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OUTLINE

INTRODUCTION / OBJECTIVES
MAPPING PROTOCOL

DATA COLLECTION / ANALYSIS.

MAPPING REPORT

CONCLUSION

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Introduction
INTRODUCTION/OBJECTIVES Mapping
temperature
variations within the
selected storage area

According to the EVM

Identification of Documenting high
improvement plan 2014; Measuring and low temperature
temperature temperature deviations
E2 specifies the need to variations at each affecting the chosen storage
fluctuations caused
by the environmental
conduct temperature location within the areas during the time of control systems
chosen area, by day operating at the time
mapping in all cold and of the week, and time study, so that remedial
of the study
of the day action can be taken
freezer rooms to support
evidence-based
arrangement of vaccines Identifying
potential airflow
issues that may be
the cause of
temperature
variations
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 Recommending safe location for the storage of vaccines in the
WICRs

EXPECTED Identifying the best places to locate temperature sensors, for

OUTPUTS OF routine monitoring

THE MAPPING
STUDY
Making recommendations for any remedial actions needed to
overcome the problems identified in the study

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 No mapping done!
Vaccine exposed to air
stream and at risk of
freezing

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Mapping Protocol
Protocol

• Selection of Electronic data logging monitor (EDLMs);

• Designation of Mapping team
• Site Survey
• Setting acceptance Criteria
• Allocating EDLMs to respective locations
• Record EDLM, monitoring sensors and thermostat
locations
• Labelling and programming of the EDLMs
• Fixing EDLMS to positions
• Conduct the Mapping exercise
• Download and Consolidate the data

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STEP 1: Selection of Electronic data logging monitor (EDLMs)

• Multiple number of readings

• Can be programmed to meet desired criteria
• Data can be downloaded from the device into excel page
• Accompanied soft ware for analysis

• No display
• Sensor can be damaged when handled poorly

• Availability of display
• Data can be downloaded from the device

• Already programmed to read daily maximum and minimum values

• Limited lifespan
• 30 days reading

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 STEP 2: DESIGNATION OF TEAM MEMBERS

Role Responsibility
Team Lead Coordination
Team Member Programming of loggers
• Train / orientate team on mapping process
Team Member Labeling and recording of
• Share responsibilities to each members loggers
• Record their signatures and initials to track Team member Placement/removal of
loggers
activities

Team Member Monitoring of activity log

Technical lead Downloading / recording
of loggers

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 STEP 3: Site Survey

• Length, width & height dimensions

• Drawing of each area
• Identify locations for the placement of each
EDLMs
• Identify location of cooling components
• Identify location of existing temperature
recording sensors and temperature controlling
sensors

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Step 4: Setting acceptance Criteria

• Programme devices to read for 48hours

• Minimum temperature ; 2C Maximum temperature ; 8C
• No of hours to switch between cooling unit
Step 5: Designation of EDLMs

Width & Length;

• EDLMs should be arranged in a grid fashion along the width & length,
EDLMs locations in every 5-10 meters
• Chosen placement area should coincide with locations where vaccines
are actually stored or planned to be stored.

Height;
• If the ceiling height is 3.6meters or less; EDLM should be placed
• Floor level, 1.2 meters, 3.0 meters
• If the ceiling height is greater than 3.6meters, EDLMs can be arranged
• 0.3m, 1.8m, 3.6m, 5.4m

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Step 6; Record EDLM, monitoring sensors and thermostat
locations

Step 7; Labelling and programming of the EDLMs

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Conduct the Mapping exercise

• Assign members to cold rooms with the required

no of EDLMs
• Place all EDLMs in there respective locations
(ensure it is placed on the shelves)
• Allow at least 15min for the loggers to adapt to
the internal temperature before starting the
loggers
• Put an activity log at the door entrance to
monitor movement and other associated
activities
• After 24hours, switch the cooling unit to the
other unit
• After 48hours, remove all data loggers and
download the readings.

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 EXPECTATIONS AT THE END OF THE STUDY

Conclusion on the overall temperature stability of the area

being monitored and the range in fluctuations recorded over
the period of study

Location of cold and hot spots in the WICRs

Factors associated to observed temperature variations

Recommendation on the optimum storage location for variant types of

sensitive vaccines

Recommendation on optimum location of routine temperature logger placement in

the WICRs

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Source of potential Errors

 Insufficient time not allowed for the EDLMs to be conditioned to the ambient temperature
before the mapping exercise begins.

 An access log was not kept during the study so that any temperature excursions
caused by personnel movement can easily be identified. As such Power outages were
recorded.
 WICR9
WICR11 WICR10

WIFR4
WICR5 WICR12

WIFR3
WIFR6
WICR13

WIFR2
WIFR7
WICR14

WICR1 WICR Mapping done

WICR8

WICR Mapping not

done yet

Store room WICR15

WFCR

ENTRANCE
Cold spots; 8 Hot spots; 13 Within range: 12Y /10N
Analysis:
 The storage area is not safe for storage of freeze sensitive as we have more of hot
spots.
 The cold spots reading are also recording higher values
Recommendation:
 There is need to recalibrate the temperature range for the CR (long term).
 Spacing of vaccines in the hot spots, continuous monitoring of VVMs (short terms) WICR 009; Penta
 Conclusion

• Implementation of recommendation
• Adoption of protocol
• Mapping cascading to zones
• Sustaining for the next three years / Routine temperature
review(daily, weekly, monthly, quarterly, yearly).
• Results publishing as part of DLHCs operations (end of year)

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 THANK YOU!!!

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