Equitable access to quality-assured vaccines is fundamental to accelerating the progress towards universal health coverage and achieving the Sustainable Development Goals. However, there are myriad challenges in the procurement, storage and distribution of vaccines in low- and middle-income countries, largely stemming from weak management and monitoring of the vaccine supply chain and cold chain. Addressing these challenges is paramount to promoting efficient and equitable distribution of vaccines and maximizing the utility of limited national resources.
The Electronic Vaccine Intelligence Network (eVIN), developed by the Government of India with support from UNDP and Gavi, the Vaccine Alliance, has been shown to effectively overcome the bottlenecks in vaccine access and delivery. The eVIN application is a digital mobile and web-based system that provides customized end-to-end tracking of vaccine inventory, from the warehouse to the ‘last mile’, including live monitoring of stock distribution, consumption and storage temperature at each service delivery point. The real-time visibility of the entire vaccine supply chain provides valuable information to enhance oversight and accountability, and inform decision-making to optimize vaccine procurement, distribution and management.
With support from UNDP and Gavi, the eVIN system has progressively rolled out in India and Indonesia since 2015 and 2018, respectively (eVIN is renamed SMILE in Indonesia). Since its introduction in both countries, pipeline stock has been optimized, resulting in over 80% reduction in stock-out incidence and 99% vaccine availability across all delivery points. In India, eVIN was shown to increase full immunization coverage (average of 18% increase since 2015) and reduce avoidable vaccine wastage by approximately 90 million doses over a 6-month period. The improvements in vaccine supply, distribution and utilization is estimated to net a three-fold return on investment for the national immunization programme.
By 2020, eVIN will be implemented at every cold chain point in India, reaching over 28,000 health facilities and contributing to the coverage of over 156 million beneficiaries; while in Indonesia, SMILE will be scaled to 23 districts (600 health centres). Given such encouraging success in India and Indonesia, there is significant interest from other countries in adapting the eVIN system to strengthen their national immunization programmes. Speakers include:
• Dr. Anu Nagar, Director of Health Research, Ministry of Health and Family Welfare, India;
• Dr. Syamsu Alam, Head of Basic Immunization Section, Sub-directorate for Immunization, Ministry of Health;
• Indonesia Dr. Pradeep Halder, Head of Reproductive and Child Health division, Ministry of Health and Family Welfare, India
• Dr. Manish Pant, Chief, Health and Governance, UNDP India;
• Abhimanyu Saxena, Programme Manager of Vaccine Logistics and Cold Chain, UNDP India;
• Dr. Shachi Adyanthaya, National Programme Manager, Health System Strengthening, UNDP India.
There will also be an opportunity for participants to obtain hands-on experience in operating the eVIN application.