Study on Assessment and Comparison of The Preparedness of The Immunization Supply Chain for the Measles and Rubella Campaign in Aspirational and Non Aspirational Districts of Haryana

Abstract

newlineThis study assesses and compares the preparedness of the immunization supply chain for the Measles and Rubella (MR) campaign in the aspirational district of Mewat and the non-aspirational district of Gurugram in Haryana, India. Employing a cross-sectional design and a census approach, the study examined all Cold Chain Points (CCPs) and Vaccine Cold Chain Handlers (VCCHs) within the two districts. Key domains analyzed include workforce preparedness, equipment and infrastructure availability, adherence to cold chain protocols, monitoring and supervision, and campaign supply management. newlineFindings revealed robust workforce expertise and extensive cold chain infrastructure in both districts, although variations were identified in the availability of functional equipment and technological integration for monitoring. Both districts demonstrated high compliance with temperature monitoring protocols and proactive supervision mechanisms. Campaign supply sufficiency was generally high, with some gaps noted in vaccine and syringe availability newline newlineVCCHs exhibited strong knowledge of cold chain management and vaccine handling, supported by extensive training coverage. Despite similar preparedness levels, aspirational district Mewat faced higher workloads among handlers and lower dry storage availability compared to Gurugram. The study highlights that while foundational capacities exist in both districts, targeted improvements in infrastructure maintenance, technology adoption, training, and supply chain management are essential to optimize the success of large-scale immunization campaigns newlineRecommendations include enhanced training, equipment upgrades, standardized monitoring, robust supervision, tailored district-specific strategies, and community engagement to strengthen vaccine delivery systems, ultimately contributing to improved public health outcomes. newline