Immunization - Ethiopia (Full)
Topic outline
-
Immunity, Vaccines and the Expanded Programme on Immunization
-
Immunity and the immune system
-
How does the immune system protect us from infection?
-
What is immunization?
-
Types of specific immunity
-
Artificially acquired immunity
-
Naturally acquired immunity
-
Herd immunity
-
Types of vaccines
-
Live-attenuated vaccines
-
Inactivated vaccines
-
Sub-unit vaccines
-
Recombinant vaccines
-
Conjugate vaccines
-
The Expanded Programme on Immunization
-
Vaccine-preventable diseases in the EPI
-
Increase and sustain high immunization coverage rates
-
Increase the quality of immunization services
-
Reduce missed vaccination opportunities and trace defaulters
-
Improve public awareness and community participation in immunization programmes
-
Ensure prompt reporting and improved control of vaccine-preventable diseases
-
Your role in achieving the goals of the EPI
-
Antibacterial Vaccines
-
What is BCG?
-
Effectiveness of BCG vaccine
-
BCG vaccine storage, dosage and immunization schedule
-
Adverse events following BCG immunization and how to treat them
-
Who should not get BCG vaccine?
-
What is pentavalent vaccine?
-
The anti-bacterial components of pentavalent vaccine
-
Storage, dosage and schedule of pentavalent vaccine
-
Effectiveness of pentavalent vaccine
-
Adverse events following pentavalent immunization and how to treat them
-
Who should not get pentavalent vaccine?
-
Pneumococcal vaccine (PCV10)
-
Storage, dosage and schedule of PCV10
-
Adverse events and contraindications of PCV10
-
What is tetanus toxoid vaccine?
-
Schedule, dosage, storage and effectiveness of TT vaccine
-
Adverse events and contraindications of TT vaccine
-
Meningococcal vaccines
-
Antiviral Vaccines
-
What is OPV?
-
What is HepB vaccine?
-
Storage, dosage, schedule and effectiveness of OPV
-
Contraindications of OPV and adverse events
-
What is measles vaccine?
-
Storage, dosage and schedule of measles vaccine
-
Effectiveness of measles vaccine
-
Contraindications for measles vaccine, adverse events and how to manage them
-
Vitamin A supplements and measles prevention
-
Rotavirus vaccine
-
Dosage and schedule of rotavirus vaccine (RotarixTM)
-
Storage and effectiveness of RotarixTM
-
Vaccine Preparation and Administration Routes of the EPI Vaccines
-
Standard procedures for giving safe injections
-
Preparing injection equipment
-
Inspecting vials and ampoules of vaccines and diluents
-
Reconstituting BCG and measles vaccines with diluent
-
Routes of immunization for injectable vaccines
-
Intradermal immunization with BCG vaccine
-
Subcutaneous immunization with measles vaccine
-
Subcutaneous immunization with yellow fever vaccine
-
Intramuscular immunization with all other EPI vaccines
-
Oral administration of OPV
-
Vaccine Supply and Stock Management
-
Estimating vaccine needs
-
What is the target population?
-
Calculating numbers in the target population
-
Calculating required doses based on the immunization schedule
-
Immunization coverage targets
-
Vaccine wastage rates and wastage factors
-
Calculating annual vaccine needs from the size of the target population
-
Estimating vaccine needs on the basis of previous consumption
-
Calculating annual vaccine needs from previous consumption
-
Estimating vaccine needs based on the size of immunization sessions
-
Ordering vaccines
-
Calculating quantities of vaccine for a particular supply period
-
Calculating the minimum stock level
-
Calculating the maximum stock level
-
Calculating the critical stock level (or ‘time to order’)
-
The Cold Chain
-
Components of the cold chain
-
Cold chain equipment in Health Posts
-
Refrigerators
-
Cold boxes and vaccine carriers
-
Ice-packs
-
Foam pads
-
Cold chain monitoring equipment in your Health Post
-
Vaccine vial monitors
-
Freeze indicators
-
The shake test
-
Thermometers
-
How to load cold chain equipment
-
The design of vaccine refrigerators
-
Loading a vaccine refrigerator
-
Maintaining the correct temperature of cold chain equipment
-
Monitoring the temperature of your vaccine refrigerator
-
Adjusting the temperature of your vaccine refrigerator
-
Maintaining the correct temperature in cold boxes and vaccine carriers
-
Maintaining vaccine refrigerators
-
Immunization Safety
-
Importance of immunization safety
-
Vaccine quality
-
Safety of the cold chain
-
Multi-dose open vial policy
-
Injection safety
-
Contraindication to immunization
-
Adverse events following immunization (AEFIs)
-
Mild reactions to vaccines
-
Serious vaccine reactions
-
Other causes of AEFIs
-
How to avoid AEFIs
-
Detecting and responding to AEFIs
-
Safe waste disposal
-
Safety boxes
-
Incineration and other methods of burning waste
-
Burying without burning
-
Immunization Programme Management
-
Planning your immunization programme
-
Collecting basic information about the community
-
Steps in the planning process
-
Immunization needs assessment
-
Identify and prioritise problems
-
Setting goals and objectives
-
Developing strategies and activities in your action plan
-
Estimating resource needs
-
Implementing your action plan and maintaining community support
-
Monitoring and evaluation indicators
-
Immunization delivery at various sites
-
Setting up an immunization session at a fixed site
-
Recording immunizations
-
Immunization delivery at an outreach site
-
Mobile delivery
-
Communication for an Effective Immunization Programme
-
Why is communication crucial for an effective immunization programme?
-
Planning a communication activity
-
Conduct a communication needs assessment
-
Define communication objectives, strategies and activities
-
Behaviour change communication (BCC)
-
Common methods of BCC in immunization
-
Advocacy
-
Community mobilisation
-
Community conversation
-
Interpersonal communication
-
Meeting with target audiences to promote EPI activities
-
Meeting with community leaders
-
Meeting with parents
-
Meeting with NGOs and other partners
-
Meetings with special groups
-
Negative rumours about immunization
-
Monitoring your Immunization Programme
-
EPI recording tools
-
Infant immunization card
-
The EPI Registration Book
-
Immunization tally sheets
-
Monitoring EPI indicators
-
How to measure immunization coverage rates
-
How to measure dropout rates
-
Calculating the number of un-immunized infants
-
Analysing and interpreting immunization data
-
What data should you analyse?
-
Analysis of access and utilisation problems
-
What could be causing immunization problems?
-
Systems for tracing defaulters
-
Using reminder cards
-
Making immunization Summary Reports
-
What data should the Summary Report contain?
-
Preparing good Summary Reports