MIDTERMS_LEC 2

Question 1

An organizational component of DOH charged
with preventing disease, disability, and death from
vaccine-preventable in disease in children and adults.

Answer 1

NIP (National Immunization Program)

Question 2

EIP

Answer 2

Enhanced Program for Immunization
Launch - 1976

Question 3

EPI Principles

Answer 3

The whole community rather than just the
individual is to be protected, this mass
approach is utilized.

• Immunization is a basic health service and
  integrated into the health services being
  provided for by the RHU.

Question 4

Overall Goal of EPI:
To reduce ____ and ____ among children against the most common _______ Disease

Answer 4

To reduce morbidity and mortality among children against the most common Vaccine-Preventable Disease

Question 5

Specific Goals of EPI

Answer 5

• Poliomyelitis
• Measles
• Maternal and Neonatal Tetanus
• Diphtheria
• Hepatitis B
• Pneumonia
• German Measles

Question 6

Importance of Immunization

Answer 6

1. Induce immunity
2. Promote health
3. Protect from diseases

Question 7

Strategies of EPI

Answer 7

1. Conduct of Routine Immunization for
   Infant/Children/Women through the Reaching
   Every Barangay (REB) Strategy
2. Supplemental Immunization Activity (SIA)
3. Strengthening Vaccine-Preventable Diseases
   Surveillance
4. Procurement of adequate and potent
   vaccines and needles and syringes to all
   health facilities nationwide.

Question 8

Elements of EPI

Answer 8

1. Target Setting
2. Cold Chain Logistic Management
3. Open Vial Policy
4. Information, Education and Communication
5. Supervision and Monitoring
6. Assessment and evaluation of the program’s
   overall performance
7. Surveillance, studies and research

Question 9

Elements of EPI
1. Target Setting – target age groups are:

Answer 9

• Infants
• Children below 5 years old
• Women

Question 10

Basic immunization for children under 5
including other types that will be determined
by the Secretary of Health.

Answer 10

R.A. No. 10152 – Mandatory Infants and Children
Health Immunization Act of 2011

Question 11

Elements of EPI
2. Cold Chain Logistic Management

Answer 11

• All vaccine refrigerators or freezers shall be
  used exclusively for EPI vaccines.
• Vaccines are stored according to the
  temperature requirement for each antigen
• Regular temperature monitoring
• Contingency plan for emergency measures

Question 12

Types of Refrigerators and Freezers
At RITM and Regions –

Answer 12

1. Walk-in Cooler
2. Walk-in Freezer
3. Iced-Line

Question 13

Types of Refrigerators and Freezers
At the Province and City Health Vaccine Rooms –

Answer 13

1. Transport Boxes
2. Ice-Lined Refrigerators (ILR) 300L
3. Deep Freezers (DF) 300L
4. Vaccine Boxes

Question 14

Guidelines of Cold Chain Management:
● All vaccine refrigerator or freezers shall be
used ______ for _____ vaccines
● Vaccines are stored according to the
_____ requirement for each ______
● Regular temperature _____
● _____ plan for emergency measures

Answer 14

● All vaccine refrigerator or freezers shall be
used exclusively for EPI vaccines
● Vaccines are stored according to the
temperature requirement for each antigen
● Regular temperature monitoring
● Contingency plan for emergency measures

Question 15

Vaccines that are Most Sensitive to Heat
What temperature?

Answer 15

OPV (Oral Polio Vaccine)
Anti-Measles Vaccine
MMR vaccine

–15°C to –25°C

Question 16

Vaccines that are Least Sensitive To heat
What temperature?

Answer 16

• Pentavalent
• BCG
• pneumococcal conjugate vaccine-13
  (PCV-13)
• Tetanus Toxoid Vaccine (TT)
• IPV (Inactivated Polio Vaccine)
• Rotavirus & HPV (Human papillomavirus vaccines)

2°C to 8°C

Question 17

Multi-dose liquid vaccines such as ____, ____, ____, and
____ - may be used in the next immunization
sessions for up to maximum of ___ weeks

Answer 17

Multi-dose liquid vaccines (OPV, DPT, TT, and
Hepatitis B) - may be used in the next immunization
sessions for up to maximum of 4 weeks

Question 18

Freeze-dried vaccines, such as ____ and ____ vaccines should be discarded ___ hours after reconstitution or at the end of the immunization session.

Answer 18

Freeze-dried vaccines, such as AMV and BCG vaccines should be discarded 6 hours after reconstitution or at the end of the immunization session.

Question 19

Compulsory basic immunization for infants and children below 8 y/o

Answer 19

Presidential Decree No. 996 📍

Question 20

Implementing a United Nations goal on Universal Child Immunization by 1990

Answer 20

Presidential Proclamation No. 9

Question 20

Reaffirming the commitment of the Philippines to the Universal Child and Mother Immunization goal of the World Health Assembly

Answer 20

Presidential Proclamation No. 46

Question 21

Compulsory immunization against Hepa B for
infants and children below 8 y/o

Answer 21

Republic Act 7846

Question 22

Policies of the Nationwide Implementation of
the EPI

Answer 22

DOH Administrative Order No. 39 s. 2003

Question 23

Implementing guidelines on Hepatitis B
immunization for infants

Answer 23

DOH Administrative Order No. 2006 – 0015

Question 24

Providing for mandatory basic immunization services for infants and children up to five y/o

Answer 24

Republic Act No. 10152

Question 25

Administration of Rotavirus Vaccine for Infants

Answer 25

DOH Memorandum No. 2012-0153

Question 26

Administration of Pneumococcal Conjugate Vaccine-13 (PCV 13)

Answer 26

DOH Memorandum No. 2014-0155

Question 27

Administration of Inactivated Poliomyelitis Vaccine

Answer 27

DOH Memorandum No. 2015-0164

Question 28

Guidelines in the Implementation of School-based Immunization

Answer 28

DOH Memorandum No. 2015-0146

Question 29

Childhood Immunizable Diseases

Answer 29

1. Tuberculosis - Primary Complex if less than 3y/o 2. Diphtheria 3. Pertussis 4. Neonatal Tetanus 5. Poliomyelitis 6. Hepatitis B 7. Measles 8. Mumps 9. Rubella (German Measles) 10. Meningitis 11. Pneumonia 12. Diarrhea

Question 30

General Principles of Immunization

Answer 30

1. Safe and immunologically effective to administer all EPI vaccines on the same day at different sites of the body. 2. Measles vaccine should be given as soon as the child is 9 months old 3. Vaccination schedule should not be restarted from the beginning 4. Vaccine should be given with the recommended 4 weeks interval 5. Strictly follow principle of never, ever reconstituting the freeze dried vaccine in anything other than the diluent supplied with them.