Transcript Essential Training Package for HPV Vaccine Introduction Module 5 Recording and monitoring of HPV vaccine GardasilTM.

Essential Training Package for HPV Vaccine Introduction
Module 5
Recording and monitoring of
HPV vaccine
GardasilTM
Learning objectives
 At the end of the module, you will have learned to:
– Define process of monitoring HPV vaccine coverage
data
– Describe the 4 main monitoring tools at service
delivery level
– Describe the procedure to monitor AEFIs
 Duration
– 25’
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Recording and Monitoring of HPV Vaccine, Module 5 GardasilTM I 07 November
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Key issues
1
What is the process for HPV vaccine
coverage monitoring?
2
How to use the monitoring tools?
3
What is the process for AEFI monitoring
and reporting?
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Flowchart of HPV vaccine coverage
monitoring process and tools
1 - Service delivery/site level
(i.e. point of vaccine delivery)
Record each vaccinated girl
by year of age and by dose number
1- Immunization cards
(fill out one tally sheet/vaccination day)
2- Immunization register
Sum up tally sheets
Report numbers of doses given by year of
age and by dose number to district
2 - District level
3 - Country level
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Data collection &
reporting tools
Recording and Monitoring of HPV Vaccine, Module 5 GardasilTM I 07 November
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3-Tally sheet
4- Monthly report
HPV vaccine coverage
data collection procedure
Key steps
Tools
1
Register each eligible girl
Immunization register
2
Complete the girl’s immunization card
Immunization card
3
Tally the number of dose given, by dose
number & by year of age (per vaccination)
4
Calculate sub-totals of HPV doses given, by
dose number & by year of age (at the end of
each vaccination session)
5
Report the sub-totals to service delivery site
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Tally Sheet
Monthly record sheet
Monitoring tool 1: Immunization card
 HPV vaccination should always be recorded in the
appropriate immunization card
 Girls and Health Workers need to understand the importance
of the card and how to handle it
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What should you do in this scenario?
The girl does not bring her HPV
immunization card
How should you record the
vaccination given?
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Monitoring tool 2: Immunization register
Use one register per
service delivery site
 Record the details of each girl in the register
 When a girl returns for HPV2 or HPV3 use her card to locate her entry in
the register
 Use register to follow up with girls that did not return for 2nd or 3rd dose of
HPV vaccine
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Recording and Monitoring of HPV Vaccine, Module 5 GardasilTM I 07 November
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Monitoring tool 3: Tally sheet
Record the number (No.) of HPV doses given on a single vaccination day
Date of vaccination
(DD/MM/YYYY):
01/01/2010
Age (years)
9
10
11
12
13
14
≥15
Unknown
District: _____________________________________________________________________
Town/Village: _________________________________________________________________
Service delivery site: __________________________________________________________
No. of HPV1 doses given
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OPTIONAL |CHECK
9 Recording and Monitoring
ROW
2015
(sum up columns)
9yrHPV1=
8
10yrHPV1=
0
11yrHPV1=
12yrHPV1=
13yrHPV1=
14yrHPV1=
15yrHPV1=
UknHPV1=
No. of HPV2 doses given
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No. of HPV3 doses given
9yrHPV2=
10
10yrHPV2=
15
11yrHPV2=
12yrHPV2=
13yrHPV2=
14yrHPV2=
15yrHPV2=
UknHPV2=
=
of HPV
Vaccine, Module 5 GardasilTM I 07 November
=
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OPTIONAL
CHECK COLUMN
(sum up rows)
9yrHPV3=
3
=
10yrHPV3=
4
=
11yrHPV3=
=
12yrHPV3=
=
13yrHPV3=
=
14yrHPV3=
=
15yrHPV3=
=
UknHPV3=
=
=
Grand total =
Monitoring tool 4: Monthly Record Sheet
Month/Year of report:
01/2010
District: ________________________________
Town/Village:____________________________
Service delivery site: _____________________
Age (years)
9 year old
1.
No. of HPV1 doses given
No. of HPV2 doses given
No. of HPV3 doses given
9yrHPV1:
9yrHPV2:
9yrHPV3:
2.
3.
4.
5.
Total
8
1.
2.
10 year old
2.
3.
4.
Total
1.
2.
3.
4.
2.
1.
2.
1.
2.
14 year old
1.
2.
≥15 year olds
1.
2.
3.
1.
2.
12yrHPV1:
3.
4.
5.
Total
1.
2.
13yrHPV1:
3.
4.
5.
Total
1.
2.
5.
Total
1.
2.
5.
Total
1.
2.
14yrHPV1:
4.
Total
4.
