scholarly journals Assessment of vaccine management in cold chain points of Jashpur and Sarguja districts of Chhattisgarh

2019 ◽  
Vol 7 (1) ◽  
pp. 148
Author(s):  
Nitin H. Kamble ◽  
Daneshwar Singh ◽  
Harshal G. Mendhe ◽  
Kiran Makade
Keyword(s):  
Management Practices ◽  
Computer Mediated Communication ◽  
Routine Immunization ◽  
Logistics Management ◽  
Cold Chain ◽  
Supportive Supervision ◽  
Mediated Communication ◽  
Cross Sectional ◽  
The Status ◽  
Temperature Records

Background: It has been observed that besides intensification of routine immunization, more strategic interventions are essential to strengthen the different aspects of immunization services like cold-chain management and monitoring/supportive supervision. The present study was considered as a part of ongoing UNICEF funded project on Supportive Supervision of Routine Immunization in Jashpur and Sarguja districts undertaken by the Department of Community Medicine, GMC Rajnandgaon with the objectives to assess the status of cold chain equipment and logistics management practices, knowledge and practice of cold chain handler (CCHs) about cold chain equipment and logistics management.Methods: A cross-sectional facility based study was conducted from August 2017 to February 2018. Among 18 cold chain points (CCPs), 9 from Jashpur and 9 from Sarguja district were considered for analysis using structured questionnaires provided by UNICEF.Results: In 83.33% CCPs cold chain technician or annual maintenance contract/computer-mediated communication service provider visit for preventive maintenance in the last 4 months. Vaccine CCHs carries out the daily and weekly planned preventive measures as per the checklist in 83.33% CCPs during our visit. In all CCPs iced line refrigerator (ILR) and deep freezer (DF) were placed as per specified guidelines. In 66.66% CCPs there was documentation of monthly review of temperature records. In all CCPs visited standard vaccine and logistics stock/issue registers were available.Conclusions: Most of the components of cold chain and logistics management practices were satisfactory while there is a gap in other components which needs to be improved by means of ongoing project of strengthening of SSRI in both districts.

scholarly journals Assessment of cold chain and logistics management practices: a cross sectional study in Bundelkhand region of Madhya Pradesh

2018 ◽  
Vol 5 (12) ◽  
pp. 5143
Author(s):  
Ram K. Panika ◽  
Amarnath Gupta
Keyword(s):  
Management Practices ◽  
Cross Sectional Study ◽  
Logistics Management ◽  
Cold Chain ◽  
Temperature Sensitive ◽  
Sectional Study ◽  
Cross Sectional ◽  
Shake Test ◽  
The Status ◽  
Knowledge And Practice

Background: Immunization is one of the most effective disease prevention strategies. Potency of vaccine is dependent on effective management of cold chain system at all levels of vaccine handling. This study was carried out to assess the status of cold chain equipment and logistics management practices, Knowledge and practice of CCHs about cold chain equipment and logistics management.Methods: Cross-sectional study was conducted in all functional cold chain points of Damoh district using structured questionnaires provided by UNICEF.Results: Only 57.14% and 71% CCPs had dedicated space for dry storage and for conditioning of ice packs respectably. 50% CCPs had correct placement of ice-packs inside DFs. Functional thermometer inside every equipment was available in 86% CCPs. Twice daily temperature recording and temperature of ILRs was within normal range in 93% CCPs. Record of power failures and defrosting/cleaning in temperature log books was found in 57% and 43% CCPs. Temp log book was countersigned by facility in charge in 43% CCPs. UIP vaccines were stored within basket in 93%. Fractional IPV was stock out in 29% CCPs and in 07% CCPs OPV vials were found with not usable VVM. 86%, 72% and 64% of CCHs had knowledge on freeze/temperature sensitive vaccines, cold chain pray and, Shake test. In 79% CCPs expired/wasted vaccines were not documented in stock.Conclusions: Most of the components of cold chain and logistics management practices were satisfactory while there is a gap in other components which needs to be improved. 

scholarly journals Evaluation of cold chain and logistics management practice in Durg district of Chhattisgarh: pointer from Central India

2017 ◽  
Vol 4 (2) ◽  
pp. 390 ◽  
Author(s):  
Ashish Kumar Sinha ◽  
A. R. Verma ◽  
Aditi Chandrakar ◽  
Shanta P. Khes ◽  
Prem Sagar Panda ◽  
...  
Keyword(s):  
Management Practice ◽  
Central India ◽  
Cross Sectional Study ◽  
Logistics Management ◽  
Cold Chain ◽  
Childhood Diseases ◽  
Cross Sectional ◽  
Immunization Programme ◽  
The Status ◽  
Handling Practices

