Service delivery

All topics related to the delivery of immunization services, including routine and campaign delivery services as well as injection safety.

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Interesting article published in Vaccine from Shruti Sridhar http://www.sciencedirect.com/science/article/pii/S0264410X14014534 Highlights • First systematic review of missed opportunities for immunization (MOI) since 1993. • Study assessed children and women of childbearing age in lower income cou...
The NVAC Global Immunization Supplement is now available online and published in Public Heath Reports (Public Health Reports / 2014 Supplement 3 / Volume 129) http://www.hhs.gov/nvpo/nvac/reports/nvac-global-report-supplement.pdf This 90 page report includes a commentary from Margaret Chan (Dire...
World Health Organization provides technical support in the form of "Position paper" on all vaccines for guiding the member countries to formulate their own country specific "National Immunization schedule (NIS)" by the central level technical committee on the basis of epidemiolo...
MCHIP is USAID's flagship program accelerating progress towards achieving MDGs 4 & 5. Since 2008, MCHIP has worked in more than 50 developing countries in Africa, Asia, Latin America and the Caribbean to improve the health of women and their families. MCHIP has supported programming across the spect...
Cross-posted from the SIGN newsletter with thanks! The Yves Chartier Award 2014 rewards an NGO, or an actor from civil society, from an African country, who will have elaborated a campaign or achieved an innovative project in the struggle against antimicrobial resistance and climate change, relat...
Tool vs. approach: ANMs receive multiple forms/formats/records/registers. Often they have to enter same data multiple times increasing their fatigue and compromising the quality of data and service. Time and again Govt had requested the consultants and development partners to simplify recording and...
"Cleanliness is godliness". In implementing routine immunization programme, achieving timeliness/timely completeness is Godliness. By vaccinating close to the schedule through regular outreach sessions at monthly intervals, tracking vaccination status through simple paper documentation ce...
In the middle of this month (July 14), Kodagu district of Karnataka in its routine RI training of HCWs, introduced the "Extended Immunogram" to promote newborn vaccination. As was rightly expressed in the 67th WHA held in May 2014, promoting Hepatitis B birth-dose vaccine is a global chall...
Interventions promoting hepatitis B birth dose in the Rural Medical College completed one quarter. With simple measures and zero budget, the coverage was raised from 19.14% in April to 91.89% by 30th June 2014. In these three months, timely newborn vaccination has become a part of newborn care proto...
"How to raise Hep-B birth dose coverage?" is one of the challenging topics globally. On studying the WHO position paper on Hep-B vaccine, an attempt is made to address two of the iterations – 1. Administering birth dose within 24 hrs. 2. Using this as a performance indicator for revie...
Today we would like to share with you the Measles & Rubella Initiative Annual Report for 2013. The whole EPI team directly or indirectly has contributed to the progress reflected in this report. Specifically we would like to acknowledge Marta & the SIG team for all the data inputs and Robe...
The study area is a Health Sub-Centre in a Primary Health Centre of a coastal district of Karnataka state. This district has already achieved the Millennium Development Goals 4 & 5 of 2015 and the targets set for 2017 under RMNCH+A. But it is lagging behind in HepB birth dose. In this district, >65%...
In response to H1N1 pandemicity in 2009-10, Karnataka received Panenza vaccine in the mid March 2010 from GoI for vaccinating various categories of Health Care providers in ‘Pulse’ mode. On confirming from the Focal person at the National level and from the SEARO through the Regional Team Leader abo...
Dear Friends, I must congratulate the GAVI board for taking a decision on introducing IPV. I hope the IPV would be introduced through cost effective intra-dermal method by enhancing its antigenic content and also through cost effective disposable syringe and needle method. Also the ...
High risk vaccination practices: Supportive Supervision for immunizing the vaccinated. Medical Colleges can play a pivotal role in the capacity building of service providers through healthy and effective Partnership. Quantity and the ‘Quality of the quantity’ are the need of the hr/day/week/ month...
This IVB document is now online at WHOLIS WHO-UNICEF guidelines for developing a comprehensive multi-year plan (cMYP)(WHO/IVB/14.01) This updated document provides guidance to countries to make national comprehensive multi-year strategic plans (cMYP) for immunization, using the Global Vacci...
With the WHO declaration of ‘polio eradication – a public health emergency – and measles elimination by 2020’, routine immunization is gaining more importance. There is an urgency of closing the population immunity gap (lesson learnt from Syria and other countries). Primary Health Cen...
Unknown gunmen on Saturday the 28th of December 2013 opened indiscriminate fire on entering a hospital and fled from the scene. Subsequently, one polio worker, Zahid Gul, was killed on the spot whereas ward orderly Niqab Khan and a woman sustained severe injuries. Meanwhile, policemen reached the...
Immunogram (IgM) 2+ is completing one year from Xmas 2012 to Xmas 2013. The following is a brief write-up. On Christmas Eve of 2012, Immunogram, IgM++ was posted as a ‘gift’ to the viewers of Technet. It is completing one year by this Christmas 2013. It started with 2 session sites of one sub-cen...
Wild Polio virus type 1 (WPV1) stills exists in Quetta as samples collected from the city's sewage system suggested persistence of the virus in the environment. The detection of polio virus has rung alarming bells with potential threat for millions of children of below the age of five in the cit...
I guess some of you would have followed recent developments around wild polio virus circulation in Syria where they are now clinical cases being reported. see http://www.who.int/csr/don/2013_10_29/en/index.html I am trying to gather guidances, publications, reports of polio intervention among re...
