Professional Documents
Culture Documents
Report Assignment 1
GROUP 08
GROUP PERSONNEL:
ALIF AHMADSYAH GIBRAN (1706985666)
ATIKAH SYAHIDAH (1706038203)
DIANAH SALSHA DILLA (1706985703)
IVANANDA RIZQULLAH (1706038260)
MUHAMMAD FADHILLAH ANSYARI (1706985786)
VIRA ANNISA INDRIANI (1706038286)
Indonesia is a big nation divided by many islands and prefectures, the many
islands and prefectures mean that there are very many people that live in the
country, which creates injustice across the country. There are still so many people
in Indonesia that lives in poverty, and are not able to get access to different things
from the government because they live in remote areas, This leads to a
discrepancy in health welfare among the poor people living in remote areas,
specifically vaccination for the Indonesian people, whether they are adults, kids,
or infants. Many viruses need to be vaccinated in Indonesia, either for preventive
uses or immediate actions, such as the Zika, H1N1, Influenza, Malaria, and many
other viruses. The problem is that many people in Indonesia live in remote areas
that can't be easily accessed, so it is very hard to distribute the needed vaccines to
the people in need because vaccines need to be kept at a certain temperature for it
to still be active and be ready to be used effectively. This means that a device that
eases the distribution of vaccines, specifically a refrigeration system for vaccines.
Other than that, since there are still many areas in Indonesia that are still
considered remote, there are areas that can’t even get access to electricity
provided by the national electrical company. The lack of electricity leads to a need
for an alternative source of energy in the form of solar energy. Solar energy is a
very viable source of alternative energy since the true source of the energy, the
sun, will always be active. Remote areas also mean that the travel time to a certain
area is pretty long, thus a backup energy source is needed to help during times
where the solar energy source can't be relied on, such as at night or during rain.
From all the listed problems above, the authors have discussed about creating a
product that can help ease the problems.
First, the authors have conducted a survey focused on people with a medical
studies background, including doctors, health workers, medical students, and
other people that have worked on vaccines distribution to know the market needs.
Thus, a list of 16 needs have been interpreted based on the survey answered by a
total of 75 people. All of the needs are next grouped into 3 different groups, which
is product performance, product perception, and product regulation. After the
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needs have been divided into groups, they are then ranked. The authors found that
it can be interpreted that the needed product is a refrigeration system for vaccines
with an alternative energy source that can hold a lot of vaccines, keep the vaccines
at the desired temperature for a long time, and have an alarm system.
Next the authors defined the correct product specifications based on the list of
needs that can fulfill the market needs. Then, benchmarking is done to help the
authors know how the proposed product holds up compared to other existing
products in the market by comparing different specifications that the proposed
product has. During this process, the authors also determined the value of the
proposed product specifications, and compared itu to the marginal and ideal value
of the product. By determining the position of the proposed product in the market,
the authors can find gaps and opportunities in the market that can be exploited to
fulfill the market needs and help the proposed product compete businesswise in
the market.
In conclusion, the authors found there is a need for a solar energy-based
refrigeration system for vaccines with the determined specifications in the market.
The authors also found that it is very challenging to create a product that can
fulfill all that market needs that have been found, but it is possible with a big
amount of effort and determination with an intention of helping the people in
need. By finishing this assignment, the authors have seen the bigger picture on
what the market need, and what needs to be done to create a fulfilling product that
can compete in the market.
