UNITED NATIONS DEVELOPMENT PROGRAMME (UNDP)

BRIEF OVERVIEW OF THE ORGANIZATION: 

UNDP stands for United Nations Development Programme. It is the UN's global development network, advocating for change and connecting countries to knowledge, experience and resources to help people build a better life. It is a global organization that aims to eradicate poverty, promote sustainable development, and enhance the quality of life for people around the world. UNDP works in more than 170 countries and territories, helping to achieve the eradication of poverty and the reduction of inequalities and exclusion helping countries to develop policies, leadership skills, partnering abilities, institutional capabilities and build resilience in order to sustain development results.

UNDP has worked in India since 1951 in almost all areas of human development, from systems and institutional strengthening to inclusive growth and sustainable livelihoods, as well as sustainable energy, environment and resilience. With projects and programs in every state and union territory in India, UNDP works with national and subnational government, and diverse development actors to deliver people-centric results, particularly for the most vulnerable and marginalized communities.

It provides policy and technical support by working on and advocating for poverty reduction, democratic governance, crisis prevention and recovery, and environment and sustainable development. UNDP promotes the coordination, efficiency and effectiveness of the United Nations system at the country level.

 UNDP's focus is helping countries build and share solutions to the challenges of Poverty Reduction and Achievement of the MDGs. UNDP advocates for digital transformation that is intentionally inclusive, and thoughtfully designed and implemented, to ensure that all processes put people at the center. The aim of people-centered digital transformation is to build a more open, transparent, and accessible society that leaves no one behind.

AREAS OF SUPPORT TO THE STATE GOVERNMENT: 

1. ELECTRONIC VACCINE INTELLIGENCE NETWORK (eVIN) ) - A DIGITAL PLATFORM FOR VACCINE LOGSTIC MANAGMENT

2. COWIN PORTAL -A DIGITAL PLATFORM FOR COVID-19 VACCINE DELIVERY

3. U-WIN – A DEGITAL SOLUTION OF UNIVERSAL IMMUNZATION PROGRAMME

ELECTRONIC VACCINE INTELLIGENCE NETWORK (eVIN), MANIPUR

INTRODUCTION:

The Ministry of Health & Family Welfare is currently rolling out an innovative approach called Electronic Vaccine Intelligence Network (eVIN) in the state of Manipur. The technological support is provided by the United Nations Development Programme (UNDP). It aims at strengthening the immunization supply chain system by providing real time information on vaccine stocks and flow in the state. Beginning in June 2016, eVIN has been successfully rolled out in all the 16 districts of Manipur.

Beginning in October 2015, eVIN has been rolled out in 160 districts of Madhya Pradesh, Rajasthan and Uttar Pradesh. The technological innovation is implemented by the United Nations Development Programme (UNDP) with financial support from Gavi-The Vaccine Alliance. eVIN aims to strengthen the evidence base for improved policy-making in vaccine delivery, procurement and planning for new antigens in India, home to the world’s largest birth cohort of over 27 million.

What is eVIN?

This system consists of mobile and web-based application for cold chain handlers which embraces technology to effectively manage vaccine, logistics and cold chain through building capacities of cold chain personnel. Under eVIN , we can see:  

Under eVIN portal, we can:

• View real time vaccine stock and temperature
• Vaccine Requirement
• Emergency Vaccine Management
• Vaccine Consumption Patterns
• Vaccine Route Planning
• Vaccine Stock Reallocation

Integrated solution to vaccine management

Integrated solution to vaccine management eVIN provides an integrated solution to address widespread inequities in vaccine coverage by supporting state governments in overcoming constraints of infrastructure, monitoring and management information systems and human resources, often resulting in overstocking and stockouts of vaccines in storage centers. The integrated solution combines:

• Technology: To facilitate evidence-based decision-making by making available online realtime information on vaccine stocks and storage temperature through the eVIN application software and temperature loggers;
• Governance: To ensure efficient vaccine logistics management by systemizing record keeping through standardizing stock and distribution registers; identifying gaps and improving clarity on vaccine cold chain network; drawing attention to infrastructure upgrades; developing standard operating procedures; and encouraging good practices;
• Human Resources: To empower the state cold chain network by building the capacities of government cold chain handlers and deploying vaccine and cold chain managers in every district for constant support to estimate vaccine requirements, supervise cold chain handlers and coordinate with cold chain technicians across the district.

