Following the massive earthquake in April 2015, UNICEF Nepal and Lifeline Nepal (LLN) through program cooperation agreement (PCA2) supported district EPI Programs, Cold Chain, General Logistics and Vaccine Management in 14 earthquake affected districts.
With the support from the UNICEF, Lifeline Nepal staff actively contributed to MoHP and LMD during the post-disaster emergency situation in logistics management and IEC activities. Likewise, human support was also provided in the 13 earthquake affected to re-establish the functional cold chain equipment and vaccine supply in 13 earthquake affected districts.
Initially the PCA2 Program period was for three months, but as per the request and recommendation made by all the 13 districts for the need of skilled human resource in the districts, the PCA-2 program was extended for two months. UNICEF/LLN PCA2 staff had been a helping hand to the districts for more effective and efficient functionality of cold chain as well as EPI program. The UNICEF/Lifeline PCA2 program was immensely helpful to the districts for restoring back to the normality like before earthquake especially in store management, conduction of immunization program as well as to make sure cold chain is maintained all the time.
Program Districts: The PCA2 program districts included 13 districts which had suffered major damage by the devastating earthquake which were, Bhaktapur, Lalitpur, Kavre, Kathmandu, Dhading, Dolakha, Sindhupalchowk, Sindhuli, Okhaldhunga, Gorkha, Nuwakot, Rasuwa, Ramechhap
- Following the massive earthquake on 25th April, LLN supported MoHP and LMD in logistics management and IEC activities. LLN staff actively contributed to MoHP and LMD during the post-disaster emergency situation. Lifeline Nepal set up tents at MoHP for the HEOC meetings and supported the HEOC members with vehicle facility to visit different hospitals. HEOC assigned different staff of MoHP to conduct the post disaster need assessment (PDNA) in heavily affected 14 districts. Lifeline Nepal supported with the per diem to 13 MoHP staff and also provided them 15 sleeping bags and 15 mattresses for PDNA assessment and planning meetings in the districts.
- Under the PCA-2 Program, Lifeline Nepal supported the 13 earthquake affected districts with nine district EPI supervisors and 13 Cold Chain Supervisors. Likewise, Logistics Management Division was also supported with seven Lifeline staff (three pharmacists, one cold chain assistant and three loaders).
- The LLN PCA-2 staff supported the EPI programs, cold chain maintenance and general logistics management in all the 13 districts. The LLN cold chain/pharmacy supervisors took a lead in restoration of the district store and cold room and made sure the cold chain is maintained all the time for effective management and maintenance of vaccines as well as other general logistics.
- LLN conducted 3 batches of district level EVM SOP training especially focusing the 22 earthquake districts where, the cold chain and EPI supervisors of the 22 districts were trained regarding effective vaccine management. The details of the district level EVM SOP training is given in the table below;
|District Level Training||Phase I:
Sept 9-12, 2015
|15||Parbat, Syangja, Nawalparasi, Kaski, Lamjung, Tanahun, Dhading, Chitwan|
Sept 14-17, 2015
|15||Kavre, Dolakha, Kathmandu, Parsa, Nuwakot, Ramechhap, Bhaktapur, Lalitpur|
Sept 22-25, 2015
|23||Okhaldhunga, Bhaktapur, Makwanpur, Kathmandu, Sindhupalchowk, Sindhuli, Nuwakot, Kavre, Ramechhap, Parsa, Nawalparasi, Tanahun|
- The LLN Cold Chain/Pharmacy and EPI Supervisors also supported the refrigerator technicians in repair, maintenance and of cold chain equipments along with assistance in recording, reporting and documentation. Till date 42 cold chain equipments have been repaired within the 13 districts.
- Six cold chain equipment in the central vaccine store (1 in Teku and 5 in Pathalaiya) and five equipment in the regional vaccine store (2 in Biratnagar RMS, 2 in Pokhara RMS, 1 in Butwal RMS) were also repaired which are now fully functional. Refrigerator spare parts were bought for repairing process. The process of repair and auctioning of cold chain equipment is ongoing and will be continued.
- The LLN EPI and Cold Chain Supervisors were also actively involved in supporting the regular immunization session and the MR Campaign. During the MR Campaign, the EPI supervisors assisted in developing the MR Campaign schedule, conduction of training, supply and transportation of vaccines and on-site monitoring and recordkeeping of the MR campaign (Coverage of the MR Campaign is provided in the annex). Besides this, they also made regular field visits to different health facilities within their respective districts to assess routine immunization program as well as support in cold chain maintenance and vaccine management in the district sub centers and health facilities.
- During the MR Campaign, LLN also provide transportation and IEC materials support and also carried out joint monitoring of the MR campaign with LMD. LLN and LMD team also visited all the 13 districts during the program period for following reasons;
- To assess the status of store, cold chain and vaccine management and provide technical support as per need
- For monitoring and supervision of LLN/UNICEF PCA2 Cold Chain and EPI supervisors in the district
- Video making for the production of UNICEF and LLN documentary was completed. The videographer had made visits to different districts along with Lifeline staff for the making the documentary.
- LLN had provided financial supported to RMS Biratnagar for repair of transformer poles that supplies the dedicated electricity line to the cold chain in the RMS. Cold chain maintenance which had been halted due to stoppage of electricity supply is now being maintained at RMS Biratnagar.
- Staff were also hired in the LLN office to keep track of all the PCA2 activities that were being carried out. The responsibilities of the staff were to monitor the LLN Cold Chain and EPI Supervisors, strengthen recording, reporting as well as documentation of the project activities.
LLN also supported in management of expired vaccine within the project period. The expired vaccines in Central Store Teku were taken to Sushma Koirala Memorial Trust for incineration and disposal process.