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SFT Orientation 8th Feb 2008 Immunization

Orientation program on infant immunization schedule and administration protocols, covering UIP, CSSM, RCH, NRHM, and vaccine preventable diseases. Discusses age of administration, primary and booster doses, pregnant women vaccination, concerns, and newer initiatives for improved program management and coverage. Includes details on Hepatitis B, tetanus toxoid, Vitamin A supplements, and monitoring systems.

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SFT Orientation 8th Feb 2008 Immunization

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  1. SFT Orientation 8th Feb 2008 Immunization

  2. ROUTINE IMMUNIZATION Orientation for State Facilitation Team for PIP 8TH Feb 2008

  3. Infant Mortality Rate :: 1984-2004 UIP CSSM RCH NRHM

  4. Vaccine Age of administration Comments Birth 6 weeks 10 weeks 14 weeks 9 months Primary Vaccination BCG To be given at 6 weeks with 1st dose of DPT/OPV, if not given at birth Oral polio DPT Hepatitis B Birth dose, 6 and 14 week for instt delivery Measles Vitamin A – 1st dose * Birth dose for institutional delivery

  5. Booster Doses DPT + Oral polio 16 to 24 months DT 5 years Two does of DT/TT should be given at an interval of one month if there is no clear history or documented evidence of previous immunization with DPT/DT/TT as the case may be Tetanus Toxoid At 10 years At 16 years Vitamin A 2 to 9 doses 18, 24, 30, 36, 42, 48, 54, 60 months Pregnant women Tetanus Toxoid 1st dose 2nd dose Booster As early as possible during pregnancy after 1st trimester 4 weeks after 1st dose If the pregnant woman has received two doses of TT within the last three years then only one booster dose is required  For hepatitis B: For institutional deliveries, first dose at birth, second and third dose at 6th Week& 14th Week along with DPT-1 & 3 For those not receiving birth dose should get three doses at 6,10 and 14th week along with DPT 1-3

  6. VACCINE PREVENTABLE DISEASE SURVILLANCE Source CBHI

  7. VACCINE PREVENTABLE DISEASE SURVILLANCE Source CBHI

  8. Polio case in India month wise per year

  9. Concerns Large birth cohort - 26 million births every year Declining coverage /low coverage 1998-99 Vs 2002-04/urban slum and difficult areas Lack of appropriate skilled human resources Unfilled posts leading to a high workload etc

  10. Concerns ….contd Insufficient forward planning for vaccines and logistics Weak program management and supervision at all levels Poor IEC and demand generation Fund flow Unsafe injection practices and waste disposal: Significant percentage of injections used in the immunization sector are unsafe Low priority on medical waste disposal

  11. Newer Initiatives under RCH II & NRHM Introduction of Auto Disable (AD) syringes Support for alternate vaccine delivery system to the session site All vaccines to be made available with appropriate cold chain at session site with alternate arrangements. Strengthening Monitoring & Supervision by State & District Immunization Officer SIO/DIOs and district officers provided funds for mobility Computer assistants for SIO/DIOs

  12. Newer Initiatives … Contd • Organizing sessions in urban slums and under served areas by outsourcing the sessions where ever necessary (Hiring of vaccinator in service deficient areas or where ANM is not available) • Mobilization of children by ASHA and Anganwari Workers (AWW) to increase coverage and convergence of Nutrition with Immunization

  13. Newer Initiatives … Contd Training of health staff (ANM & MO) Development and implementation of a Routine Immunization Monitoring System software Decentralized printing of recording and reporting & monitoring tools like Immunization card, monitoring charts, tickler box, Temp charts, etc

  14. Newer Initiatives … Contd Review meeting 6 monthly at national & state level Support for State Specific needs Newer vaccines: Phased introduction of Hepatitis B & JE vaccine into the program Strengthening surveillance vaccine preventable diseases & monitoring of immunization coverage Vaccine management addressed BCG now in 10 dose vial.

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