How does eVIN work?

All cold chain handlers are provided smart phones with the eVIN application which allows for the digitization of vaccine inventories. As a routine task, every cold chain handler enters the net utilization for each vaccine in the standardized registers at the end of every immunization day. This is simultaneously updated in the eVIN application and uploaded on a cloud server which can then be viewed by programme managers at district, state and national level through online dashboards. In addition to providing real-time information on vaccine stocks, the system also helps to track storage temperature of vaccines. SIM-enabled temperature loggers attached to the cold chain equipment capture temperature information through a digital sensor placed in the refrigerator. Temperature data is recorded every ten minutes and updated at an interval of sixty minutes on the server via General Packet Radio Service (GPRS). In case of temperature breach, the logger alarms and sends email and SMS alerts to responsible cold chain technicians and managers. eVIN empowers the cold chain handlers by building technical capacities and providing a robust decision-making tool for cold chain managers through a complete overview of vaccine replenishment times, supply and consumption patterns. By streamlining the vaccine flow network, eVIN is a powerful contribution to strengthening health systems and ensures equity through easy and timely availability of vaccines to all children. 

MAJOR ACTIVTIES UNDER  eVIN PORTAL:

1.      USE OF DIGITAL TECHNOLOGY: 

All 135 vaccine stores and cold chain points of Manipur state are 100% live on eVIN application (1 SVS, 16 DVS, 120 CCPs). Smartphones & SIM card with internet plan have been distributed to each vaccine stores and CCP to obtain real time information of vaccine flow, vaccine stock, temperature and utilisation status.

District-wise Vaccine Store as on Jan 2024

2.      STANDARDISATION OF DOCUMENTATION FOR VACCINES & STOCK MANAGEMENT

GoI approved “Stock issue-receipt” and “Distribution” registers were distributed in all vaccine stores and cold chain points for a systematic record keeping and documentation of vaccine and stock management. For the first time in Manipur, recording of all vaccines in “doses” as per the GOI norms was done after eVIN implementation.

3.      SKILL BASED TRAINING:

Skill based trainings of nearly 270 health workers were conducted on eVIN, covering 100% Cold Chain handlers, District Vaccine Store Managers, State Vaccine Store Manager along with all the District Immunization Officers/District Family Welfare Officers, Computer Operator-Immunisation, Cold Chain Officer, Cold Chain Technicians and state officials. Manipur state is the 2^nd state in the whole country to conduct and complete Order Management Trainings on vaccines and cold chain management for all the stakeholders and cold chain handlers of the state.

A state level bootcamp on Temperature loggers for all the cold chain technicians of the state along with review meeting of all the Vaccine Cold Chain Managers were conducted recently on 3^rd and 4^th Oct 2019 in the presence of Director-Health and Family Welfare Services, State Nodal Officer-Immunization, all DIOs/DFWOs etc.

Refresher/intensive training for all CCH and orientation training on eVIN for all MOICs in the state completed in the month of Dec 2019. It covered 248 CCHs, 132 MOICs, 12 DPMs and 12 DDMs.

4.      STREAMLINING OF VACCINE FLOW FROM HIGHER STORE TO LOWER STORE:

Vaccine flow from State Vaccine Store to District Vaccine Stores to respective Cold Chain Points were streamlined after eVIN implementation.