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LIST OF CONTENT
EXECUTIVE SUMMARY..................................................................................... ii
LIST OF CONTENT ............................................................................................. iv
LIST OF FIGURES ................................................................................................ v
LIST OF TABLES ................................................................................................. vi
CHAPTER 1 ........................................................................................................... 1
1.1 Background .............................................................................................. 1
1.2 Problem Formulations .............................................................................. 2
1.3 Problem Boundaries ................................................................................. 2
1.4 Writing Objective ..................................................................................... 3
CHAPTER 2 ........................................................................................................... 4
2.1 Refrigeration System ................................................................................ 4
2.2 Solar Refrigerator ..................................................................................... 5
2.3 Different Types of Vaccines and Its Affect .............................................. 7
2.3.1 Live Attenuated Vaccines .......................................................................... 7
2.3.2 Inactivated Whole-cell Vaccines ................................................................ 8
2.3.3 Subunit Vaccines ........................................................................................ 9
2.3.3 Toxoid Vaccine ........................................................................................ 10
2.4.1 Antigens.................................................................................................... 11
2.4.2 Stabilizers ................................................................................................. 11
2.4.3 Adjuvants.................................................................................................. 11
2.4.4 Antibiotics ................................................................................................ 12
2.4.5 Preservatives ............................................................................................. 12
2.5.1 Sensitivity to Heat and Freezing............................................................... 13
2.5.2 Sensitivity to Light ................................................................................... 13
2.5.3 Controlled Temperature Chain (CTC) ..................................................... 14
CHAPTER 3 ......................................................................................................... 16
3.1 Determining Needs ................................................................................. 16
3.1.1 Market Analysis Method .......................................................................... 16
3.1.2 Target Customers ..................................................................................... 16
3.1.3 Customers Knowledge About Vaccine and Customers’ Needs ............... 19
3.2 Costumer’s Needs Interpretation ............................................................ 24
3.3 Needs Listing .......................................................................................... 27
3.4 Classification and Rank of Needs........................................................... 28
CHAPTER 4 ......................................................................................................... 30
4.1 Metrics Listing ....................................................................................... 30
4.2 Metric Needs Grouping .......................................................................... 31
4.3 Similar Existing Product Benchmarking ................................................ 32
4.4 Product Spesification .............................................................................. 34
CHAPTER 5 ......................................................................................................... 37
REFERENCES...................................................................................................... 38
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LIST OF FIGURES
CHAPTER 2
Figure 2. 1. Refrigeration System ........................................................................... 4
Figure 2. 2.Schematic diagram of a photovoltaic operated refrigeration system.... 6
Figure 2. 3.Schematic diagram of a solar mechanical vapour compression
refrigeration system ................................................................................................. 6
Figure 2. 4. Schematic diagram of a solar mechanical vapour compression
refrigeration system ................................................................................................. 7
Figure 2. 5. Recommended Vaccine Storage Temperatures ................................. 12
Figure 2. 6. Vaccine Heat Sensitivity ................................................................... 13
Figure 2. 7. Ice-lined mains electric, solar-battery or solar direct-drive ............... 14
CHAPTER 3
Figure 3. 1. Percentage of Respondent’s Jobs ...................................................... 16
Figure 3. 2. Percentage of Respondent's Subject .................................................. 17
Figure 3. 3. Percentage of Respondent's Experience with Vaccine ...................... 18
Figure 3. 4.Total Immunization Received from Respondents .............................. 18
Figure 3. 5. Respondent's Views on The Evenness of Vaccination Program in
Indonesia ............................................................................................................... 19
Figure 3. 6. The Right Temperature to Store Vaccine .......................................... 19
Figure 3. 7. The Importance of The Vaccine Storage for Maintaining Temperature
while isn't Electricity ............................................................................................. 20
Figure 3. 8. The Times that Required for Maintaining Vaccine Storage
Temperature .......................................................................................................... 21
Figure 3. 9. The Best Vaccine Storage Shape ....................................................... 22
Figure 3. 10. Vaccine Storage Sizes on The Market ............................................. 22
Figure 3. 11. Market Needs for Vaccine Storage .................................................. 23
Figure 3. 12. The Importance of Alarm System for Vaccine Storage................... 23
Figure 3. 13. Innovation or Needs to be Exist in Vaccine Refrigerator ................ 24
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LIST OF TABLES
CHAPTER 1
Table 1. 1. Problem Boundaries .............................................................................. 2
CHAPTER 2
Table 2. 1. Live Attenuated Vaccines ..................................................................... 8
Table 2. 2. Inactivated Whole-cell Vaccines .......................................................... 8
Table 2. 3. Freeze Sensitive Vaccines ................................................................... 13
CHAPTER 3
Table 3. 1.Costumers’ Needs Interpretation Table ............................................... 24
Table 3. 3. Arranged List of Needs ....................................................................... 27
Table 3. 4. Grouping and Ranking of Needs ......................................................... 29
CHAPTER 4
Table 4. 1 List of Metrics ...................................................................................... 30
Table 4. 2. Metrics of Needs ................................................................................. 31
Table 4. 3. Spesification of Three Product in Demand ......................................... 33
Table 4. 4. Specification of Own Product Value, Marginal Value, and Ideal Value
............................................................................................................................... 35
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CHAPTER 1
INTRODUCTION
1.1 Background
Indonesia is a big nation divided by many islands and prefectures, the many
islands and prefectures mean that there are very many people that live in the
country, 264 million people in total, which leads to injustice across the country.
