlers, through training programmes using mobile and web-based eVIN application, across 20,200 vaccine stores and cold chain points leading to greater accountability, informed decision-making and efficient vaccine management.

●      Ensured efficient vaccine record-keeping by providing standard stock and distribution registers authorized by the Government of India at every cold chain point.

●      Ensured accurate temperature monitoring by installing more than 14,500 temperature loggers for facilitating safety of vaccines, promoting corrective action and preventive maintenance of cold chain equipment.

●      Achieved over 80% reduction in instances of vaccine stock-outs and ensured improved availability of adequate and potent UIP vaccines to all targeted children and pregnant women.

●      Achieved reduction in utilization of vaccines from 3,053 lakh doses in pre-eVIN period to 2,149 lakh doses in post-eVIN period across the initial 12 eVIN states, mostly on account of wastage and mismanagement, resulting into savings of approximately 900 lakh (90 million) doses of vaccines.

●      Supported a vaccine availability rate of over 99% at all cold chain points.

●      Systemized processes by initiating corrective action to revise target population for cold chain points that were earlier out-of-sync, improve vaccine storage infrastructure and encourage effective planning and distribution.

●      Supported evidence generation to guide the UIP by coordinating the Vaccines and Immunization Research Network (VIRN) and the Scientific Advisory Group (SAG) of the Ministry of Health and Family Welfare, and commissioning research grants.

●      eVIN won the GSMA Asia Mobile Award 2017 (AMO) for Outstanding Mobile Contribution to Sustainable Development Goals in Asia.

●      eVIN won the Public Health Initiative Silver Award at the India Health and Wellness Summit 2017.

●      eVIN from Madhya Pradesh was awarded as one of the Best Innovations at the Third National Summit on Good & Replicable Practices & Innovations in Public Health Care Systems in India held at Tirupati in August 2016.

●      Vaccine and Cold Chain Managers (VCCMs) deputed at the district levels and eVIN project staff have been recognised and awarded by the respective district and state administration for their outstanding effort and contribution to health care in various states.

●      The Health Department, Government of Gujarat and National Health Mission, Gujarat received a special recognition for successful implementation of the Measles Rubella Campaign and the Electronic Vaccine Intelligence Network in the state by Express Public Health Awards on the 5th of October 2018.



Looking to the Future

 
  • Promote improved efficiency of vaccine and cold chain management by upscaling eVIN in all the remaining states and union territories of India.
  • Automate the process of indenting and supplying vaccine using order management module based on historic actual consumption of vaccines and forecasting.
  • Build upon and upscale VALUE (Vaccine and Logistics Utilisation Evaluator)-a held device for capturing the data of vaccines administered, taking eVIN a step further to monitor reach till the last-mile beneficiaries.

Funding Support by

Donor Name Amount Contributed
GAVI US$ 41,000,000



Cumulative Expenditure in Previous Fiscal Years

Year Amount
2016 US$ 16,308,724
2015 US$ 9,654,733.34
2014 US$ 681,878



Featured Video

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Smarter Vaccine Management, Stronger Health Systems
Learn how a basic smartphone, an app and the commitment of people are transforming vaccine management in India to ensure no child is left behind to secure future generations.

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At the click of a button : Accessing Real-time Information of Vaccine Stocks with eVIN 
Kiran, a vaccine cold chain handler in the desert state of Rajasthan in India, explains how the electronic vaccine intelligence network has made management of vaccine stocks much simpler. eVIN is a mobile and web app that enables real-time visibility of vaccine stocks across all vaccine storage centres encouraging effective vaccine logistics management. 

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Video Guide- How to Use the eVIN Mobile Application (English and Hindi)
Vaccine store-keepers across India are taking to technology to efficiently manage the vaccine stocks at their centres. The comprehensive training video details step-by-step process of using the eVIN mobile app and introduces the users to the features and merits of the temperature loggers for effective remote temperature monitoring. 

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e-Steps to a Healthy Future: Encouraging Equity in Vaccine Availability
A project in partnership with the Ministry of Health & Family Welfare, eVIN is revolutionizing the way vaccines are stored and managed. Take a glimpse into how eVIN is plugging gaps to improve vaccination systems in India. 

Orin-Levine

Real-Time Data is Improving India’s Vaccine Systems
On a visit to India, Dr. Orin Levine of Bill and Melinda Gates Foundation saw the impact of eVIN, an important tool to modernize and strengthen India’s vaccine logistics systems. eVIN is an electronic, real-time monitoring system that helps healthcare officials ensure adequate supply of vaccines to every child in need, being rolled out in 12 states in the country.

GAVI-CEO

Exciting Innovations are Improving Vaccine Systems in India 
In an interview with UNDP, Dr. Seth Berkley, CEO of GAVI, the Vaccine Alliance, says eVIN, the electronic vaccine logistics management system being rolled out by UNDP is an exciting innovation that will help improve vaccine coverage in India, a country with the world’s largest birth cohorts. 

Stories of Change

evin, manipur, cold chainPhoto: UNDP India

An App For Better Health

Find out how eVIN is helping improve vaccination systems in Manipur, digitizing vaccine stocks at over 114 vaccine storage centres in 16 districts of the state.

women, vaccine, evinPhoto: UNDP India

eVIN eMPOWERING: Skilling women vaccine managers for digital healthcare

Women health workers in India are adopting and using technology at last mile health centres to perform their daily tasks of vaccine management in a smarter way.

eVin Improves Immunization Rates in Madhya PradeshPhoto: Prashanth Vishwanathan/UNDP India

eVin Improves Immunization Rates in Madhya Pradesh
In an interview with UNDP, V Kiran Gopal, Mission Director, National Health Mission in Madhya Pradesh says that since the introduction of eVIN, the central Indian state has been able to effectively manage vaccine inventories across the state, an exciting step in the country’s efforts to immunize every mother and child that requires it.

People, Processes and Products: Intelligent Vaccine Management in IndiaPhoto: Prashanth Vishwanathan/UNDP India

People, Processes and Products: Intelligent Vaccine Management in India
On a three-day visit to India, GAVI CEO Seth Berkley witnessed first hand, a technological innovation that’s making it possible to effectively and efficiently track vaccines in the country. 

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