Expanded programs on Immunization Flashcards
organizational component of DOH charged
with preventing disease, disability, and death
from vaccine-preventable diseases in children
and adults.
National immunization program (NPI)
what is immunization?
through vaccine you introduces an antigen, and antigen produces antibody, to identify and neutralize harmful substances
when is the launch of EPI?
1976
decrease morbidity & mortality among
infants & children caused by 6 Immunizable diseases
Original objectives of EPI
EPI Principles
The program is based on
epidemiological situation;
schedules are drawn on the basis
of the ___________ and
_____________of epidemiological
features of the disease.
occurrence and characteristics
EPI Principles
The whole ___________ rather than just the
individual is to be protected, thus mass
approach is utilized.
community
EPI Principles
Immunization is a basic health service &
integrated into the health services being
provided for by the ___________
RHU
to reduce the morbidity and mortality among children against the most common vaccine preventable diseases
overall goal
Children should be injected with tetanus
Never
Importance of immunization
induce immunity
promote health
protect from diseases
strategies:
Conduct of Routine Immunization for
Infants/Children/Women through
the _____________
Reaching Every Barangay (REB)
strategy
Strategies:
Procurement of adequate and ___________ and __________and ___________to all
health facilities nationwide
potent vaccines and needles and syringes
Strategies:
Strengthening Vaccine-Preventable
Diseases ___________
Surveillance
Target age group of EPI
infants, children below 5 years old, women
Mandatory Infants and
Children Health Immunization Act of 2011
Republic Act No. 10152
Republic Act No. 10152- Mandatory Infants and
Children Health Immunization Act of 2011
Basic immunization for children under 5 including
other types that will be determined by the___________
secretary of health
Cold Chain Logistic
Management
Daily record> monthly report> analysis> annual statistics and estimates> request for supply> manufacturer> airport> DOH> LGU> Health Care Center> Vaccination Mother and Child
At RITM and Region there is __________
walk in cooler, walk in freezer, iced line
At the Province and City Health Vaccine Room there is
__________
transport boxes, Deep freezer(DF) 300 liter, Iced Line Refrigerator (ILR) 300, Vaccine Box
Guidelines of Cold Chain
Management
All vaccine refrigerators or freezers
shall be used exclusively for __________
EPI vaccines
Guidelines of Cold Chain
Management
Vaccines are stored according to the
__________ requirement for each antigen
temperature
Guidelines of Cold Chain
Management
Regular temp. __________
monitoring
Guidelines of Cold Chain
Management
__________ plan for emergency measures
contingency
vaccine most sensitive to heat
oral polio, measles, MMR
storage temperature of vaccines most sensitive to heat
-15 to -25 C
Storage temperature of least sensitive to heat
+2 to +8 C
vaccines least sensitive to heat
pentavalent, BCG, Tetanus Toxoid, PCV-13, IPV, Rotavirus and HPV
combination refrigerator/freezer unit
-group vaccines by type
-keep vaccine 2-3 inches aways from walls and other boxes
-post do not unplug stickers on electrical outlet, plug in one unit per outlet
-place thermometer probe in the center
-no vaccines in door, fill space with frozen packs
-no vaccines on top shelf
-no vaccines in drawers or on floor of refrigerator , fill space with cold packs or water jugs
Multi-dose liquid vaccines(OPV, DPT, TT, and Hepatitis
B) may be used in the next immunization sessions for
up to maximum of ____________, provided that all the
conditions are met
4 weeks
following conditions should be met for vaccine to be used in the next immunization
-expiry date has not passed
-the vaccine has not been contaminated
-the vials have been stored under appropriate cold
chain conditions
-the vaccine vial septum has not been submerged
in water
-the vaccine vial monitor on the vial, if attached,
has not reached the discard point
vaccine vial monitor stage:
the inner square is lighter than the outer circle, if the expiry date has not passed, USE THE VACCINE
1
vaccine vial monitor stage:
as the time passes the inner square is still lighter than the outer circle. If the expiry date has not passed. USED THE VACCINE
2
vaccine vial monitor stage:
DISCARD POINT: the color of the inner square matches that of the outer circle, DO NOT USE THE VACCINE
3
vaccine vial monitor stage:
Beyond the discard point. the color of the inner square is darker that the inner circle.
4
All opened vials of any vaccine must be
__________ if sterile procedures have not been
followed.
discarded
Freeze-dried vaccines, such as ____________
vaccines should be discarded after __________
reconstitution or at the end of the immunization
session.
AMV & BCG, 6 hours
If the_________ of the vaccine is ___________, the
vial/s should be thrown away.
potency, questionable
Compulsory basic immunization for infants and
children below 8 y/o
Presidential Decree No.996
Implementing a United Nations goal on
Universal Child Immunization by 1990
Presidential Proclamation No.6
Reaffirming the commitment of the Phil. to the
Universal Child and Mother Immunization goal
of the World Health Assembly
Presidential Proclamation No.46
Compulsory immunization against Hepa B for
infants and children below 8 y/o
Republic Act 7846
Policies on the Nationwide Implementation of
EPI
DOH Administrative Order No. 39 s. 2003
Implementing Guidelines on Hepatitis B
Immunization for Infant
DOH Administrative Order No. 2006 - 0015
Providing for mandatory basic immunization
services for infants and children up to five years
old
Republic Act No. 10152