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‘‘A Shot in the Arm’A Shot in the Arm’
The India Story…
Electronic Vaccine Intelligence Network (eVIN)Electronic Vaccine Intelligence Network (eVIN)
Dr. Rakesh Kumar, UNDP-IndiaDr. Rakesh Kumar, UNDP-India
25 August, 2017 (Bangkok)
India: A Story of Numbers..
• 27,000 Health
facilities
• 70,000 CCEs
(Cold Chain Equip)
• 1.25 bn population
• 30 mn pregnancies
• 27 mn newborns
• 100 mn <5 years age
• 650 mn doses of Vaccines
• 10 mn vaccination sessions
• Vaccination: Biggest Public
Health Program globally
India faces Threefold challenge in Vaccination Programme:
•Improving the coverage (Quantity)
o Mission Indradhanush (Rainbow)
•Expanding the basket of vaccines (New Vaccines)
o New vaccines-IPV, PCV, Rota, MR introduced
•Quality of vaccines-Supply & Cold Chain
o eVIN….
The Quality Issues: Vaccine Supply & Cold Chain Challenges…
Poor record-keeping
Diverse terrain
Mismatch in demand & supply
No real-time stock visibility No visibility of storage temperatures
More Challenges at Health facilities…
Electricity
Supply
Availability of
‘Functional’
Computer
Availability of
Data Entry Operator
Internet
Access
Hence three critical questions cajole your mind..
Where are
my vaccines?
Are they
stored in
adequate
quantities?
Are they
stored at right
temperatures?
One such success story among many…
But India is also a Success Story in making…
• Govt of India (GoI) partnered with Gavi
• $107 Million USD for HSS-1 (UNDP-$38 mn USD)
• GoI selected UNDP as partner to implement HHS-1 with UNICEF and WHO
• We conceived the idea and piloted in two districts of Uttar Pradesh in 2014
• Once convinced then replicated in three big States-UP, MP and Rajasthan
• Scaled up in 9 more states in 2016
• $100 millions USD available from Gavi HSS-2 (UNDP-$40 mn USD)
• Further expansion in remaining states/UT by 2018 end/early 2019
Inducted a Strong Army-Human Resource Network
National Committee
State Officers
Regional Managers
District Manager
Continuous feedback for health workers and officials in the network
Capacity Built at all levels: 16,500 trained till date
INTENSIVE
TRAINING
eVIN Solution - Digitizing vaccine system
HOW IT WORKS…
Optimized Data Entry - Simple Tools - Contextual Analytics
a) Vaccine Data: From Physical to Digital
b) Temperature Data
• Temperature sensors installed
in ILRs/DFs which send
temperatures
• Multiple monitoring points –
top, middle, bottom, ambient
• Hot/cold alarms, analytics on
vaccine exposure & asset
functioning
• Remote logger device
management
9500+ village stores,
500+ stores above district
Finally, Big Data and Actionable Analytics
Per month
> 2M transactions
> 80M temperature samples
Qualitative feedback
> 15 major indicators
Footprint
> 500GB of raw data
> 2TB of analytical data
Real Time Monitoring
System
Real-time Visibility of Vaccine Data
eVIN doing miracles:
1. Weekly Reporting Rate > 95%
2. Stock-Out Reduction – Post eVIN
3. Stock-Out Duration Reduced – Post eVIN
4. Vaccine Availability Index Best ever..
5. Cold Chain Space Assessment
(For Introduction of New Vaccines)
Helping Real Time monitoring of CC space…
6. Huge Cost Savings…
• Three States: Uttar Pradesh,Three States: Uttar Pradesh,
Madhya Pradesh and GujaratMadhya Pradesh and Gujarat
• One Vaccine: PentavalentOne Vaccine: Pentavalent
Final Scale to be Achieved..
36 States and Union Territories
27,000 Vaccine Storage Points
56,000 Government Staff Trained
55,000 Temperature Sensors
650 Million Doses Tracked
And New Products beyond the Health Sector…
eVIN set to go Global: 6-Country delegation meeting with Mr. CK Mishra,
Union Secretary of Health & Family Welfare, Govt of India-New Delhi
Thank You

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A Shot in the Arm: The India Story of Electronic Vaccine Intelligence Network (eVIN)

