Implementation Of Immunization At Phc Level

IMPLEMENTATION OF IMMUNIZATION AT PHC LEVEL Done by Dr.P.UMA DEVI

FOR IMPLEMENTATION…… All health centres make routine immunisation services on fixed days on regular basis at readily accessible fixed sites. Periodicity of services will depend on the no of children immunised in these centres Efforts are made to start immunisation at birth / 6 weeks of age and complete the 3 doses of opv and dpt by 14 weeks and thereafter give measles at 9 – 12 weeks

Older unimmunised children are given vaccines on demand if brought to sessions Minor mild fever as well as malnutrition are not a contraindication to immunisation All vaccines are made available at an immunisation session and no child will return unnimmunised due to non availability/ to reduce the wastage rate of any vaccine

OUR ROLE … Ensure universal immunisation coverage to all infants starting at 6 weeks of age or as early as possible thereafter Reduce dropout rates Vaccine efficacy-effective cold chain system Adequate sterile precautions Watch for any vaccine reactions and treat them

PURPOSE…. To sustain high levels of immunisation coverage and maintain high quality of immunisation services Eliminate high risk pockets of low coverage Establish effective strategies for neonatal tetanus elimination, polio eradication and measles control Maintain reliable cold chain system

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COLD CHAIN System of transporting and storing vaccines at recommended temperature from manufacturer to the site of use Essential as vaccine lose their potency if exposed to temperature > 8’c Stocks for phc come from district stores to phc PHC should not hold more than one month stock No vaccine should be stored at subcentre Vacc reqiurement calculated with no of beneficiaries,vaccine doses and no of sessions

COLD CHAIN EQUIPMENTS WIC DEEP FREEZERS ILR 300/240 LTR ILR 140LTR SDF COLD BOXES VACCINE CARRIERS DAY CARRIERS ICE PACKS

References.. CSSM manual 10th ed Park Text book of social and preventive medicine 17th ed www.gavi.org www.whoindia.org www.tnhealth.com