Module 3 Inactivated poliovirus vaccine eligibility

1. Training for Inactivated Poliovirus Vaccine (IPV) introduction Module 3 Inactivated poliovirus vaccine eligibility

2. Learning objectives • At the end of the module, the participant will be able to: • Describe the recommended immunization schedule for inactivated poliovirus vaccine (IPV) • Determine when an infant is and is not eligible to receive IPV • Describe ways to determine a child's eligibility for IPV when a written record is unavailable • Describe the absolute contraindications for vaccination • Duration • 30minutes

3. Key issues 1 What is the recommended schedule for IPV? 2 What do you do when the exact date of birth (DOB) or the immunization card is missing? 3 What are the contraindications to vaccination?

4. At what age should IPV be administered? • Give IPV at or after age 14 weeks, usually with OPV3 and DTP3/Penta3 • IPV should be given in addition to OPV • OPV is still the primary vaccine to achieve eradication • Example EPI schedule using DTP-Hib-Hep B (Pentavalent), pneumococcal conjugate (PCV) and rotavirus vaccines • IPV should be given at 14 weeks, or at the first contact after 14 weeks *rotavirus vaccine may be 2 or 3 doses, depending upon the vaccine used

5. What should you do in this scenario? A child's immunization card shows that he/she is now 18 weeks old and has only received BCG and 2 doses of OPV. What should you do?

6. What should you do in this scenario? A child's immunization card shows that he/she is now 10 weeks old and has only received BCG and one dose of OPV. What should you do?

7. What should you do in this scenario? A child comes in at 6 months of age and has had no vaccines. What should you do?

8. Whatshouldyou do in this scenario? A caretaker brings a child to the health center for the first time and comes without any written documentation. The caretaker does not remember the exact date of birth (DOB) of the infant. What are some possible ways of determining the child’s DOB?

9. Possible ways to estimate the DOB • See if the caretaker can recall when the child was born relative to a cultural, religious, national or local event • Look for DOB record in other documents kept in the health center or other local registries • Antenatal care record • Birth registry • Look for development indicators • A child who can sit unsupported and reach out with one hand is probably old enough to get IPV and other required vaccines

10. Absolute contraindications to IPV

11. Can IPV be administered on schedule to immunodeficient infants or infants born prematurely? • Yes! • Immunodeficiency does not prevent administration of IPV • Vaccination of infants with immunodeficiency, such as HIV infection, isrecommended • Infants born prematurely should receive IPV on schedule (at or after 14 weeks of age)

12. Contraindication Checklist

13. Key messages • First IPV dose should be given at 14 weeks of age or at first contact after 14 weeks • IPV can be given and the same time as other injectable vaccines like pentavalent and pneumococcal vaccine • If EPI schedule currently includes OPV, do not replace OPV with IPV; the dose of IPV should be added to the schedule • IPV can be administered to children with immunodeficiency disorders and those born prematurely

14. End of module Thank you for your attention!