  • 1. ‘‘A Shot in the Arm’A Shot in the Arm’ The India Story… Electronic Vaccine Intelligence Network (eVIN)Electronic Vaccine Intelligence Network (eVIN) Dr. Rakesh Kumar, UNDP-IndiaDr. Rakesh Kumar, UNDP-India 25 August, 2017 (Bangkok)
  • 2. India: A Story of Numbers.. • 27,000 Health facilities • 70,000 CCEs (Cold Chain Equip) • 1.25 bn population • 30 mn pregnancies • 27 mn newborns • 100 mn <5 years age • 650 mn doses of Vaccines • 10 mn vaccination sessions • Vaccination: Biggest Public Health Program globally
  • 3. India faces Threefold challenge in Vaccination Programme: •Improving the coverage (Quantity) o Mission Indradhanush (Rainbow) •Expanding the basket of vaccines (New Vaccines) o New vaccines-IPV, PCV, Rota, MR introduced •Quality of vaccines-Supply & Cold Chain o eVIN….
  • 4. The Quality Issues: Vaccine Supply & Cold Chain Challenges… Poor record-keeping Diverse terrain Mismatch in demand & supply No real-time stock visibility No visibility of storage temperatures
  • 5. More Challenges at Health facilities… Electricity Supply Availability of ‘Functional’ Computer Availability of Data Entry Operator Internet Access
  • 6. Hence three critical questions cajole your mind.. Where are my vaccines? Are they stored in adequate quantities? Are they stored at right temperatures?
  • 7. One such success story among many… But India is also a Success Story in making…
  • 8. • Govt of India (GoI) partnered with Gavi • $107 Million USD for HSS-1 (UNDP-$38 mn USD) • GoI selected UNDP as partner to implement HHS-1 with UNICEF and WHO • We conceived the idea and piloted in two districts of Uttar Pradesh in 2014 • Once convinced then replicated in three big States-UP, MP and Rajasthan • Scaled up in 9 more states in 2016 • $100 millions USD available from Gavi HSS-2 (UNDP-$40 mn USD) • Further expansion in remaining states/UT by 2018 end/early 2019
  • 9. Inducted a Strong Army-Human Resource Network National Committee State Officers Regional Managers District Manager Continuous feedback for health workers and officials in the network
  • 10. Capacity Built at all levels: 16,500 trained till date INTENSIVE TRAINING
  • 11. eVIN Solution - Digitizing vaccine system
  • 13. Optimized Data Entry - Simple Tools - Contextual Analytics a) Vaccine Data: From Physical to Digital
  • 14. b) Temperature Data • Temperature sensors installed in ILRs/DFs which send temperatures • Multiple monitoring points – top, middle, bottom, ambient • Hot/cold alarms, analytics on vaccine exposure & asset functioning • Remote logger device management
  • 15. 9500+ village stores, 500+ stores above district Finally, Big Data and Actionable Analytics Per month > 2M transactions > 80M temperature samples Qualitative feedback > 15 major indicators Footprint > 500GB of raw data > 2TB of analytical data
  • 16. Real Time Monitoring System Real-time Visibility of Vaccine Data
  • 17. eVIN doing miracles: 1. Weekly Reporting Rate > 95%
  • 18. 2. Stock-Out Reduction – Post eVIN
  • 19. 3. Stock-Out Duration Reduced – Post eVIN
  • 20. 4. Vaccine Availability Index Best ever..
  • 21. 5. Cold Chain Space Assessment (For Introduction of New Vaccines) Helping Real Time monitoring of CC space…
  • 22. 6. Huge Cost Savings… • Three States: Uttar Pradesh,Three States: Uttar Pradesh, Madhya Pradesh and GujaratMadhya Pradesh and Gujarat • One Vaccine: PentavalentOne Vaccine: Pentavalent
  • 23. Final Scale to be Achieved.. 36 States and Union Territories 27,000 Vaccine Storage Points 56,000 Government Staff Trained 55,000 Temperature Sensors 650 Million Doses Tracked And New Products beyond the Health Sector…
  • 24. eVIN set to go Global: 6-Country delegation meeting with Mr. CK Mishra, Union Secretary of Health & Family Welfare, Govt of India-New Delhi

Editor's Notes

  1. There are three critical questions for effective vaccine logistics management: 1. Where are my vaccines? 2. Are there adequate stocks? 3. Are they stored at recommended temperatures?
  2. eVIN answers these questions by addressing three aspects of vaccination systems – Technology, Human Resource and Governance.
  3. Evin is a simple, smart, user-friendly mobile application accompanied by a state of the art cloud-based server and web interface.
  4. For the first time ever, eVIN provides health officials real-time visibility of stock, temperature, power supply for analysis and review of vaccines management.