Lok Sabha Question No. 3185 (UNSTARRED), answered on 2019-12-06
Subject: Storage of Vaccines
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Achyutananda Samanta

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 3185 TO BE ANSWERED ON 6 TH DECEMBER, 2019

## STORAGE OF VACCINES

## 3185. SHRI ACHYUTANANDA SAMANTA:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether the Government has extended financial and technical support to the States/UTs for proper storage of vaccines in the rural areas, particularly those with inadequate supply of electricity;
- (b) if s o, the details thereof during each of the last three years and the current year, State/UT wise; and
- (c) whether the Government proposes to encourage use of solar powered refrigerators and vaccine  coolers  to  store vaccines  in  the  country  particularly  in Odisha,  if  so,  the  details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

(a) & (b): Yes,  Government  has  extended  financial  and  technical  support  to  the States/UTs for proper storage of vac cines in the country including rural areas.

Under the programme States/UTs are provided with Ice lined Refrigerators (ILRs) Deep Freezers (DFs), Walk - in - coolers (WIC), Walk - in Freezers (WIF), Solar refrigerators, cold boxes, vaccine carriers and Ice pa cks for proper storage and distribution of vaccines. The  State/UT  wise  details  of  cold  chain  equipments  provided  in  the  last  three  year current year are given in Annexure 1. The Ice lined Refrigerators (ILRs) storing vacci able  to  maintain  the vaccine  storage  temperature  for  24  hrs.  with  as  little  as  8  hours intermittent power supplies. In addition, the States/UTs are also provided financial for cold chain maintenance. The State/UTs wise details of funds provided in the last years and current year are given in Annexure 2.

- (c): Government  has  already  provided  388  solar  refrigerators  to  16  States/UTs  si 2010- 11 to  store  vaccines  in  the  country of  which  26  solar  refrigerators  are  supplied  to Odisha.

