Lok Sabha Question No. 4450 (UNSTARRED), answered on 2020-03-20
Subject: Storage of Vaccines
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Prathap Simha

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

LOK SABHA UNSTARRED QUESTION NO. 4450 TO BE ANSWERED ON 20 TH MARCH, 2020

## STORAGE OF VACCINES

## 4450. SHRI PRATHAP SIMHA:

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 properstorage of vaccines in the rural areas, particularly those with an inadequate supply of electricity;

- (b) if so, t he details thereof during each of the last thr e years and the current year, State/UT -wise;
- (c) whether the Government proposes to encourage the use of solar - powered refrigerators and vaccine coolers to store vaccines in the rural areas; and
- (d) 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/U for proper storage of vaccines in the country including rural areas.

Under  the  programme  States/UTs  are  provided  with  Ice  lined  Refrigerators  (ILRs),  De Freezers (DFs), Walk - in - coolers (WIC), Walk - in Freezers (WIF), Solar refrigerators, cold box, vaccine carrier and Ice packs for proper storage and distribution of vaccines. The State/UT wise details of cold chain equipment rovided in the last three years and current year are given Annexure 1. The Ice lined Refrigerators (ILRs) storing vaccines are able to maintain the storage temperature for 24 hrs. with as little as 8 hrs. of intermittent power supplies. Re Mechanic/ Technicians are provided to State/UTs for maintenance and functionin g of these cold chain equipment and they are also provided in service training for repair & maintenance of these equipment .  In  addition,  the  States/UTs  are  also  provided  financial  support  for  cold maintenance. Th e State wise details of fund provided is given in Annexure 2.

- (c)& (d): Government hasalready provided 388 solar powered refrigerators and vaccine coolers to States/UTs to store vaccines. The State/UT wise details is annexed as Annexure 3

## States/UTs wise details of cold chain equipment

|       |                   | 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                     | 50                    |
| 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                     | 5                     | 10                    |
| 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                    | 5                     | 31                    |
| 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                    | 50                    | 0                     | 1                     | 282                   | 260                   |                       | 0                     | 0                     | 0                     | 0                     | 0                     |
| 36    | West Bengal       | 130                   |                       |                       |                       | 546                   | 447                   | 0                     | 2                     |                       | 0                     | 27                    | 38                    |
|       | Total             | 1850                  | 100 1469              | 0 16                  | 0 6                   | 13250                 | 10567                 | 0 14                  | 14                    | 0 126                 | 265                   | 283                   | 187                   |

Annexure 1

(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.

| 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 | Grand total               |    612.29 |    705.51 | 390.80    | 455.85    |

Details of solar powered refrigerators and vaccine coolers supplied to states/UTs

| S.No.   | State                    |   Quantity (in nos) |
|---------|--------------------------|---------------------|
| 1       | Andaman &Nicobar Islands |                   7 |
| 2       | Andhra Pradesh           |                   0 |
| 3       | Arunachal Pradesh        |                  49 |
| 4       | Assam                    |                  39 |
| 5       | Bihar                    |                   8 |
| 6       | Chandigarh               |                   0 |
| 7       | Chhattisgarh             |                  30 |
| 8       | Dadra & Nagar Haveli     |                   0 |
| 9       | Daman & Diu              |                   0 |
| 10      | Delhi                    |                   0 |
| 11      | Goa                      |                   0 |
| 12      | Gujarat                  |                   1 |
| 13      | Haryana                  |                   0 |
| 14      | Himachal Pradesh         |                   4 |
| 15      | Jammu and Kashmir        |                  17 |
| 16      | Jharkhand                |                  18 |
| 17      | Karnataka                |                   2 |
| 18      | Kerala                   |                   0 |
| 19      | Lakshadweep              |                   0 |
| 20      | Madhya Pradesh           |                  31 |
| 21      | Maharashtra              |                  16 |
| 22      | Manipur                  |                  30 |
| 23      | Meghalaya                |                  16 |
| 24      | Mizoram                  |                  10 |
| 25      | Nagaland                 |                  22 |
| 26      | Odisha                   |                  26 |
| 27      | Puducherry               |                   0 |
| 28      | Punjab                   |                   0 |
| 29      | Rajasthan                |                  19 |
| 30      | Sikkim                   |                   9 |
| 31      | Tamil Nadu               |                   0 |
| 32      | Telangana                |                   0 |
| 33      | Tripura                  |                   2 |
| 34      | Uttar Pradesh            |                  17 |
| 35      | Uttarakhand              |                  15 |
| 36      | West Bengal              |                   0 |
|         | Total                    |                 388 |