This injustice leads to a gap of wealthiness between the rich and the poor that is
very visible in the country. Quoting a Republika article in March of 2019,
according to the National Bureau of Statistics, 9% of Indonesia's population is still
poor, which means there are still a total of 25,14 million poor people in Indonesia.
This leads to a discrepancy in health welfare among the poor people living in
remote areas. Since many of Indonesia’s citizens are poor people, which means
that they can only rely on public health insurance.
The specific problem that we are focusing on is a vaccination for the
Indonesian people, whether they are adults, kids, or infants. Infants under the age
of 5 need to be vaccinated from common viruses in the form of immunization.
Other than that, vaccination is also needed for adults. Many viruses need to be
vaccinated in Indonesia, either for preventive uses or immediate actions, such as
the Zika, H1N1, Influenza, Malaria, and many other viruses. The problem is that
many people in Indonesia live in remote areas that can't be easily accessed, so it is
very hard to distribute the needed vaccines to the people in need because vaccines
need to be kept at a certain temperature for it to still be active and be ready to be
used effectively. This means that a device that eases the distribution of vaccines,
specifically a refrigeration system for vaccines,
Other than that, since there are still many areas in Indonesia that are still
considered remote, there are areas that can’t even get access to electricity
provided by the national electrical company. For example, according to another
Republika article in august 2019, there are 260 thousand families in West Java
alone that still don’t get power from the Indonesian electrical company. The lack
of electricity leads to a need for an alternative source of energy in the form of
solar energy. Solar energy is a very viable source of alternative energy since the
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true source of the energy, the sun, will always be active. Another reason for
choosing solar energy is that Indonesia is a tropical country right at the
archipelago line, which means that there will be plenty of sunlight in the country.
Remote areas also mean that the travel time to a certain area is pretty long, thus a
backup energy source is needed to help during times where the solar energy
source can't be relied on, such as at night or during rain.
Problem Boundaries
A solar energy-based refrigeration system for
vaccines that includes a backup energy source, a
Product Description
freezer, a temperature controller, and an alarm
system
A solar energy-based refrigeration system for
Key Business Goals
vaccines
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Problem Boundaries
Medicine Distributor
Primary Market Health Workers
National Bureau of Health Services
Existing Product
Obstacle
Demand for Product
Customers
Stake Holder Distributors
Government Agencies
(Source: Personal Data, 2020)
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CHAPTER 2
LITERATURE REVIEW
2.1 Refrigeration System
There are several types of refrigeration equipment on the market based on
customer goals such as refrigerators, freezers, walk-in refrigerators, ice producers,
air conditioners, and factory cooling systems. The general goal is to reduce and
sustain certain degrees of temperature. The primary principle of generating the
cool has common characteristics which causes the refrigerant to change its shape
from liquid to gas, leading to a temperature drop.
The initialization of the cooling system begins with the use of the
evaporator from a heat reduction. The heat the refrigerant has carried must heat
itself until it evaporates. In this process, the coolant can absorb heat from nearby
areas of the evaporator through heat transfer or radiation keeping the coolant at
high temperature and low pressure.
For gas, the high temperature refrigerant will be transferred to a
compressor that compresses and increases the pressure before going on to a
condenser to ventilate from the gas refrigerant to convert it back into liquid before
switching to an expansion valve. The expansion valve is used to lower the
refrigerant pressure so that the refrigerant at the next device, an evaporator, is
evaporated at low temperature, and the process is repeated as a cycle as shown in
Figure 2.1.
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Bacteria Virus
Tuberculosis (BCG) Oral Polio Vaccine (OPV), Measles,
Rotavirus, Yellow Fever
(Source: Vaccine-safety-training.org)
Bacteria Virus
Whole-cell Pertussis (wP) Inactivated Polio Virus (IPV)
(Source:Vaccine-safety-training.org)
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2.4.4 Antibiotics
Antibiotics (in small amounts) are used in the process of making vaccines,
with the aim of preventing bacterial contamination of cell culture in which the
virus is being propagated. Usually the level of antibiotics detected in vaccines is
very low, for example in MMR and IPV vaccines, there is only 25 µg neomycin
for each dose of vaccine (<0.000025 gr). People who are allergic to neomycin
must be monitored closely, because of the possibility of allergic reactions can
occur, so that it can be treated quickly if allergies arise.