5.     REMOTE TEMPERATURE MONITORING:

A low-cost remote temperature monitoring (RTM) system, with a sensor unit are placed in refrigerators (ILR) which are used to store vaccines at all vaccine stores and CCPs, to get the real time temperature data for vaccine storage so that vaccines are stored at recommended temperatures and track the working status of the cold chain equipment. Out of total 137 vaccine stores and CCPs of Manipur, 151 have been installed with Temperature loggers.

6.      IMPROVEMENT IN STOCK MANAGEMENT  OF VACCINE:

The vaccine stock position of Manipur state has improved remarkably after the implementation of eVIN. At the time of eVIN inception, the stock out status of vaccines in all vaccine stores and CCPs of Manipur were 11.81% and minimum stock of vaccine 32.9%.  The status has been remarkably improved and stock out status of vaccine has been reduced to 0.27 % stock out and 15.4% minimum stock for the entire state as in the month of Jan 2023.

Apart from this, wastage of vaccine has been reduced with forecasting of near expiry vaccines prior to 3 months in advance using eVIN application adhering to the principles of FIFO and EEPO.

7.      NATIONAL eVIN DASHBOARD:

eVIN Monthly Dashboard is released from Ministry of Health and Family Welfare every month to share the performance of states for 9 critical indicators. Manipur is amongst the better performing states in terms of vaccine availability index > 90%, replenishment response time, eVIN adherence rate (activity rate) etc.            

8.      STRENGTHENING OF THE COLD CHAIN EQUIPMENT STATUS:

The functionality of Cold Chain equipment available at the vaccine stores and cold chain points of the state has drastically improved after eVIN implementation.

At the time of eVIN inception, 22 cold chain points of the state did not have functional. Presently, all CCPs have functional ILR and DF.

9.      eVIN UTILITY IN OTHER VACCINE LOGISTIC MANAGEMENT IMPLEMENTATION IN THE STATE:

1. eVIN team has consistently supported the concerned state and district officials during roll out of Measles Rubella Campaign, Mission Indradhanush, IMI, Pulse Polio Immunization Programme etc.
2. Replacement of TT with Td vaccine: Using eVIN data, utilisation of TT vaccines was tracked in each of the CCPs and DVS of all the districts for its complete utilisation to introduce Td vaccine in the state.
3. Introduction of RVV Vaccine: eVIN team helped in introduction of RVV vaccine in the state in terms of training roll out and introduction of vaccine in the state and district level.
4. Wastage calculation of vaccines mainly BCG, OPV and Penta during 2018-19 for the state was done using eVIN data, for reduction of vaccine wastage and improvement of vaccine utilisation.

Vaccine wastage has been reduced from 50.0% to 33.3% in the state (Source: Techno economic survey 2018).

COWIN PORTAL IN COVID-19 MASS VACCINATION

(A DIGITAL PLATFORM FOR CoVID-19 VACCINE DELIVERY)

• Co-WIN is a state of art digital solution from the Govt of India to achieve universal vaccination against CoVID-19. It is a tech-based platform to planning, implementation, monitoring and evaluation of Covid-19 mass vaccination.
• Covid-19 mass vaccination drive started from 16^th January 2021 to contain the pandemic using CoWIN portal. Registration of beneficiaries is done using mobile number and personal id in CoWIN and vaccination certificate has been provided to them.

CoWIN  PORTAL : SOME IMPORTANT FEATURES

• COVID-19 Vaccine Distribution & Management System
• Electronic Beneficiary Registration
• Automated Beneficiary Session Allocation
• Downloading of e-Vaccination Certificate
• Integrated with Aadhaar/UHID (authentication), DigiLocker (document verification) & SafeVac (AEFI reporting)

CoWIN PORTAL-TYPE OF USERS:

Role of UNDP during CoVID-19 Pandemic:

• Capacity Building: UNDP team conducted series of trainings for state level officials, district level staff, health workers, front line workers, NGOs, Club members, CSO members, local leaders etc. Successfully trained more than 1000 trainees on CoWIN portal both in personal as well as in virtual mode.
• Monitoring and Technical Supports: UNDP team also actively involved in monitoring at session sites of Covid-19 vaccination ensuring technical supports in case of need.
• Advocacy: UNDP actively involved in advocacy and mobilization activities of Covid-19 vaccination specially at vaccine hesitancy, resistance, and refusal pocket. 

