Vaccines distribution system at primary healthcares in the special region of Yogyakarta
Background: Vaccine cold-chain distribution system must be monitored to guarantee the vaccine quality. Improper vaccine distribution system can cause damage and loss of efficacy. Therefore, the Indonesian government released some regulations to manage the vaccine cold-chain system, including the Good Distribution Practices for Pharmaceutical Products (Cara Distribusi Obat yang Baik/CDOB) in 2012 and Regulation of the Minister of Health Number 42 in 2013 (PMK 42/2013).
Objective: The purpose of this study was to evaluate the implementation of the vaccine distribution system in primary healthcare (PHCs).
Methods: A survey was conducted in 30 PHCs in the Special Region of Yogyakarta. Data were collected by observing the vaccine distribution system in PHCs using checklists developed based on CDOB 2012 and PMK 42/2013.
Results: The study showed that the personnel in 24 PHCs (80%) checked the condition of the temperature monitoring device and Vaccine Vial Monitor (VVM) while receiving the vaccines. Furthermore, all PHCs (100%) had both cool packs and vaccine carriers, whereas those having cold packs were only 2 (7%). First expired - first out (FEFO) and first in - first out (FIFO) systems were implemented in 30 (100%) and 28 (93%) PHCs, respectively.
Conclusion: The results indicated that most of the PHCs in Yogyakarta Special Region had implemented a good vaccine distribution system, yet they still need improvement especially in vaccine recording procedures.
Kementrian Kesehatan. Profil Kesehatan Indonesia. Kementerian Kesehatan Republik Indonesia, Jakarta; 2017.
Ravindra K. Cold Chain for Vaccines. Journal of Drug Delivery and Therapeutics. 2012;2(4):46–50.
WHO. WHO Vaccine Management Handbook. Module VMH-E2-01.1. How to monitor temperatures in the vaccine supply chain. 2015;
BPOM. Pedoman Teknis Cara Distribusi Obat Yang Baik. Badan Pengawas Obat dan Makanan Republik Indonesia; 2013.
Peraturan Menteri Kesehatan Republik Indonesia Nomor 42 Tahun 2013 tentang Pelaksanaan Imunisasi.
Lumentut GP, Pelealu NC WA. Evaluasi Penyimpanan dan Pendistribusian Vaksin dari Dinas Kesehatan Kota Manado ke Puskesmas Tuminting, Puskesmas Paniki Bawah dan Puskesmas Wenang. Jurnal Ilmiah Farmasi-UNSRAT. 2015;4(3):9–15.
Nugraheni DA, Medisa D N. Evaluasi Kualitas Pengelolaan Vaksin di Dua Puskesmas Kota Yogyakarta. Prosiding Rakernas dan Pertemuan Ilmiah Tahunan Ikatan Apoteker Indonesia. 2017;219–27.
Bankole AM, Olusegun K, Marian NB, Godswill I, Adebowale OA, Lukeman AJS, et al. The impact of health facility monitoring on cold chain management practices in Lagos , Nigeria. 2010;2(July):78–81.
Bell KN, Hogue CJR, Manning C, Kendal AP, Context A. Risk Farctors fo Improper Vaccine Storage and Handling in Private Provider Office. PEDIATRICS. 2001;107(6):1–5.
WHO. Study protocol for temperature monitoring in the vaccine cold chain. 2011;1–42.
Kesehatan RI D. Pedoman Pengelolaan Vaksin. Jakarta: Direktorat Jenderal Bina Kefarmasian dan Alat Kesehatan, Direktorat Bina Obat Publik dan Perbekalan Kesehatan, Departemen Kesehatan Republik Indonesia; 2009.
Billah MM, Zaman K, Estivariz CF, Snider CJ, Anand A, Hampton LM, et al. Cold-Chain Adaptability During Introduction of Inactivated Polio Vaccine in Bangladesh , 2015. 2017;216(November).
Departement of Immunization V and B. Safe vaccine handling , cold chain and immunizations A manual for the Newly Independent States GLOBAL PROGRAMME FOR VACCINES AND IMMUNIZATION. Geneva, Switzerland: World Health Organization; 1998.
Okanda S, Namusonge GS, Waiganjo E. Inventory Management Practice and the Performance of the Unit of Vaccines and Immunizations in the Minstry Health, Kenya. International Journal of Academic Research in Business and Social Sciences. 2016;6(7):142–58.