Lok Sabha Question No. 3363 (UNSTARRED), answered on 2021-12-17
Subject: Storage of vaccines in rural areas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Tapir Gao, Anil Firojiya

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

## LOK SABHA UNSTARRED QUESTION NO. 3363 TO BE ANSWERED ON 17 TH  DECEMBER, 2021

## STORAGE OF VACCINES IN RURAL AREAS

## 3363.   SHRI TAPIR GAO: SHRI ANIL FIROJIYA:

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

- (a) whether the Government has provided financial and technical assistance to the State/UTs for proper storage of vaccines in rural areas especially in view of the insufficient supply of power;
- (b) if so, the details thereof and the assistance provided during the last three years and the current years, State/UT-wise;
- (c) whether  the  Government  proposes  to  encourage  the  use  of  solar  power  operated refrigerators and vaccine coolers for the storage of vaccines in rural areas; and
- (d) if so, the details thereof?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(DR. BHARATI PRAVIN PAWAR)

(a)  &  (b)  Government  has  provided  financial  and  technical  assistance  to  the  States  and  UTs  for proper storage of vaccines in the country including rural areas having inadequate power supply.

Under the Universal Immunization Programme (UIP), states/UTs are provided with Ice lined Refrigerators (ILRs), Deep 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 provided in the last three years and current year are given in Annexure 1a and 1b. The Ice lined Refrigerators (ILRs) storing vaccines are able to maintain the vaccine storage temperature for 24 hrs. with as little as 8 hrs. of intermittent power supplies.  Refrigerator  Mechanic/  Technicians  are  provided  to  State/UTs  for  maintenance  and functioning 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 chain maintenance. The State/UT wise details of fund provided are given in Annexure 2.

(c)  &  (d)  Government  has  already  provided  441  solar  power  operated  refrigerators  and  vaccine coolers for the storage of vaccines to 22 States/UTs across the country. The details are as follows:

Andaman  &  Nicobar  Islands-7,  Arunachal  Pradesh-80,  Assam-62,  Bihar-5,  Chhatisgarh-21, Himachal  Pradesh-5,  Jammu  and  Kashmir-16,  Ladakh-5,  Jharkhand-6,  Karnataka-2,  Madhya Pradesh-24,  Maharashtra-18,  Manipur-30,  Meghalaya-19,  Mizoram-13,  Nagaland-26,  Odisha-26, Rajasthan-19, Sikkim-10, Tripura-11, Uttar Pradesh-17 and Uttarakhand-19.

Annexure-1a States/UTs wise details of cold chain equipment supplied during last three years and current year