Background: Immunization is the effective method of preventing childhood diseases. One of the important elements for improving the immunization is cold chain and vaccine logistics management which are the left and right hands of immunization programme. Keeping this in mind, the present study was done with the objectives a) to ascertain the status of cold chain equipment and logistics management using GOI monitoring format and b) to ascertain the awareness and practice of cold chain handlers about cold chain equipment and logistics management in Durg district of Chhattisgarh, India.Methods: A cross sectional study was conducted among randomly selected 20 cold chain points (CCPs) of Durg district using standard GOI structured questionnaires.Results: Out of 20 cold chain points (CCPs), 20% CCPs, vaccine were found in frozen state. Functional thermometer was available in 75% CCPs, out of which 65% had temperature in the recommended range. Twice daily recording of temperature was found only in 95 % CCPs. Record of power failures and defrosting was noted in temperature log books in 70% CCPs. The correct placement of ice packs inside Deep freezer was observed in only one CCPs. T-series vaccine vials were placed properly in ILR in 85% CCPs. With respect to knowledge on freeze sensitive vaccine and shake test, 74 % and 53% of cold chain handlers had correct knowledge.Conclusions: The quality of immunization programme can be increased by proper maintenance of cold chain and management of vaccine logistics at every designated cold chain points. There is need to improve the knowledge level of CCHs regarding cold chain maintenances and handling practices.

The concept of power in computer-mediated communication

2020 ◽  
Author(s):  
Šárka Hastrdlová
Keyword(s):  
Visual Cues ◽  
Computer Mediated Communication ◽  
Oral Communication ◽  
Mediated Communication ◽  
Main Hypothesis ◽  
Internet Chat ◽  
Computer Mediated ◽  
The Status ◽  
Closed Groups ◽  
Distribution Of Power

There has been a recent increase of interest in the phenomenon of power amongst linguists and also philosophers. The presented article attempts to consider power and ways in which it is exercised through language of computer-mediated communication (further CMC). This unique environment is determined by the specific conditions of an Internet chat room, such as anonymity and no audio-visual cues. In the theoretical part, Watts’s and Diamond’s investigations of power in various open and closed groups in oral communication are discussed and the notion of status is presented. The author divides the chat group corpus into individual sub-groups and tries to draw a graphical presentation, a sociogram, to show their complexity and distribution of power. However, the question remains how tight the sub-groups in CMC are or how interrelated they are with one another. In this respect, it is noteworthy to observe how a selected chat participant develops her status in various sub-groups and to analyze the means by which this possible status is achieved. The corpus was collected by the author herself. The main hypothesis is that the status of power changes quickly throughout chatting and it depends to a great extent on other cues such as address, non-verbal action displays, punctuation marks and so on. In other words, there are very few means by which to exercise power and hold it in this continuously changing and anonymous environment.

scholarly journals Evaluation, Awareness, Practice and Management of Cold Chain at the Primary Health Care Centers in Coastal South India

1970 ◽  
Vol 32 (1) ◽  
pp. 19-22 ◽  
Author(s):  
S Rao ◽  
S Naftar ◽  
S Baliga ◽  
B Unnikrishnana
Keyword(s):  
South India ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Cold Chain ◽  
Cross Sectional ◽  
Chain Management ◽  
Primary Health ◽  
The Status ◽  
Primary Health Care Centers ◽  
Maintenance Process

Introduction: Vaccination is one of the most effective disease prevention strategies and potency of vaccines is dependent on effective management of cold chain at all levels of vaccine handling. The objective was to assess the status of cold chain at the primary health centers and to assess the knowledge and practices of medical officers at these centers regarding cold chain management.Materials and Methods: This cross sectional study was conducted at 70 primary health centers of Dakshina Kannada District of Coastal South India. Cold chain equipment and maintenance process was noted following direct observation on uninformed visits. Data regarding the knowledge and practices of cold chain management was obtained by interviewing the medical officers using structured pretested questionnaire.Results: Ice lined refrigerators and deep freezers were available in 69 (98.6%) and 67(95.8%) of centers. Dial thermometer was present in all the centers. Cold boxes, frozen packs and automated voltage stabilizers were available in 68(97.2%) centers. Improper vaccine storage was observed in 7 (10%) centers. Majority of medical officers had knowledge and correct practices in fields like ideal equipment, OPV administration, vaccine requiring diluents but only 47 (61.8%) medical officers had correct practice of defrosting the deep freezers.Conclusions: The availability of equipment is near universal. Improper vaccine storage practices and poor knowledge in some fields of cold chain management may adversely affect the quality of administered vaccine. Relevant training for those handling the cold chain is recommended.Key words: Cold Chain; India; Primary health center; Temperature monitoring   DOI: http://dx.doi.org/10.3126/jnps.v32i1.5946  J. Nepal Paediatr. Soc. Vol.32(1) 2012 19-22

scholarly journals Evaluation of vaccine storage and cold chain management practices during intensified mission Indradhanush in community health centers of Tikamgarh district of Madhya Pradesh

2019 ◽  
Vol 6 (2) ◽  
pp. 823
Author(s):  
Ram K. Panika ◽  
Pankaj Prasad ◽  
Sunil Nandeshwar
Keyword(s):  
Community Health Centers ◽  
Management Practices ◽  
Cross Sectional Study ◽  
Cold Chain ◽  
Voltage Stabilizer ◽  
Cross Sectional ◽  
Chain Management ◽  
Record Keeping ◽  
Shake Test ◽  
Immunization Services