|       |                   | Supplied in 2016-17   | Supplied in 2016-17   | Supplied in 2016-17   | Supplied in 2016-17   | Supplied in 2017-18   | Supplied in 2017-18   | Supplied in 2017-18   | Supplied in 2017-18   | Supplied in 2018-19   | Supplied in 2018-19   | Supplied in 2019-20   | Supplied in 2019-20   |
|-------|-------------------|-----------------------|-----------------------|-----------------------|-----------------------|-----------------------|-----------------------|-----------------------|-----------------------|-----------------------|-----------------------|-----------------------|-----------------------|
| S.No. | State/ UT         | ILR                   | DF                    | WIC                   | WI F                  | ILR                   | DF                    | WIC                   | WIF                   | ILR                   | DF                    | ILR                   | DF                    |
| 1     | A&N               | 5                     | 5                     | 0                     | 0                     | 7                     | 5                     | 0                     | 0                     | 0                     | 0                     | 0                     | 0                     |
| 2     | Andhra Pradesh    | 60                    | 120                   | 0                     | 1                     | 1129                  | 1045                  | 1                     | 1                     | 0                     | 0                     | 0                     | 0                     |
| 3     | Arunachal Pradesh | 5                     | 5                     | 0                     | 0                     | 86                    | 48                    | 0                     | 0                     | 0                     | 0                     | 0                     | 0                     |
| 4     | Assam             | 30                    | 50                    | 1                     | 0                     | 330                   | 295                   | 0                     | 1                     | 0                     | 0                     | 0                     | 0                     |
| 5     | Bihar             | 110                   | 100                   | 2                     | 0                     | 599                   | 143                   | 3                     | 2                     | 0                     | 15                    | 0                     | 0                     |
| 6     | Chandigarh        | 5                     | 5                     | 0                     | 0                     | 43                    | 58                    | 0                     | 0                     | 0                     | 0                     | 0                     | 0                     |
| 7     | Chhattisgarh      | 50                    | 50                    | 1                     | 0                     | 162                   | 219                   | 0                     | 0                     | 30                    | 30                    | 0                     | 0                     |
| 8     | Dadra &Nagar      | 10                    | 10                    | 0                     | 0                     | 10                    | 10                    | 0                     | 0                     | 0                     | 0                     | 0                     | 0                     |
| 9     | Daman &Diu        | 10                    | 10                    | 0                     | 0                     | 11                    | 10                    | 0                     | 0                     | 0                     | 0                     | 0                     | 0                     |
| 10    | Delhi             | 45                    | 20                    | 0                     | 0                     | 198                   | 153                   | 0                     | 0                     | 75                    | 68                    | 0                     | 0                     |
| 11    | Goa               | 10                    | 10                    | 0                     | 0                     | 14                    | 10                    | 0                     | 0                     | 0                     | 0                     | 0                     | 0                     |
| 12    | Gujarat           | 104                   | 100                   | 1                     | 1                     | 874                   | 570                   | 1                     | 1                     | 0                     | 0                     | 0                     | 0                     |
| 13    | Haryana           | 60                    | 45                    | 1                     | 0                     | 295                   | 114                   | 5                     | 1                     | 0                     | 68                    | 0                     | 26                    |
| 14    | Himachal Pradesh  | 50                    | 20                    | 0                     | 0                     | 247                   | 248                   | 0                     | 0                     | 0                     | 0                     | 0                     | 0                     |
| 15    | Jammu &Kashmir    | 80                    | 80                    | 0                     | 0                     | 342                   | 306                   | 0                     | 0                     | 0                     | 0                     | 0                     | 0                     |
| 16    | Jharkhand         | 65                    | 45                    | 1                     | 1                     | 333                   | 209                   | 0                     | 0                     | 0                     | 0                     | 0                     | 0                     |
| 17    | Karnataka         | 85                    | 60                    | 0                     | 0                     | 1140                  | 1093                  | 1                     | 1                     | 0                     | 0                     | 50                    | 0                     |
| 18    | Kerala            | 71                    | 60                    | 0                     | 0                     | 865                   | 859                   | 0                     | 0                     | 0                     | 0                     | 0                     | 0                     |
| 19    | Lakshadweep       | 3                     | 1                     | 0                     | 0                     | 14                    | 10                    | 0                     | 0                     | 0                     | 0                     | 0                     | 0                     |
| 20    | Madhya Pradesh    | 120                   | 90                    | 2                     | 1                     | 494                   | 333                   | 0                     | 1                     | 0                     | 60                    | 0                     | 18                    |
| 21    | Maharashtra       | 140                   | 80                    | 2                     | 0                     | 941                   | 855                   | 0                     | 0                     | 0                     | 0                     | 95                    | 40                    |
| 22    | Manipur           | 5                     | 5                     | 0                     | 0                     | 43                    | 38                    | 0                     | 0                     | 0                     | 0                     | 0                     | 0                     |
| 23    | Meghalaya         | 5                     | 4                     | 0                     | 0                     | 43                    | 38                    | 0                     | 0                     | 21                    | 4                     | 0                     | 0                     |
| 24    | Mizoram           | 5                     | 5                     | 1                     | 0                     | 43                    | 38                    | 0                     | 0                     | 0                     | 0                     | 0                     | 0                     |
| 25    | Nagaland          | 5                     | 2                     | 0                     | 0                     | 62                    | 65                    | 0                     | 0                     | 0                     | 0                     | 0                     | 0                     |
| 26    | Odisha            | 110                   | 70                    | 1                     | 1                     | 504                   | 447                   | 0                     | 0                     | 0                     | 20                    | 0                     | 0                     |
| 27    | Puducherry        | 5                     | 5                     | 0                     | 0                     | 21                    | 23                    | 0                     | 0                     | 0                     | 0                     | 0                     | 0                     |
| 28    | Punjab            | 40                    | 20                    | 0                     | 0                     | 352                   | 380                   | 0                     | 1                     | 0                     | 0                     | 0                     | 0                     |
| 29    | Rajasthan         | 80                    | 35                    | 0                     | 0                     | 551                   | 285                   | 0                     | 0                     | 0                     | 0                     | 101                   | 0                     |
| 30    | Sikkim            | 2                     | 2                     | 0                     | 0                     | 52                    | 48                    | 0                     | 0                     | 0                     | 0                     | 0                     | 0                     |
| 31    | Tamil Nadu        | 85                    | 70                    | 1                     | 0                     | 893                   | 803                   | 1                     | 1                     | 0                     | 0                     | 0                     | 0                     |
| 32    | Telangana         | 85                    | 50                    | 0                     | 0                     | 513                   | 475                   | 1                     | 1                     | 0                     | 0                     | 0                     | 0                     |
| 33    | Tripura           | 5                     | 5                     | 0                     | 0                     | 71                    | 57                    | 0                     | 0                     | 0                     | 0                     | 0                     | 0                     |
| 34    | Uttar Pradesh     | 130                   | 80                    | 2                     | 0                     | 1140                  | 570                   | 1                     | 2                     | 0                     | 0                     | 0                     | 0                     |
| 35    | Uttarakhand       | 40                    |                       |                       |                       |                       |                       |                       | 0                     | 0                     |                       |                       | 0                     |
| 36    | West Bengal       | 130                   | 50                    | 0                     | 1                     | 282 546               | 260 447               | 0                     | 2                     |                       | 0                     | 0 27                  | 38                    |
|       | Total             | 1850                  | 100 1469              | 0 16                  | 0 6                   | 13250                 | 10567                 | 0 14                  | 14                    | 0 126                 | 0 265                 | 273                   | 122                   |