| S. No.   | State/ UT                 | Supplied in 2018-19   | Supplied in 2018-19   | Supplied in 2019-20   | Supplied in 2019-20   | Supplied in 2020 - 21   | Supplied in 2020 - 21   | Supplied in 2020 - 21   | Supplied in 2020 - 21   | Supplied in 2021 - 22 (as on 12 th December 2021)   | Supplied in 2021 - 22 (as on 12 th December 2021)   | Supplied in 2021 - 22 (as on 12 th December 2021)   | Supplied in 2021 - 22 (as on 12 th December 2021)   | Supplied in 2021 - 22 (as on 12 th December 2021)   |
|----------|---------------------------|-----------------------|-----------------------|-----------------------|-----------------------|-------------------------|-------------------------|-------------------------|-------------------------|-----------------------------------------------------|-----------------------------------------------------|-----------------------------------------------------|-----------------------------------------------------|-----------------------------------------------------|
| S. No.   | State/ UT                 | ILR                   | DF                    | ILR                   | DF                    | ILR                     | DF                      | WIC                     | WIF                     | ILR                                                 | DF                                                  | WIC                                                 | WIF                                                 | SDD                                                 |
| 1        | Andaman & Nicobar Islands | 0                     | 0                     | 0                     | 0                     | 13                      | 5                       | 0                       | 0                       | 3                                                   | 4                                                   | 0                                                   | 0                                                   | 0                                                   |
| 2        | Andhra Pradesh            | 0                     | 0                     | 0                     | 0                     | 568                     | 71                      | 0                       | 0                       | 158                                                 | 547                                                 | 4                                                   | 1                                                   | 0                                                   |
| 3        | Arunachal Pradesh         | 0                     | 0                     | 0                     | 50                    | 71                      | 25                      | 0                       | 0                       | 49                                                  | 70                                                  | 0                                                   | 0                                                   | 4                                                   |
| 4        | Assam                     | 0                     | 0                     | 0                     | 0                     | 389                     | 138                     | 0                       | 0                       | 70                                                  | 268                                                 | 1                                                   | 1                                                   | 4                                                   |
| 5        | Bihar                     | 0                     | 15                    | 0                     | 0                     | 752                     | 306                     | 1                       | 1                       | 184                                                 | 606                                                 | 8                                                   | 3                                                   | 0                                                   |
| 6        | Chandigarh                | 0                     | 0                     | 0                     | 0                     | 19                      | 10                      | 0                       | 1                       | 20                                                  | 28                                                  | 0                                                   | 0                                                   | 0                                                   |
| 7        | Chhattisgarh              | 30                    | 30                    | 0                     | 0                     | 226                     | 68                      | 0                       | 0                       | 45                                                  | 174                                                 | 2                                                   | 1                                                   | 0                                                   |
| 8        | Dadra & Nagar             | 0                     | 0                     | 0                     | 0                     | 53                      | 12                      | 0                       | 0                       | 2                                                   | 10                                                  | 0                                                   | 0                                                   | 0                                                   |
| 9        | Daman & Diu               | 0                     | 0                     | 0                     | 0                     | 10                      | 2                       | 0                       | 0                       | 1                                                   | 3                                                   | 0                                                   | 0                                                   | 0                                                   |
| 10       | Delhi                     | 75                    | 68                    | 0                     | 0                     | 263                     | 86                      | 0                       | 1                       | 17                                                  | 203                                                 | 1                                                   | 0                                                   | 0                                                   |
| 11       | Goa                       | 0                     | 0                     | 5                     | 10                    | 10                      | 2                       | 0                       | 0                       | 17                                                  | 2                                                   | 0                                                   | 0                                                   | 0                                                   |
| 12       | Gujarat                   | 0                     | 0                     | 0                     | 0                     | 308                     | 30                      | 0                       | 0                       | 50                                                  | 111                                                 | 2                                                   | 1                                                   | 0                                                   |
| 13       | Haryana                   | 0                     | 68                    | 5                     | 31                    | 147                     | 94                      | 0                       | 1                       | 76                                                  | 195                                                 | 0                                                   | 0                                                   | 0                                                   |
| 14       | Himachal Pradesh          | 0                     | 0                     | 0                     | 0                     | 111                     | 70                      | 3                       | 2                       | 9                                                   | 3                                                   | 0                                                   | 0                                                   | 1                                                   |
| 15       | Jammu & Kashmir           | 0                     | 0                     | 0                     | 0                     | 214                     | 108                     | 1                       | 1                       | 186                                                 | 203                                                 | 0                                                   | 1                                                   | 5                                                   |
| 16       | Jharkhand                 | 0                     | 0                     | 0                     | 0                     | 130                     | 27                      | 0                       | 0                       | 28                                                  | 54                                                  | 4                                                   | 2                                                   | 0                                                   |
| 17       | Karnataka                 | 0                     | 0                     | 50                    | 0                     | 930                     | 125                     | 0                       | 0                       | 158                                                 | 1072                                                | 2                                                   | 2                                                   | 0                                                   |
