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Editorial Note
Gaurav Kapoor from Clinton Foundation writes in with a request to share studies that quantify the magnitude of vaccine wastage. Are wastage rates typically higher for multi-dose vial vaccines in comparison to single-dose vial vaccines? What are the wastage drivers? Responses to this posting have been pouring in and the discussion is riveting.
Diana Chang Blanc very kindly shares a link to The Countdown to 2015 Initiative
Report.
Also, many thanks to our reader Samuel Kamau from Kenya for taking the trouble to provide feedback. He writes:
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As a part of study aimed at assessing the magnitude and key drivers of vaccine wastage rate, the general understanding is that wastage rates are typically higher for multi-dose vial vaccines in comparison to single dose vial vaccines. Also, while key drivers of wastage such as expiry, freezing, heat exposure have been identified, it's hard to understand the exact magnitude of wastage resulting from these areas. This makes it hard to identify the exact areas of programmatic intervention, especially in resource-limited settings.
I was wondering if there are sentinel studies available that can be used to quantify the magnitude of wastage occurring ....
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Extracts from responses:
Vaccine wastage is not criminal—it is, rather, criminal to not vaccinate a single child who has turned up for immunization.
Centralized and extremely uniform rules will not work well in areas with wide geographic and demographic differences.
One practical solution is use of multi-dose vials with good planning and proper supervision.
Mono-dose pre-filled syringes does drop the wastage rate but at the cost of making per dose much more expensive ...
[Read more]
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The Countdown to 2015 Initiative tracks coverage levels for health interventions proven to reduce maternal, newborn and child mortality.
It collects and analyses data from the 68 countries that account for at least 95 per cent of (the) maternal and child deaths. It produces country profiles that present coverage data for a range of key health services, ...
The 2010 report reviews progress over 2000–2010.
[Read more]
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Image Courtesy: Ranjit Dhiman
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