NATIONAL HEALTH PROGRAMS Flashcards
(21 cards)
It is the system of storage and transportation of the vaccine at low temperature (cold condition) from the manufacture till it is consumed.
The cold chain
Most Sensitive to
Heat
OPV
Measles/MMR
-15c to 25c
in the freezer
Least Sensitive to
Heat
DPT/Hepa B
BCG
tetanus toxoid
+2 C to + 8 C
in the chiller
The levels of cold chain
manufacturer
airport
center vaccine store
regional store
district store
health center or health bureau
immunizing child
the components of the cold chain
the health staff
the equipment and tools
the procedures
refrigeration equipments
Refrigerator
Cold boxes
Vaccine carriers
ice packs retained in the freezer
Open vial policy (DOH)
C -cold chain
A -aseptic technique
V -vaccine vial monitor
E -expiration date
S -septum
FEFO principle
first expiry, first out
A fully immunized child has how many doses and how many months
Received 3 doses at the right scheduled intervals in less than 14 months.
a completely immunized child CIC how many doses and how many months
Received 3 doses but not at the right scheduled intervals for more than 14 months.
DPT, hepatitis B and tetanus toxoid vaccines can all be damaged by freezing. By shaking two vials, side-byside, one that might have been frozen and one that has never been frozen, health workers can determine if a vaccine has spoiled
4 the shake test
what damage the vaccines
- Any defect in the cold chain.
- Out date expiry.
- Using skin antiseptic at the site of injection (e.g. BCG).
- Using the reconstituted vaccine (MMR, measles, BCG) after the recommended period ( 6 hours).
- Exposure of the vaccine to unacceptable temperature during the immunization session.
- Exposure of the vaccine to direct sunlight (BCG)
Involves calculation of eligible population for immunization services
target setting
Accomplished using Field Health Service Information System (FHSIS)
EPI Recording and Reporting
Consists of any group of people targeted for specific immunizations due to their susceptibility
Eligible population
what and how many doses is for a fully immunized children
- BCG
- doses of OPV
- 3 doses of DPT
- hepatitis B vaccine or 3
- doses of Pentavalent vaccine one dose of anti-measles vaccine before reaching one year of age
5 doses of tetanus for lifetime immunity
completed their immunization schedule at age of 12 to 23 months
Completely immunized children (CIC)
Child protected at birth (CPAB)
is a term used to describe a child whose mother has received
1. 2 doses of tetanus toxoid during this pregnancy, provided that second dose was given at least a month prior to delivery, OR
2. at least 3 doses of tetanus toxoid anytime prior to pregnancy with this child
Eligible population
Infants
BCG School Entrants
Pregnant Women
High Risk Area for Measles
For Polio Outbreak
High Risk Area for Tetanus
A package of child-health related services focused on 0-59 month (s) old children to assure their wellness and survival.
under 5 care programs