| 18       | Kerala                    | 0                     | 0                     | 0                     | 0                     | 232                     | 27                      | 0                       | 0                       | 70                                                  | 204                                                 | 2                                                   | 1                                                   | 0                                                   |
| 19       | Ladakh                    | 0                     | 0                     | 0                     | 0                     | 29                      | 10                      | 0                       | 0                       | 56                                                  | 43                                                  | 0                                                   | 0                                                   | 0                                                   |
| 20       | Lakshadweep               | 0                     | 0                     | 0                     | 0                     | 16                      | 12                      | 0                       | 0                       | 0                                                   | 1                                                   | 0                                                   | 0                                                   | 0                                                   |
| 21       | Madhya Pradesh            | 0                     | 60                    | 0                     | 18                    | 436                     | 131                     | 0                       | 0                       | 14                                                  | 202                                                 | 3                                                   | 5                                                   | 0                                                   |
| 22       | Maharashtra               | 0                     | 0                     | 95                    | 40                    | 687                     | 146                     | 0                       | 0                       | 299                                                 | 561                                                 | 9                                                   | 2                                                   | 0                                                   |
| 23       | Manipur                   | 0                     | 0                     | 0                     | 0                     | 40                      | 12                      | 0                       | 0                       | 0                                                   | 18                                                  | 0                                                   | 0                                                   | 3                                                   |
| 24       | Meghalaya                 | 21                    | 4                     | 0                     | 0                     | 140                     | 10                      | 0                       | 0                       | 0                                                   | 40                                                  | 0                                                   | 0                                                   | 3                                                   |
| 25       | Mizoram                   | 0                     | 0                     | 0                     | 0                     | 41                      | 42                      | 0                       | 0                       | 35                                                  | 35                                                  | 0                                                   | 0                                                   | 3                                                   |
| 26       | Nagaland                  | 0                     | 0                     | 0                     | 0                     | 54                      | 16                      | 0                       | 0                       | 20                                                  | 37                                                  | 0                                                   | 0                                                   | 3                                                   |
| 27       | Odisha                    | 0                     | 20                    | 0                     | 0                     | 380                     | 41                      | 0                       | 0                       | 10                                                  | 147                                                 | 6                                                   | 2                                                   | 0                                                   |
| 28       | Puducherry                | 0                     | 0                     | 0                     | 0                     | 23                      | 4                       | 0                       | 0                       | 40                                                  | 21                                                  | 0                                                   | 0                                                   | 0                                                   |
| 29       | Punjab                    | 0                     | 0                     | 0                     | 0                     | 193                     | 136                     | 0                       | 0                       | 154                                                 | 87                                                  | 1                                                   | 0                                                   | 0                                                   |
| 30       | Rajasthan                 | 0                     | 0                     | 101                   | 0                     | 616                     | 180                     | 0                       | 0                       | 42                                                  | 254                                                 | 5                                                   | 2                                                   | 0                                                   |
| 31       | Sikkim                    | 0                     | 0                     | 0                     | 0                     | 15                      | 21                      | 0                       | 0                       | 30                                                  | 16                                                  | 0                                                   | 0                                                   | 0                                                   |
| 32       | Tamil Nadu                | 0                     | 0                     | 0                     | 0                     | 764                     | 210                     | 3                       | 2                       | 78                                                  | 396                                                 | 0                                                   | 1                                                   | 0                                                   |
| 33       | Telangana                 | 0                     | 0                     | 0                     | 0                     | 498                     | 163                     | 0                       | 0                       | 13                                                  | 1010                                                | 3                                                   | 2                                                   | 0                                                   |
| 34       | Tripura                   | 0                     | 0                     | 0                     | 0                     | 143                     | 16                      | 0                       | 0                       | 10                                                  | 25                                                  | 0                                                   | 0                                                   | 1                                                   |
| 35       | Uttar Pradesh             | 0                     | 0                     | 0                     | 0                     | 938                     | 1040                    | 0                       | 0                       | 689                                                 | 905                                                 | 8                                                   | 3                                                   | 0                                                   |
| 36       | Uttarakhand               | 0                     | 0                     | 0                     | 0                     | 352                     | 133                     | 1                       | 0                       | 290                                                 | 320                                                 | 2                                                   | 1                                                   | 3                                                   |
| 37       | West Bengal Total         | 0 126                 | 0 265                 | 27 283                | 38 187                | 534 10345               | 57 3586                 | 0 9                     | 0 9                     | 174 3097                                            | 351 8226                                            | 7 70                                                | 1 32                                                | 0 30                                                |

