Transcript Module 8 - CD-JEV immunization campaigns pptx, 922kb

CD-JEV Japanese Encephalitis Vaccine Introduction
Training Modules for Health Care Workers
Module 8
CD-JEV immunization campaigns
Learning objectives

At the end of the module, the participant will be
able to:
–
Prepare for an upcoming CD-JEV immunization
campaign.
– Identify what health care workers do in a CD-JEV
immunization campaign.
– Know what follow-up activities are important for health
care workers to do after a CD-JEV immunization
campaign.

Duration:
– 30 minutes
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Key issues
1
How do I prepare for a
CD-JEV immunization
campaign?
2
What does a health care
worker do in a CD-JEV
immunization campaign?
3 What follow-up activities are
important for health care
workers to do after a CD-JEV
immunization campaign?
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Why CD-JEV immunization campaigns?

Often when JE vaccine is introduced into the routine
childhood immunization program, a one-time preventive
or catch-up campaign is conducted along with
introduction into the routine program. This will ensure
the maximum reduction of disease.

The preventive campaign usually covers the at-risk
group who would otherwise not receive vaccine. The atrisk group is normally determined by patterns of disease
in the area, but typically includes children 1 to 15 years
of age.
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What goes into planning for a CD-JEV
immunization campaign?
•
•
•
Microplanning for the health center and district level to
identify high-risk populations and develop a strategy to
reach these populations.
Strong advocacy and social mobilization through
involvement of local government and partnership with
local organizations.
Evaluation of coverage and determining what percentage
of the target population was reached during the
campaign.
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How do health care workers prepare for the
campaign?
In advance of starting campaign activities:

Attend a training that focuses on the schedule of the
vaccination campaign, the role and responsibilities of all staff
members and immunization safety.

Renew your knowledge of vaccine management,
immunization safety including safe waste disposal,
immunization techniques, and identification and reporting of
adverse events following immunization (AEFI).
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During the campaign…
 Coordinate every morning with the team supervisor to review the map of the
catchment area and understand the population to be immunized and strategy to
accomplish this task, including team roles and responsibilities. If part of a mobile
team, confirm the availability and proper functioning of transportation.
 Encourage the family of children in the target age group to bring child health cards
to the JE immunization campaign session.
 Ensure adequate amounts of vaccine, auto-disable and mixing syringes, safety
boxes, report/record forms and other supplies are transported to the vaccination
site every morning.
 Ensure the vaccination post is properly prepared, including set-up for registration
and immunization tables for the vaccinators, setting up equipment (such as safety
boxes), and placing banners and other IEC materials at the immunization site.
*REMEMBER: Report all AEFIs to
team supervisor as soon as possible.
 Ensure cold chain is functioning.
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Typical roles of health care workers during
CD-JEV campaigns
One vaccination team member:
 Greets the child and/or his/her parents and checks the child’s name
against the register.
 Provides health education.
 Documents receipt of JE vaccine on the immunization card and
appropriate forms.
Another vaccination team member:
 Reconstitutes and administers the JE
vaccine.
 Marks the child’s finger in indelible ink
to note receipt of vaccine.
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Success is a team effort!
At the end of the day…
 Check the list to see if all expected
eligible children got vaccinated. If not,
check with the supervisor to see what
needs to be done to follow-up with
missing children.
 Complete and sign the report on
vaccination coverage and logistics at
the end of each day.
 Clean the vaccination site, including
disposal of all medical and sharp
waste, after the vaccination session
has ended.
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Estimating vaccine coverage
Rapid Coverage Assessments (RCA):
 Work with supervisors to conduct RCA immediately after a health center has
completed immunization activities to ensure high rates of vaccine coverage have
been achieved.
 RCA will provide a day-to-day estimation of vaccine coverage to identify children
missed by vaccine activities. If children are identified as not having received the
vaccine, then additional immunization activities will be conducted to ensure optimal
coverage.
Full Coverage Survey/30-cluster survey:
 14 households within each of 30 villages are randomly selected for the survey.
 Conduct face-to-face interviews with the adult parent or main caregiver of all
children of eligible age. The process will continue until 14 interviews have been
conducted.
 During the interviews, immunization cards from 14 children within each village will
be reviewed to determine if they received JE vaccine.
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Key messages (1/2)
 Before the campaign, health care workers will attend a training that focuses on
the schedule of the vaccination campaign, the role and responsibilities of all
staff members, and immunization safety.
 Microplanning is important to identify high-risk populations and create a
strategy to reach these populations.
 Review the map of the catchment area daily with your supervisor to understand
the population to be immunized and the strategy to accomplish this task.
 Encourage the families of children in the target age group to bring cards to the
JE immunization campaign session.
 Ensure adequate amounts of vaccine, AD and mixing syringes, safety boxes,
report/record forms and other supplies are transported to the vaccination site
every morning.
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Key messages (2/2)
 Prepare the vaccination post, including set-up for registration, immunization
tables for the vaccinators, and all necessary equipment; check to make sure
the cold chain is intact.
 Report any AEFIs as soon as possible to the supervisor.
 At the end of each day, check the list to see if all expected eligible children got
vaccinated. If not, check with the supervisor to see what needs to be done to
follow up with missing children.
 Rapid coverage assessments (RCA) and full coverage surveys will indicate if
vaccination targets have been reached for the campaign.
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End of module
Thank you
for your attention!
 End of training modules
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