2.4.5 Preservatives
Preservatives are added to the vaccine in multi-dose packaging to prevent
bacterial and fungal growth. There are several types of preservatives such as
Thiomersal, Formaldehyde, and Phenol Derivatives.
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mumps-rubella and rubella. These vaccines are often supplied in dark glass vials
that give them some protection from light damage; but they should be kept in their
secondary packaging for as long as possible to protect them during storage and
transportation.
2.5.3 Controlled Temperature Chain (CTC)
An increasing number of vaccines are being examined to determine their
compatibility with a Controlled Temperature Chain (CTC), which would allow
their use at ambient temperatures. WHO defines a CTC as the on-label use of a
WHO-prequalified vaccine out of the traditional +2 °C to +8 °C cold chain for a
limited period of time, at temperatures of up to 40 °C, just before administration.
Vaccines licensed accordingly can be used in a CTC. The CTC approach can be
adopted by countries for carefully chosen circumstances.
2.6 Health Facility Refrigerator
Refrigerators at health facilities may be powered by electricity, solar or
gas (or kerosene). A refrigerator for the health facility should be chosen based on
the most reliable power supply available and the combined capacity necessary for
storage of the vaccine and the water pack. Apart from cleaning and preventive
maintenance, solar refrigerators are more expensive to buy and install than electric
refrigerators. The two types are: a) solar-battery units connected to a battery bank,
which is charged by the solar panels and b) solar direct-drive units that are
powered directly by the solar panels.
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Since 2009, all ice-lined, solar battery and direct-drive solar refrigerators
prequalified by the WHO have been equipped with thermostats that the user can
not adjust. The temperature in these refrigerators should always stay between+ 2 °
C and+ 8 ° C if power cuts are not excessive. If there is a recurrent temperature
control issue in these models, you must alert your supervisor and call the
technician for the refrigeration. All of these newer refrigerators have a round red
and blue sticker: the top red semi-circle shows the maximum operating
temperature permitted, and the bottom blue semi-circle shows the minimum
operating temperature.
A refrigerator in a health facility must never be packed tightly–always
leave plenty of space around the vaccines and diluents to allow air to circulate
freely and make vaccine handling simpler. Usually a refrigerator for the health
facility should be selected so that it can hold:
• at least one month’s supply of vaccines and diluents in the refrigerator
compartment
• a one- or two-week reserve stock of vaccines and diluents (usually an additional
25–50% of the one-month supply)
• a minimum of four water packs in the freezer/cooling compartment. (Note: For
technical reasons, some solar direct-drive refrigerators cannot freeze ice packs.)
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CHAPTER 3
NEEDS IDENTIFICATION AND IDEAS SELECTION
4% 1.40%
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1.50%
4% 1%
Faculty of Medicine
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Injecting vaccine
Holding a vaccine
Using vaccine
0 10 20 30 40 50 60 70
Never
24.00%
1 time
2-5 times
62.7%
6-15 times
More than 15 times
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6.70% 4%
20%
14.70%
54.70%
6.70% 0%
5.30%
20%
Less than 2oC
2oC - 8oC
8oC - 14oC
14oC - 20oC
More than 20oC
68%
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10.7%
Very Important
Important
Not Important
89.3%
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16.0%
1-2 Hours 30.7%
3-4 Hours
5-6 Hours 16.0%
7-8 Hours
More than 8 Hours
21.30% 16.00%
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6.70% 14.70%
64.00%
No 1
14.7% No 2
No 3
No 4
1.3% 0.00%
8.00% 14.70%
Too Small
Small
Enough
76.0% Big
Too Big
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freezer or cool pack inside. It means our team must combine their needs with
our product.
Easy to carry
0 10 20 30 40 50 60 70
Yes
No
96.0%
The data shows that 96% of the respondents feel that the alarm system is
essential to inform the vaccine storage condition whether the temperature of
vaccine storage is too hot or too cold for the vaccine that saved in the vaccine
storage.