1.
2.
5.
1.
2.
12yrHPV2:
3.
4.
5.
Total
1.
2.
13yrHPV2:
3.
4.
5.
Total
1.
2.
5.
Total
1.
2.
5.
Total
1.
2.
5.
Total
1.
2.
3.
4.
5.
Tot
al
3.
4.
5.
Total
3.
4.
3.
4.
UknHPV1:
UknHPV2:
2.
3.
4.
5.
2.
3.
4.
of HPV
Vaccine,
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Unknown
2015
3.
4.
5.
Total
5.
Total
5.
Total
5.
Total
5.
Total
5.
Total
12yrHPV3:
3.
4.
13yrHPV3:
3.
4.
14yrHPV3:
15yrHPV2:
Total
4.
11yrHPV3:
Total
14yrHPV2:
15yrHPV1:
3.
3.
4
5.
3.
2.
11yrHPV2:
Total
4.
1.
10yrHPV3:
5.
15
1.
13 year old
Total
3
11yrHPV1:
12 year old
5.
10yrHPV2:
5.
0
11 year old
4.
10
10yrHPV1:
1.
3.
3.
4.
15yrHPV3:
3.
4.
UknHPV3:
3.
4.
Using data to improve
HPV vaccine coverage
 Compare doses given to the target population by year
(e.g. no. of 9 year old girls that received HPV1 dose
versus no. of 9 year old girls in the catchment area) and
consider:
– Are there groups of girls that are not reached?
– Are girls in the right age group being vaccinated?
 Compare number of HPV1 doses administered with
number of HPV2 and HPV3 doses administered and
consider
– Are there problems with communication, vaccine availability,
etc. causing drop-outs?
– Identify and vaccinate defaulters
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Recording and Monitoring of HPV Vaccine, Module 5 GardasilTM I 07 November
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Considerations of AEFI
related to HPV vaccine
 HPV vaccine is a safe vaccine but mild adverse events
can occur after administering the vaccine
– Redness, pain or swelling at the injection site
– Syncope (fainting)
 In extremely rare instances it can cause anaphylaxis
– One per 1.7 million doses
 Girls should be observed carefully for 15 minutes after
administration of vaccine
 Manage and document any adverse reaction accordingly
to the national reporting procedures
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Recording and Monitoring of HPV Vaccine, Module 5 GardasilTM I 07 November
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Procedure for AEFI reporting
 Report AEFIs through existing AEFI reporting systems
established by national immunization programs
Suspected signs
or symptoms
1
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Health worker should
immediately report to a
local public health
authority
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Recording and Monitoring of HPV Vaccine, Module 5 GardasilTM I 07 November
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National
Authorities will then
decide if futher
investigation is required
3
AEFI reporting form
 AEFI report should contain
Details of Patient
Reporter details
Details of Vaccine
Details of the event
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Recording and Monitoring of HPV Vaccine, Module 5 GardasilTM I 07 November
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Key messages (1/2)
Monitoring vaccine coverage
 Monitoring and reporting HPV vaccine coverage is crucial for evaluating
the performance of the immunization programme and its impact on the
vaccinated girls
 HPV vaccine coverage should be monitored by year of age and by dose
number
 Vaccine coverage should be monitored with a set of tools including
immunization card, register, tally sheet, and monthly report form.
 The process for monitoring vaccine coverage data includes 5 steps
2. Using
3. registering
1.Registering
girls details immunization given dose
card
per age
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4. Calculate sub-totals 5. Report Sub-totals
of HPV dose given
to service delivery site
Recording and Monitoring of HPV Vaccine, Module 5 GardasilTM I 07 November
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Key messages (2/2)
Monitoring AEFI related to HPV vaccine
 Monitoring and reporting AEFI related to HPV vaccine is
essential for dispelling rumors and monitoring continued
safety of HPV vaccines
 AEFI should be reported using the existing system
established by the national immunization program
 Suspected AEFI related to HPV vaccines should be
reported immediately to reporting authorities
 The AEFI reporting form should contain details of patient,
event, vaccine and reporter details
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End of module
Thank you
for your attention!
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Recording and Monitoring of HPV Vaccine, Module 5 GardasilTM I 07 November
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References
 Comprehensive Cervical Cancer Control. A guide to
essential practice (C4 GEP). WHO 2013
 HPV vaccine introduction into national immunization
programmes: Information for programme managers and
health workers. WHO 2013
 Draft Human Papillomavirus (HPV) Vaccine Coverage
Monitoring Tool. WHO 2012
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Recording and Monitoring of HPV Vaccine, Module 5 GardasilTM I 07 November
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