ILR-Ice Lined Refrigerators, DF-Deep Freezers, WIC-Walk-in-Coolers, WIF-Walk-in-Freezers, SDD- Solar Direct Drive equipment

Annexure 1b State/UT wise Details of available Cold Chain Equipment as on 12-12-2021

|    |                          |   ILR |    DF |   WIC |   WIF |   SDD |
|----|--------------------------|-------|-------|-------|-------|-------|
| 1  | Andaman &Nicobar Islands |    69 |    65 |     1 |     0 |     7 |
| 2  | Andhra Pradesh           |  3016 |  2700 |     7 |     1 |     0 |
| 3  | Arunachal Pradesh        |   372 |   322 |     2 |     0 |    80 |
| 4  | Assam                    |  1581 |  1394 |     6 |     2 |    62 |
| 5  | Bihar                    |  2507 |  1812 |    28 |     8 |     5 |
| 6  | Chandigarh               |   107 |    94 |     1 |     1 |     0 |
| 7  | Chhattisgarh             |  1114 |  1171 |     7 |     3 |    21 |
| 8  | Dadara &Nagar Haveli     |    83 |    52 |     0 |     0 |     0 |
| 9  | Daman &Diu               |    37 |    20 |     0 |     0 |     0 |
| 10 | Delhi                    |  1076 |   752 |     2 |     1 |     0 |
| 11 | Goa                      |   103 |    64 |     1 |     0 |     0 |
| 12 | Gujarat                  |  2880 |  2503 |    12 |     3 |     0 |
| 13 | Haryana                  |  1235 |  1123 |     7 |     3 |     0 |
| 14 | Himachal Pradesh         |   685 |   651 |     8 |     3 |     5 |
| 15 | Jammu and kashmir        |  1353 |  1087 |     5 |     3 |    16 |
| 16 | Jharkhand                |   824 |   759 |     9 |     5 |     5 |
| 17 | Karnataka                |  4671 |  4497 |    11 |     6 |     6 |
| 18 | Kerala                   |  2389 |  2044 |     8 |     2 |     2 |
| 19 | Ladakh                   |   130 |    90 |     0 |     0 |     0 |
| 20 | Lakshadweep              |    42 |    28 |     0 |     0 |     0 |
| 21 | Madhya Pradesh           |  2300 |  2171 |    15 |    10 |    24 |
| 22 | Maharashtra              |  5164 |  4746 |    24 |     6 |    18 |
| 23 | Manipur                  |   145 |   130 |     2 |     0 |    30 |
| 24 | Meghalaya                |   328 |   264 |     3 |     0 |    19 |
| 25 | Mizoram                  |   196 |   192 |     1 |     0 |    13 |
| 26 | Nagaland                 |   188 |   172 |     1 |     0 |    26 |
| 27 | Odisha                   |  2125 |  1865 |    18 |     4 |    26 |
| 28 | Puducherry               |   140 |   100 |     0 |     0 |     0 |
| 29 | Punjab                   |  1471 |  1258 |     6 |     2 |     0 |
| 30 | Rajasthan                |  3774 |  3583 |    20 |     6 |    19 |
| 31 | Sikkim                   |   137 |   121 |     0 |     0 |    10 |
| 32 | Tamil Nadu               |  3577 |  3249 |    21 |     6 |     0 |
| 33 | Telangana                |  1699 |  2306 |     7 |     3 |     0 |
| 34 | Tripura                  |   332 |   251 |     2 |     1 |    11 |
| 35 | Uttar Pradesh            |  5038 |  5860 |    32 |    11 |    17 |
| 36 | Uttarakhand              |  1335 |  1058 |     8 |     2 |    19 |
| 37 | West Bengal              |  3204 |  2294 |    25 |     5 |     0 |
|    | Total                    | 55427 | 50848 |   300 |    97 |   441 |

ILR-Ice Lined Refrigerators, DF-Deep Freezers, WIC-Walk-in-Coolers, WIF-Walk-in-Freezers, SDD- Solar Direct Drive equipment

Annexure 2 State/UT wise details of Cold Chain maintenance funds alllocated during last three years and current year (in lakh)

| S.N.        | States                    | 2018-19   | 2019-20   |   2020-2021 |   2021-22 |
|-------------|---------------------------|-----------|-----------|-------------|-----------|
| 1           | Andhra Pradesh            | 12.82     | 15.95     |       20.2  |     21.93 |
| 2           | Andaman & Nicobar Islands | 1.00      | 0.92      |        1    |      1    |
| 3           | Arunachal Pradesh         | 6.08      | 8.87      |        7.57 |      6.75 |
| 4           | Assam                     | 11.12     | 17.52     |       17.52 |     17.52 |
| 5           | Bihar                     | 35.86     | 19.3      |       19.3  |     52.85 |
| 6           | Chandigarh                | 1.6       | 2.00      |        1.24 |      1.24 |
| 7           | Chhattisgarh              | 14.6      | 14.27     |       13.6  |     14.4  |
| 8           | Dadra& Nagar Haveli       | 0.5       | 0.5       |        0    |      0    |
| 9           | Daman& Diu                | 0.00      | 0.00      |        0    |      0    |
| 10          | Delhi                     | 8.94      | 8.94      |        7.5  |      8.3  |
| 11          | Goa                       | 0.6       | 0.6       |        0.6  |      0.6  |
| 12          | Gujarat                   | 19.34     | 26.55     |       35.07 |     37.33 |
| 13          | Haryana                   | 8.66      | 14.03     |       18.46 |     14.33 |
| 14          | Himachal Pradesh          | 2.04      | 7.34      |        0    |      0    |
| 15          | Jammu & Kashmir           | 12        | 12.71     |       15.07 |     11.5  |
| 16          | Ladakh                    | -         | -         |        1.31 |      1.31 |
| 16          | Jharkhand                 | 8.24      | 8.92      |        8.03 |     10.03 |
| 17          | Karnataka                 | 23.9      | 25.28     |       25.28 |     38.39 |
| 18          | Kerala                    | 8.4       | 11.5      |       11.11 |     14.97 |
| 19          | Lakshadweep               | 0.3       | 0.3       |        0.3  |      0.3  |
| 20          | Madhya Pradesh            | 20.56     | 29.75     |       31.74 |     31.75 |
| 21          | Maharashtra               | 44.26     | 47.5      |       46.9  |     35.08 |
| 22          | Manipur                   | 2.11      | 5.00      |        5.5  |      5.5  |
| 23          | Meghalaya                 | 3.61      | 4.54      |        4.54 |      4.49 |
| 24          | Mizoram                   | 1.7       | 0.5       |        3.05 |      3.07 |
| 25          | Nagaland                  | 2.84      | 4.12      |        4.1  |      4.1  |
| 26          | Odisa                     | 28.14     | 28.14     |       28.14 |     93.97 |
| 27          | Puducherry                | 1.00      | 1.00      |        1    |      1    |
| 28          | Punjab                    | 20.89     | 20.89     |       13.99 |     13.98 |
| 29          | Rajasthan                 | 20.4      | 34.05     |       35.18 |     35.89 |
| 30          | Sikkim                    | 1.00      | 1.65      |        2    |      1.66 |
| 31          | Tamil Nadu                | 20.42     | 25.51     |       32.6  |     40.54 |
| 32          | Telangana                 | 7.99      | 9.02      |       10    |     10    |
| 33          | Tripura                   | 3.39      | 3.3       |        3.46 |      3.34 |
| 34          | Uttar Pradesh             | 28.36     | 37.25     |       33.5  |     33.5  |
| 35          | Uttarakhand               | 8.13      | 8.13      |        8.13 |      8.16 |
| 36          | West Bengal               | *         | *         |      368.7  |    429.71 |
| Grand total |                           | 390.8     | 455.85    |      835.69 |   1008.49 |