Annexure-2 State/UTs wise details of cold chain maintenance funds provided in last three years and current

year

| S.N.        | States                    |   2016-17 |   2017-18 | 2018-19   | 2019-20   |
|-------------|---------------------------|-----------|-----------|-----------|-----------|
| 1           | Andhra Pradesh            |     13.8  |     14.5  | 12.82     | 15.95     |
| 2           | Andaman & Nicobar Islands |      0.65 |      0.65 | 1.00      | 0.92      |
| 3           | Arunachal Pradesh         |      4.68 |      4.68 | 6.08      | 8.87      |
| 4           | Assam                     |     10.17 |    101.37 | 11.12     | 17.52     |
| 5           | Bihar                     |     12.96 |     12.96 | 35.86     | 19.30     |
| 6           | Chandigarh                |      1.6  |      1.6  | 1.60      | 2.00      |
| 7           | Chhattisgarh              |     22.2  |     22.2  | 14.60     | 14.27     |
| 8           | Dadra& Nagar Haveli       |      0.15 |      0    | 0.50      | 0.50      |
| 9           | Daman& Diu                |      0.45 |      0.45 | 0.00      | 0.00      |
| 10          | Delhi                     |      6.15 |      6.15 | 8.94      | 8.94      |
| 11          | Goa                       |      0.57 |      0.59 | 0.60      | 0.60      |
| 12          | Gujarat                   |     23.39 |     19.61 | 19.34     | 26.55     |
| 13          | Haryana                   |      8.33 |      9    | 8.66      | 14.03     |
| 14          | Himachal Pradesh          |      8.12 |      8.12 | 2.04      | 7.34      |
| 15          | Jammu & Kashmir           |      8.68 |      8.68 | 12.00     | 12.71     |
| 16          | Jharkhand                 |      5.06 |      5.06 | 8.24      | 8.92      |
| 17          | Karnataka                 |     24.45 |     25.72 | 23.90     | 25.28     |
| 18          | Kerala                    |     10.22 |      8.4  | 8.40      | 11.50     |
| 19          | Lakshadweep               |      0.22 |      0.23 | 0.30      | 0.30      |
| 20          | Madhya Pradesh            |     19.69 |     19.69 | 20.56     | 29.75     |
| 21          | Maharashtra               |     31.78 |     37.93 | 44.26     | 47.50     |
| 22          | Manipur                   |      2.11 |      2.11 | 2.11      | 5.00      |
| 23          | Meghalaya                 |      3.03 |      3.03 | 3.61      | 4.54      |
| 24          | Mizoram                   |      1.7  |      1.7  | 1.70      | 0.50      |
| 25          | Nagaland                  |      2.75 |      2.75 | 2.84      | 4.12      |
| 26          | Orissa                    |     16.52 |     16.52 | 28.14     | 28.14     |
| 27          | Puducherry                |      0.8  |      0.8  | 1.00      | 1.00      |
| 28          | Punjab                    |     20.89 |     20.89 | 20.89     | 20.89     |
| 29          | Rajasthan                 |     26.92 |     21.72 | 20.40     | 34.05     |
| 30          | Sikkim                    |      0    |      1    | 1.00      | 1.65      |
| 31          | Tamil Nadu                |     17.93 |     20.27 | 20.42     | 25.51     |
| 32          | Telangana                 |      7.74 |      7.99 | 7.99      | 9.02      |
| 33          | Tripura                   |      2.27 |      2.45 | 3.39      | 3.30      |
| 34          | Uttar Pradesh             |     19.94 |     19.42 | 28.36     | 37.25     |
| 35          | Uttarakhand               |      4.27 |      5.17 | 8.13      | 8.13      |
| 36          | West Bengal               |    272.1  |    272.1  | *         | *         |
| Grand total |                           |    612.29 |    705.51 | 390.80    | 455.85    |

(Rs. in Lakhs)

* Budget for Cold Chain Maintenance is provisioned under Bio-Medical Equipment Maintenance Programme (BMMP). For BMMP, it was Rs. 2863.81 Lakh for the year 2018-19 and Rs.2510.52 Lakh for the year 2018-19.