A Guide to Introducing a Second Dose of Measles Vaccine into Routine Immunization Schedules (WHO/IVB/13.03) has been published. It is available at: http://www.who.int/immunization/documents/WHO_IVB_13.03/en/index.html This document is for national immunization programme managers and immunizatio...
Data from two session sites were scanned through the 'IMMUNOGRAM' tool for enumerating the vaccination status to obtain multi indicators. It was observed that both the areas achieved high vaccination coverage except for the measles second dose: 8% in one area and 0% in the other. On the coming regu...
Link to the questionnaire: https://docs.google.com/forms/d/1KbhmioGa_Nl7_2unTMtcHzZ1F82YtYIdxozFjXVt9ng/viewform The International Initiative for Impact Evaluation (3ie) seeks to generate evidence useful to decision-makers and managers to focus resources on the most promising approaches to im...
It is customary to develop and share user-friendly ‘OPERATIONAL GUIDELINES’ for clarity and uniformity among service providers as and when a new vaccine (e.g. H1N1, Pentavalent) is introduced or there is a change in strategy (e.g. from 1 dose measles vaccine to 2 doses). From this month (April 2013)...
The usefulness of 'immunogram and its IgM++ Application in 2 session sites in 2 AWCs of Health Sub centers Peraje of Planning unit PHC Sampaje attached to KVG Medical college with one month intervention is attached with an anticipation of scaling up to other subcenters of the same PHC, later other P...
Cross-posted from www.childsurvival.net with thanks! I wanted to let you know about an exciting new polio initiative announced last week. In a display of support for the new Eradication and Endgame Strategic Plan, more than 400 scientists and technical experts from 80 countries issued the Scient...
During a routine visit to the facilities and on analysing the vaccination data, a gap in operational aspects was observed as vaccination within 28 to 30 days from date of birth qualifies as newborn vaccination for BCG; administering 2 drops of OPV within 15 days qualifies as zero OPV for operationa...
One of the interventions required in routine immunization is effective regular universal monitoring and evaluation of Routine Immunization (RI) sessions blended with supportive supervision. Often, this is done through NGOs if financial support is available. To enhance capacity building of grassr...
I have attached a PPT on operational guidelines to introduce the newer pentavalent vaccine for further editing/inputs from the viewers. This will give an opportunity to refresh and re-orient the service providers on DPT and hepatitis B also. Operational-guidelines-New-Pentavalent-Vaccine.pdf...
Introduction Raymond Hutubessy is a senior health economist affiliated to the Immunization, Vaccines and Biologicals (IVB) Department of the World Health Organization (WHO), and is the executive secretary of the WHO Immunization and Vaccines related Implementation Research Advisory Committee (IVI...
Mother and Child Tracking System (MCTS) with mobile technology is in practice in Kodagu District of Karnataka. However on scanning the data with immunogram lapses in the programme were detected in December 2012. Present template developed by providing technical assistance, advocacy, staff meeting, j...
This blog by Judith Kaufmann has been cross-posted from the Health Affairs blog. Many thanks. The week of December 17 was a grim one for the polio eradication effort in Pakistan. Seven Pakistani women health workers and two Pakistani men, all working to ensure the success of the polio campaign, ...
Many thanks to Robert Davis for this lead! Recent Technical Updates POSSIBLE INTERRUPTION OF MEASLES VIRUS TRANSMISSION, UGANDA 2006-2009 Full text, with tables and figures, is at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3204633/pdf/10-0753_finalD.pdf SINGLE ENDEMIC GENOTYPE OF MEAS...
I have never seen any document suggesting that low birth weight is a contraindication for new-born vaccination for institutional deliveries, although I have seen few paediatricians suggesting that, in case of low birth weight, vaccination of the new-born should be avoided. Please let me know yo...
Diarrheal disease is among the five leading causes of morbidity and mortality among under-five children in Malawi. In the multiple indicator survey conducted in 2006, nearly a quarter (23.3%) of under-five children reported having a diarrhea episode in the previous two weeks. Rotavirus infection con...
India, with 61% fully immunized...
by Kamel Senouci and Lara Gautier, AMP Many national immunization programs rely on the professional advice of national immunization technical advisory groups (NITAGs) to help them make critical decisions on introducing new vaccines. Implemented in April 2008 by Agence de Médecine Préventive (AMP)...
Dear Sir, On 28 September 2012, we went to an actual waste disposal spot (in Himachal Pradesh) to vaccinate 57 rag pickers, who included women and children. Some of them were bitten by dogs many times, but could not get vaccinated due to the high costs involved. Pre-exposu...
Watch Leema, a polio volunteer, as she goes from house to house vaccinating children in Jalalabad, eastern Afghanistan under extremely demanding conditions. The biggest concern for the personnel is the security in the region but that doesn't deter them from doing their job. [youtube]http://www.yo...
Polio virus has been reported in a seven-year-old female child. Polio remains a threat to the children of Baluchistan. Baluchistan has recorded 69 cases in the year 2011 and two at the start of 2012. The worsening situation with regard to polio is a great cause for concern, for foreign donors have ...
The Indian government suspended research in April 2010 on the feasibility and safety of human papillomavirus (HPV) vaccine in two Indian states (Andhra Pradesh and Gujarat) amid public concerns about its safety. This paper describes cervical cancer and cancer surveillance in India and reviews the ep...
Appeal from another e-group: The National Vaccine Policy that had been drafted by one person and presented to the media as a final document in April 2011, without any consultation is on the MOHFW website. I understand from Dr. Jacob Puliyel that the ministry is agreeable to reviewing it if it ge...
Excerpts from a discussion on another forum about adverse events following immunization (AEFI) data collection. