Lok Sabha Question No. 5037 (UNSTARRED), answered on 2022-04-01
Subject: Storage Facilities for Vaccines in Rural Areas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Mansukhbhai Dhanjibhai Vasava

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

## LOK SABHA UNSTARRED QUESTION NO. 5037 TO BE ANSWERED ON 01 st  APRIL 2022

## STORAGE FACILITIES FOR VACCINES IN RURAL AREAS

## 5037. SHRI MANSUKHBHAI DHANJIBHAI VASAVA

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

- (a) whether the Government has provided financial and technical support to the States/UTs for proper storage of vaccines in rural areas of the country particularly in areas having inadequate supply of electricity;
- (b) if so, the details of such support provided during the last three years, State/UT-wise;
- (c) whether the Government proposes to promote the use of solar power driven vaccine refrigerators and 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 are given in Annexure 1a and  1b.  The  Ice  lined  Refrigerators  (ILRs)  used  for  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)  and  (d)  Government  is  promoting  the  use  of  solar  power  driven  vaccine  refrigerator  &  freezer. Government has already provided 546 solar power driven vaccine refrigerator & freezer for the storage of vaccines to 23 States/UTs across the country.

## States/UTs wise details of cold chain equipment supplied during last three years.

| S. No.   | State/ UT                 | Supplied in 2019-20   | Supplied in 2019-20   |     |      |     |     | Supplied in 2021 - 22 (As on 16 th March 2022)   | Supplied in 2021 - 22 (As on 16 th March 2022)   | Supplied in 2021 - 22 (As on 16 th March 2022)   | Supplied in 2021 - 22 (As on 16 th March 2022)   |
|----------|---------------------------|-----------------------|-----------------------|-----|------|-----|-----|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|
| S. No.   | State/ UT                 | ILR                   | DF                    | ILR | DF   | WIC | WIF | ILR                                              | DF                                               | WIC                                              | WIF                                              |
| 1        | Andaman & Nicobar Islands | 0                     | 0                     | 13  | 5    | 0   | 0   | 3                                                | 4                                                | 0                                                | 0                                                |
| 2        | Andhra Pradesh            | 0                     | 0                     | 568 | 71   | 0   | 0   | 158                                              | 547                                              | 4                                                | 1                                                |
| 3        | Arunachal Pradesh         | 0                     | 50                    | 71  | 25   | 0   | 0   | 49                                               | 70                                               | 0                                                | 0                                                |
| 4        | Assam                     | 0                     | 0                     | 389 | 138  | 0   | 0   | 70                                               | 268                                              | 1                                                | 1                                                |
| 5        | Bihar                     | 0                     | 0                     | 752 | 306  | 1   | 1   | 184                                              | 606                                              | 8                                                | 3                                                |
| 6        | Chandigarh                | 0                     | 0                     | 19  | 10   | 0   | 1   | 20                                               | 28                                               | 0                                                | 0                                                |
| 7        | Chhattisgarh              | 0                     | 0                     | 226 | 68   | 0   | 0   | 45                                               | 174                                              | 2                                                | 1                                                |
| 8        | Dadra & Nagar             | 0                     | 0                     | 53  | 12   | 0   | 0   | 2                                                | 12                                               | 0                                                | 0                                                |
| 9        | Daman & Diu               | 0                     | 0                     | 10  | 2    | 0   | 0   | 1                                                | 3                                                | 0                                                | 0                                                |
| 10       | Delhi                     | 0                     | 0                     | 263 | 86   | 0   | 1   | 27                                               | 203                                              | 1                                                | 0                                                |
| 11       | Goa                       | 5                     | 10                    | 10  | 2    | 0   | 0   | 17                                               | 2                                                | 0                                                | 0                                                |
| 12       | Gujarat                   | 0                     | 0                     | 308 | 30   | 0   | 0   | 50                                               | 111                                              | 2                                                | 1                                                |
| 13       | Haryana                   | 5                     | 31                    | 147 | 94   | 0   | 1   | 80                                               | 195                                              | 0                                                | 0                                                |
| 14       | Himachal Pradesh          | 0                     | 0                     | 111 | 70   | 3   | 2   | 9                                                | 3                                                | 0                                                | 0                                                |
| 15       | Jammu & Kashmir           | 0                     | 0                     | 214 | 108  | 1   | 1   | 186                                              | 203                                              | 0                                                | 1                                                |
| 16       | Jharkhand                 | 0                     | 0                     | 130 | 27   | 0   | 0   | 28                                               | 54                                               | 4                                                | 2                                                |
| 17       | Karnataka                 | 50                    | 0                     | 930 | 125  | 0   | 0   | 158                                              | 1122                                             | 2                                                | 2                                                |
| 18       | Kerala                    | 0                     | 0                     | 232 | 27   | 0   | 0   | 70                                               | 204                                              | 6                                                | 3                                                |
| 19       | Ladakh                    | 0                     | 0                     | 29  | 10   | 0   | 0   | 52                                               | 43                                               | 0                                                | 0                                                |
| 20       | Lakshadweep               | 0                     | 0                     | 16  | 12   | 0   | 0   | 0                                                | 1                                                | 0                                                | 0                                                |
| 21       | Madhya Pradesh            | 0                     | 18                    | 436 | 131  | 0   | 0   | 14                                               | 202                                              | 3                                                | 5                                                |
| 22       | Maharashtra               | 95                    | 40                    | 687 | 146  | 0   | 0   | 299                                              | 561                                              | 9                                                | 2                                                |
| 23       | Manipur                   | 0                     | 0                     | 40  | 12   | 0   | 0   | 0                                                | 18                                               | 0                                                | 0                                                |
| 24       | Meghalaya                 | 0                     | 0                     | 140 | 10   | 0   | 0   | 0                                                | 40                                               | 0                                                | 0                                                |
| 25       | Mizoram                   | 0                     | 0                     | 41  | 42   | 0   | 0   | 35                                               | 35                                               | 0                                                | 0                                                |
| 26       | Nagaland                  | 0                     | 0                     | 54  | 16   | 0   | 0   | 20                                               | 37                                               | 0                                                | 0                                                |
| 27       | Odisha                    | 0                     | 0                     | 380 | 41   | 0   | 0   | 10                                               | 147                                              | 6                                                | 2                                                |
| 28       | Puducherry                | 0                     | 0                     | 23  | 4    | 0   | 0   | 46                                               | 21                                               | 0                                                | 0                                                |
| 29       | Punjab                    | 0                     | 0                     | 193 | 136  | 0   | 0   | 154                                              | 87                                               | 1                                                | 0                                                |
| 30       | Rajasthan                 | 101                   | 0                     | 616 | 180  | 0   | 0   | 42                                               | 256                                              | 6                                                | 2                                                |
| 31       | Sikkim                    | 0                     | 0                     | 15  | 21   | 0   | 0   | 30                                               | 16                                               | 0                                                | 0                                                |
| 32       | Tamil Nadu                | 0                     | 0                     | 764 | 210  | 3   | 2   | 78                                               | 396                                              | 0                                                | 1                                                |
| 33       | Telangana                 | 0                     | 0                     | 498 | 163  | 0   | 0   | 13                                               | 1010                                             | 3                                                | 2                                                |
| 34       | Tripura                   | 0                     | 0                     | 143 | 16   | 0   | 0   | 10                                               | 25                                               | 0                                                | 0                                                |
| 35       | Uttar Pradesh             | 0                     | 0                     | 938 | 1040 | 0   | 0   | 689                                              | 905                                              | 8                                                | 3                                                |
| 36       |                           | 0                     | 0                     |     | 133  |     |     |                                                  |                                                  | 2                                                | 2                                                |
|          | Uttarakhand               |                       |                       | 352 |      | 1   | 0   | 290                                              | 320                                              |                                                  |                                                  |

ILR-Ice Lined Refrigerators, DF-Deep Freezers, WIC-Walk-in-Coolers, WIF-Walk-in-Freezers.

WIC-Walk in Coolers, WIF-Walk in freezer are provided based on demand from States/UTs.

Annexure-1a

## States/UTs wise details of available cold chain equipment as on 16-03-2022.

| Sr. No.                | State       | DFs   | ILRs WIC   | WIF   | SDD   |
|------------------------|-------------|-------|------------|-------|-------|
| 1 Andaman Islands      | &Nicobar 65 | 69    | 1          | 0 7   |       |
| 2 Andhra Pradesh       | 2700        | 3016  | 7          | 1     | 0     |
| 3 Arunachal Pradesh    |             | 322   | 372 2      | 0     | 80    |
| 4 Assam                | 1394        | 1581  | 6          | 2     | 62    |
| 5 Bihar                |             | 1812  | 2507 28    | 8     | 5     |
| 6 Chandigarh           | 94          |       | 107 1      | 1     | 0     |
| 7 Chhattisgarh         | 1171        | 1114  | 7          | 3     | 46    |
| 8 Dadara &Nagar Haveli | 54          | 83    | 0          | 0     | 0     |
| 9 Daman &Diu           | 20          | 37    | 0          | 0     | 0     |
| 10 Delhi               | 752         | 1086  | 2          | 1     | 0     |
| 11 Goa                 | 64          | 103   | 1          | 0     | 0     |
| 12 Gujarat             | 2503        | 2880  | 12         | 3     | 0     |
| 13 Haryana             | 1123        |       | 1235 7     | 3     | 0     |
| 14 Himachal Pradesh    | 651         | 685   | 8          | 3     | 5     |
| 15 Jammu and kashmir   | 1087        | 1353  | 5          | 3     | 16    |
| 16 Jharkhand           | 759         | 824   | 9          | 5     | 5     |
| 17 Karnataka           | 4547        | 4671  | 11         | 6     | 6     |
| 18 Kerala              | 2044        | 2389  | 12         | 4     | 2     |
| 19 Ladakh              | 90          | 130   | 0          | 0     | 5     |
| 20 Lakshadweep         | 28          | 42    | 0          | 0     | 0     |
| 21 Madhya Pradesh      | 2171        | 2300  | 15         | 10    | 24    |
| 22 Maharashtra         | 4746        | 5164  | 24         | 6     | 18    |
| 23 Manipur             | 130         | 145   | 2          | 0     | 30    |
| 24 Meghalaya           | 264         | 328   | 3          | 0     | 19    |
| 25 Mizoram             | 192         | 196   | 1          | 0     | 13    |
| 26 Nagaland            | 172         | 188   | 1          | 0     | 26    |
| 27 Odisha              | 1865        | 2125  | 18         | 4     | 44    |
| 28 Puducherry          | 100         | 146   | 0          | 0     | 0     |
| 29 Punjab              | 1258        | 1471  | 6          | 2     | 0     |
| 30 Rajasthan           | 3585        |       | 3774 21    | 6     | 46    |
| 31 Sikkim              | 121         | 137   | 0          | 0     | 10    |
| 32 Tamil Nadu          | 3249        | 3577  | 21         | 6     | 0     |
| 33 Telangana           | 2306        | 1699  | 7          | 3     | 0     |
| 34 Tripura             | 251         | 332   | 2          | 1     | 41    |
| 35 Uttar Pradesh       | 5860        | 5038  | 32         | 11    | 17    |
| 36 Uttarakhand         |             | 1058  | 1335 8     | 3     | 19    |
| 37 West                | Bengal      | 2314  | 3244 25    | 5     | 0     |

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

Annexure-1b

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

|   S.N. | States                    | 2019-20   |   2020-2021 |   2021-22 |
|--------|---------------------------|-----------|-------------|-----------|
|      1 | Andhra Pradesh            | 15.95     |       20.2  |     21.93 |
|      2 | Andaman & Nicobar Islands | 0.92      |        1    |      1    |
|      3 | Arunachal Pradesh         | 8.87      |        7.57 |      6.75 |
|      4 | Assam                     | 17.52     |       17.52 |     17.52 |
|      5 | Bihar                     | 19.3      |       19.3  |     52.85 |
|      6 | Chandigarh                | 2.00      |        1.24 |      1.24 |
|      7 | Chhattisgarh              | 14.27     |       13.6  |     14.4  |
|      8 | Dadra& Nagar Haveli       | 0.5       |        0    |      0    |
|      9 | Daman& Diu                | 0.00      |        0    |      0    |
|     10 | Delhi                     | 8.94      |        7.5  |      8.3  |
|     11 | Goa                       | 0.6       |        0.6  |      0.6  |
|     12 | Gujarat                   | 26.55     |       35.07 |     37.33 |
|     13 | Haryana                   | 14.03     |       18.46 |     14.33 |
|     14 | Himachal Pradesh          | 7.34      |        0    |      0    |
|     15 | Jammu & Kashmir           | 12.71     |       15.07 |     11.5  |
|     16 | Ladakh                    | -         |        1.31 |      1.31 |
|     17 | Jharkhand                 | 8.92      |        8.03 |     10.03 |
|     18 | Karnataka                 | 25.28     |       25.28 |     38.39 |
|     19 | Kerala                    | 11.5      |       11.11 |     14.97 |
|     20 | Lakshadweep               | 0.3       |        0.3  |      0.3  |
|     21 | Madhya Pradesh            | 29.75     |       31.74 |     31.75 |
|     22 | Maharashtra               | 47.5      |       46.9  |     35.08 |
|     23 | Manipur                   | 5.00      |        5.5  |      5.5  |
|     24 | Meghalaya                 | 4.54      |        4.54 |      4.49 |
|     25 | Mizoram                   | 0.5       |        3.05 |      3.07 |
|     26 | Nagaland                  | 4.12      |        4.1  |      4.1  |
|     27 | Odisha                    | 28.14     |       28.14 |     93.97 |
|     28 | Puducherry                | 1.00      |        1    |      1    |
|     29 | Punjab                    | 20.89     |       13.99 |     13.98 |
|     30 | Rajasthan                 | 34.05     |       35.18 |     35.89 |
|     31 | Sikkim                    | 1.65      |        2    |      1.66 |
|     32 | Tamil Nadu                | 25.51     |       32.6  |     40.54 |
|     33 | Telangana                 | 9.02      |       10    |     10    |
|     34 | Tripura                   | 3.3       |        3.46 |      3.34 |
|     35 | Uttar Pradesh             | 37.25     |       33.5  |     33.5  |
|     36 | Uttarakhand               | 8.13      |        8.13 |      8.16 |
|     37 | West Bengal               | *         |      368.7  |    429.71 |