Immunization in PracticeOpen

  • Module 1: deals with target diseases for immunization program and the vaccines used to prevent them. Where combination vaccines are recommended, their details are presented in summary tables within the relevant sections. 
  • Module 2: deals with the cold chain system used for storing & distributing vaccines in good condition. 
  • Module 3: incorporates interpersonal communication skills for health workers and the general overview of building political commitment and community support for EPI. 
  • Module 4: micro-planning, discusses the process of micro planning to ensure immunization services reach every community. It starts with social maps at primary health care unit catchment area, which should be updated to include all population segments and groups in the catchment area and to flag high-risk areas. 
  • Module 5: Insuring immunization safety, discusses practices that health workers should follow to ensure that they deliver immunization injections in the safest manner. 
  • Module 6: Managing immunization session, describes the tasks a health worker needs to perform to ensure the quality of an immunization session. It starts with the preparation required at the health facility and the immunization site before the infants arrive. 
  • Module 7: Monitoring and surveillance, explains how to collect and report data for monitoring of immunization services and surveillance of vaccine-preventable diseases and adverse events following immunization (AEFI). 

Starting Date: May, 29 2018
Ending Date May, 31 2023
    1. Module 1

    This module describes about fourteen infectious diseases that cause suffering, disability and/or death for children and the vaccines that can prevent them. The diseases are: tuberculosis, diphtheria, pertussis, hepatitis, Haemophilus influenza infection type b related disease, Pneumococcal pneumonia, Rota virus diarrhea, tetanus, Human papilloma virus associated cervical cancer, rubella and congenital rubella syndrome, poliomyelitis, Measles, Meningitis and Yellow fever. Vitamin A deficiency, and the use of Vitamin A to prevent it, is also covered in this module.

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    2. Module 2

    This module provides guidance for workers at health facility level. It covers the use of cold-chain equipment, temperature-monitoring devices and the basic preventive maintenance of cold-chain equipment.  The vaccine stock management and vaccine wastage, practices that health workers should follow during storage, transportation and vaccination sessions of vaccines are also discussed.  The contents of the module are, The basic concept of the cold chain Health facility cold chain equipment Arranging vaccines inside cold chain equipment Temperature monitoring devices Monitoring cold chain temperatures Basic maintenance of cold chain equipment Vaccine stock management at health facility level.

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    3. Module 3

    This module incorporates interpersonal communication skills for health workers and the general overview of building political commitment and community support for EPI. Thus at the end of this course the trainee will be expected: 

    • To conduct effective Interpersonal Communication skills with client during immunization session. 
    • To identify essential messages for caretakers and explains how to effectively communicate these messages—both as a means to provide valuable information that can be used to address parent’s concerns about immunization. 
    • To identify communication gaps in EPI and give timely corrective responses 
    • To plan, implement and monitor activities to build political commitment and support of community and leaders by using different communication strategies in EPI. 

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    4. Module 4

    This module discusses the process of micro planning to ensure immunization services reach every community. By the end of this session, participants will become familiar with: 

    • Developing social maps at primary health care unit catchment area, which should be updated to include all population centers and groups in the catchment area and to flag high-risk areas. 
    • Describing how to identify priority, high-risk health facilities and communities based on numbers of un immunized children. 
    • How to clarify barriers to service access and utilization in priority communities and to make a work plan for solutions. 
    • Making a session plan and arranging follow up of defaulters. 

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    5. Module 5

    This module describes what a health worker should follow to ensure that they deliver immunization injections in the safest manner such as: 

    • How to ensure immunization safety /safe injections 
    • Safe injections equipment and techniques 
    • Prevent needle stick injury and infection 
    • Using safety box 
    • Disposal of used syringes and needles 
    • Adverse events following immunization /AEFI/ 

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    6. Module 6

    This module describes the tasks a health worker needs to perform to ensure the quality of an immunization session. 

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    7. Module 7

    This module describes how to collect and report data, and how to monitor PHCU performance using their own data. It also shows how PHCU can improve the performance of their service by identifying and solving problems, and incorporating the solutions as activities in their work plan. This module covers the following topics. 

    • Basic monitoring tools: Immunization registers, immunization card, tally sheet, and system for tracking defaulter 
    • How to construct and use EPI monitoring chart, temperature monitoring tools (like the Fridge tags) and logs 
    • How to monitor performance and manage identified problems 
    • Factors for low immunization coverage and strategies to improve immunization coverage 
    • Calculation of vaccine usage rate and vaccine wastage rate 
    • Surveillance of VPD (Vaccine Preventable Diseases) 

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