"Introduction: 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. The study was done to assess the status of cold chain and vaccine storage practices in Damoh district of Madhya Pradesh.
Methodology: Cross-Sectional Study was done using a structured questionnaire.
Result: ILR and DF were found properly placed at all the three (100%) CHCs. ILR and DF were con-nected to functional Voltage Stabilizer in two (66.66%) CHCs. A functional thermometer was placed inside every ILR and DF of all the three (100%) CHCs. Twice daily recording of temperature was found only in two CHCs (66.66%). The cabinet temperature of ILR and DFs was maintained in correct range in only two (66.66%) CHCs.
Conclusion: The quality of immunization services can be improved by proper storage and management of vaccine in cold chain system. There is a need to improve methods of ILR and DF maintenance in terms of installation, temperature maintenance and regular defrosting with record keeping.
Key words: Cold Chain, immunization Ice Lined Refrigerator, Deep Freezer vaccines