As a part of study aimed towards assessing the magnitude and key drivers of vaccine wastage rate, the general understanding is that wastage rates are typically higher for multi-dose vial vaccines in comparison to single dose vial vaccines. Also, while key drivers of wastage such as expiry, freezing, heat exposure have been identified, it's hard to understand the exact magnitude of wastage resulting from this areas. This makes it hard to identify the exact areas of programmatic intervention, especially in resource limited settings.
I was wondering if there are sentinel studies available that can be used to quantify the magnitude of wastage occurring break down by unopened and opened vial wastage rates, and also if possible provide estimates based on expiry, freezing, heat exposure and other reasons. Any suggestions on this area of work will be highly appreciated.
Thanks
Gaurav Kapoor
617 407 8837
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I suggest that we talk about Vaccine Usage. The number of vials used to immunize all the children. We had looked at this issue with respect to some areas of our district.
It is obvious that big institutions and areas with high population and high birth rates use less vials. As density drops, distance increases or birth rates drop the use is lower and smaller dose forms are needed.
Reach every child with good quality vaccine should be our main motto.
Centralized and extremely uniform rules will not work well in areas with wide geographic and demographic differences.
Prabir
PS- my views are entirely personal and should not be attributed to anyone else
Planning-Immunization-in-U-Dinajpur.xls
Dear Friends, The contradictions in having a policy of introducing newer vaccines like Pentavalent in India at a cost 10 times higher than basic vaccine available now and reducing vaccine wastage despite leaving some children unvaccinated by not opening multidose vial need to be addressed in a situation when we all know that the vaccine coverage in India have declined over the years and would keep
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