CoVID-19 vaccination as on 31^st March 2023

CoWIN training for portal users

Imparting to CoWIN portal users

Advocacy on Covid-19 vaccination

CoVID-19 vaccination as on 31^st March 2023

SOME PHOTOGRAPHS OF COVID-19 MASS VACCINATION DRIVE

Winning Over -Universal Immunization Programme

U-WIN Platform

Introduction:

The government of India is committed to ensure health and safety for all its citizens by promoting universal and equitable access to basic and essential services. UNDP supports these goals by building strong institutions through innovative, participatory mechanisms and technological interventions for smart governance. As a part of this vision, the Electronic Vaccine Intelligence Network (eVIN), a digital technology-based vaccine logistics management tool has been successfully rolled-out and is running across over 29,500 cold chain points of 36 states and UTs in the country by the Ministry of Health and Family Welfare with technical and implementation support from the United Nations Development Programme.  Leveraging eVIN, the Co-WIN platform, a digital platform for real-time tracking and management of beneficiaries and vaccination, has been successfully implemented to support the national COVID-19 vaccination drive. Leveraging the learnings and achievements of eVIN and CoWIN in ensuring seamless management of UIP and COVID vaccines, the MoHFW has initiated to build a third pillar-UWIN based on the existing eVIN and CoWIN platforms for digitizing the routine immunization services in the country.

U-WIN is designed as per ABDM for linking Healthcare Professional Registry (HPR), Healthcare Facility Registry (HFR) and ABHA. U-WIN will be inter-operable with all existing management information systems. The platform includes a vaccinator module to register and vaccinate every infant and pregnant woman and a delivery module to record every pregnancy outcome and register every child at birth itself. U-WIN will include an interactive user interface for citizens and will provide relevant vaccination certificates, and modules for mobilizers as well as programme managers. U-WIN will be implemented in a phase-wise manner and utilities like GIS Mapping, ASHA worker module and more will be introduced post successful pilot and scale-up.

The system will hence provide a common database for effective management of immunization services. It will also support improved vaccination coverage by facilitating appropriate intervals between doses, digital verification and tracking of beneficiaries, promoting consistency in vaccination schedules and communication with beneficiaries. It will support these targets with its various features including blended (offline and online) registrations, instant acknowledgement of vaccination, convenient slot-booking etc.

• Scheduling and registration Module – Registration of beneficiaries using personal id.
• Administrator Module- Creation of vaccination site and adding of staff.
• Delivery point Module- Record of delivery outcome at delivery point.
• Vaccinator Module-Registration and vaccination of every ANC and Children
• Mobilizer Module- Module for mobilizer like ASHA ,AWW to mobilized beneficiaries.

  The platform is used to register and vaccinate every pregnant woman, record her delivery outcome, register every newborn delivery, administer birth doses and all vaccination events thereafter.

The U-WIN is going to be the single source of information for immunisation services, updating vaccination status, delivery outcome, planning of RI sessions and reports like antigen-wise coverage, etc. There will be digital registrations of all pregnant women and newborns for individualised tracking for vaccination, reminders for upcoming doses and follow-up of dropouts. Healthcare workers and programme managers will be able to generate real-time data of routine immunisation sessions and vaccination coverage for better planning and vaccine distribution.

Presently, it has started rolling out in all 16 districts beginning from district head quarter and   trying to roll out below the district, in all session sites as well by conducting trainings in all areas where feasibility is there.

Training programme:

UWIN Trg at Chandel

UWIN Trg at Tengnoupal

UWIN Trg at Kamjong

UWIN Coverage Report (16/1/2023 to 6/2/2024): 

(**Data from UWIN portal)

Details of Manipur Team