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remote areas
No Needs
Vaccine refrigerator that can keep a vaccine in the desired
1
temperature range (2 – 8 o C)
Vaccine refrigerator that can keep a vaccine in condition
2
without electricity
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CHAPTER 4
PRODUCT SPECIFICATION
Needs
No. List of Needs Specification Metric Unit
Rank
Product Performance
Vaccine refrigerator that
2 can keep a vaccine in 5 Time Hour
condition without electricity
Vaccine refrigerator with a Dimension mm.mm.mm
8 4
portable size Weight Kg
Vaccine refrigerator with o
9 3 Temperature C
freezer
Vaccine refrigerator that
10 can fulfil with a lot of 5 Volume L
vaccine (high capacity)
Vaccine refrigerator that
11 doesn’t consume a lot of 5 Power Watt
energy
Product Perception
Cube shapes vaccine
3 3 Shape Subj.
refrigerator with racks
Vaccine refrigerator that
Dimension
4 have the similar size with 3 mm.mm.mm
(H.W.L)
existing product
Vaccine refrigerator that
5 4 Ratio of Hole Mesh
have some racks with holes
Vaccine refrigerator with a
6 3 Accesibility Yes/No
railing system
Vaccine refrigerator with
7 some racks for grouping a 3 Jumlah rak Quantity
vaccine
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Metrics
mm.mm.mm
Quantitiy
Yes / No
Mesh
Hour
Watt
Subj
%
L
o
2
Vaccine refrigerator that
can keep a vaccine in
• •
condition without electricity
8
Vaccine refrigerator with a
portable size
•
9
Vaccine refrigerator with
freezer
•
10
Vaccine refrigerator that
can fulfil with a lot of
•
vaccine (high capacity)
11
Vaccine refrigerator that
doesn’t consume a lot of •
energy
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3
Cube shapes vaccine
refrigerator with racks •
4
Vaccine refrigerator that
have the similar size with •
existing product
5
Vaccine refrigerator that
have some racks with holes •
6
Vaccine refrigerator with a
railing system •
7
Vaccine refrigerator with
some racks for grouping a •
vaccine
12
Vaccine refrigerator with an
alarm system •
13
Vaccine refrigerator with
vaccine quality indicator •
14
Vaccine refrigerator with
Real-time digital temperature •
indicator
15
Vaccine refrigerator with
back-up energy system •
1
Vaccine refrigerator that can
keep a vaccine in the desired •
temperature
16 Sterile vaccine refrigerator •
(Source: Personal Data, 2020)
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Products Score
Needs Metric
No. List of Needs Spec Sure Medical Sun
Rank Unit
Chill System Danzer
Product Performance
Vaccine
refrigerator that
can keep a
2 4 Time Hour 86.4 85.4 83.5
vaccine in
condition without
electricity
1030 1030 x
Vaccine mm.m 962 x 711
Dimension x 560 1300 x
8 refrigerator with 4 m.mm x 868
x 600 800
a portable size
Weight Kg 123 99 115
Vaccine -12
Temperatur o -10 s/d -
9 refrigerator with 3 C s/d - -11 s/d -19
e 15
freezer 18
Vaccine
refrigerator that
10 can fulfil with a 5 Volume L 27 42 56
lot of vaccine
(high capacity)
Vaccine
refrigerator that
11 5 Power Watt 850 780 820
doesn’t consume
a lot of energy
Product Perception
Cube shapes
vaccine
3 3 Shape Subj. Yes Yes Yes
refrigerator with
racks
Vaccine
refrigerator that 1030 1030 x
Dimension mm.m 962 x 711
4 have the similar 3 x 560 1300 x
(H.W.L) m.mm x 868
size with existing x 600 800
product
Vaccine
refrigerator that Ratio of Holes/
5 4 0 0 0
have some racks Hole m2
with holes
Vaccine
6 refrigerator with 3 Accesibility Yes/No No No No
a railing system
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Table 4.4. Spesification of Own Product Value, Marginal Value, and Ideal
Value (continued)
Vaccine
Warning
12 refrigerator with 4 Yes/No Yes Yes/No Yes
System
an alarm system
Vaccine
refrigerator with Indicator
13 4 Yes/No Yes Yes/No Yes
vaccine quality System
indicator
Vaccine
refrigerator with
Temperature
14 Real-time digital 4 Yes/No Yes Yes/No Yes
Sensor
temperature
indicator
Vaccine
refrigerator with
15 4 Power Watt 100 90-110 100
back-up energy
system
Product Regulation
Vaccine
refrigerator that
o
1 can keep a vaccine 5 Temperature C 2-8 2-8 2-8
in the desired
temperature
Sterile vaccine Concentration
16 5 % 0.5 0.2 – 1 0.5
refrigerator of bactery
(Source: Personal Data, 2020)
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CHAPTER 5
CONCLUSION
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REFERENCES
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