Background: Vaccination is one of the most effective disease prevention strategies and potency of vaccine is dependent on effective management of cold chain at all levels of vaccine handling. An effective cold chain maintenance system is the backbone of success of any immunization program. This study was done to assess the cold chain management and vaccine storage practices in Tikamgarh district of Madhya Pradesh.Methods: Cross-sectional study was carried out using a structured questionnaire.Results: Dedicated room/space for dry storage not available in any of 03 CHCs. Dedicated table for conditioning of icepacks, dedicated clean clothes for wiping of icepacks after conditioning and power back up was available, ILR and DF were connected to separate functional voltage stabilizer and thermometers were placed correctly only in 66.6% CHCs. ILRs and DFs were properly placed, cabinet temperature of ILR and DFs was maintained in normal range in all the three (100%) CHCs. Record of power failure, records of defrosting/cleaning was maintained in temperature log book and cold chain handlers had knowledge of shake test in only 33.3% CHC.Conclusions: Proper vaccine storage and management of cold chain system is essential for immunization. In order to improve quality of immunization services there is a need of space, temperature monitoring and regular defrosting with record keeping and regular training of cold chain handlers to keep their knowledge and skills updated. Monitoring and supervision of cold chain points by DIO should be on regular basis. 

Firepups at the Lake

2014 ◽  
pp. 206-218 ◽  
Author(s):  
Dona J. Hickey
Keyword(s):  
Computer Mediated Communication ◽  
Front Page ◽  
Mediated Communication ◽  
Social Community ◽  
Identity Creation ◽  
The Public ◽  
Computer Mediated ◽  
The Status ◽  
Political Blog ◽  
Over Time

This chapter examines how a social community was created and developed on a left-leaning political blog, Firedoglake; in particular, it explores how readers, as commenters, engaged each other, establishing credibility, or rhetorically speaking, acquiring and enhancing their ethos and attaining the status of a respected member of the blog’s community. All excerpted threads include pseudonyms or screen names of users and all material from the designated blogs is, of course, in the public domain. In part 2, the chapter describes how the character of the blog itself, Firedoglake, changed over time as it grew to include an increasing number of front-page posters, became generally identified as hypercritical of the Obama administration, and became an umbrella site for smaller blogs under its banner. The discussion in both parts explores identity creation and the question of community in computer-mediated communication.

Cyber-Aztecs and Cholo-Punks: Guillermo Gómez-Peña's Five-Worlds Theory

PMLA ◽  
2002 ◽  
Vol 117 (1) ◽  
pp. 43-67 ◽  
Author(s):  
Thomas Foster
Keyword(s):  
Mexican American ◽  
New Technologies ◽  
Computer Mediated Communication ◽  
Border Crossing ◽  
The Internet ◽  
Mediated Communication ◽  
Computer Mediated ◽  
The Status ◽  
Recent Developments ◽  
A Site

In the study of postmodern technocultures, including computer-mediated communication and popular narratives about cyberspace, the status of embodiment has emerged as a key question, especially in the context of popular rhetorics that imagine the Internet as a site of freedom from embodied particularity. But while analyses of gender bending and sexual performance on the Internet abound, the future of race in cyberspace has been relatively neglected. This essay traces recent developments in the work of the Mexican American performance artist Guillermo Gómez-Peña, whose earlier interests in immigration, transnationalism, and border-crossing art have increasingly led him to reflect on the promises and dangers cyberspace poses for racially minoritized groups, to the extent that people who use or study the Internet fantasize cyberspace as a site of subjective border crossing and identity play. The essay looks at the theme of virtual reality in specific performances and at Gómez-Peña's incorporation of new technologies into his work.

Engsh, a Kenyan middle class youth language parallel to Sheng

2017 ◽  
Vol 32 (1) ◽  
pp. 48-74
Author(s):  
Sandra Nekesa Barasa ◽  
Maarten Mous
Keyword(s):  
Urban Youth ◽  
Language Contact ◽  
Computer Mediated Communication ◽  
Social Dimension ◽  
Mediated Communication ◽  
Linguistic Change ◽  
Computer Mediated ◽  
The Social ◽  
The Status ◽  
Youth Language

Youth ‘languages’ are an important topic of research in the domain of linguistic change through language contact because the change is rapid and observable and also because the social dimension of change is inevitably present. Engsh, as a youth language in Kenya expresses not only modernity and Kenyan identity but also, the status of being educated, and it differs in this respect from Sheng, the dominant Kenyan youth language. The element of Engsh that expresses this aspect most directly is the use of a grammatical system from English whereas Sheng uses Swahili. In lexicon, Engsh draws upon Sheng and urban English slang. This is a first extensive description of Engsh. The social function of Engsh is interesting in that class is expressed in it, which is not often reported in African urban youth codes. Also the fact that Engsh is a non-exclusive register, which expands through its use in (social) media and most of all in computer mediated communication.

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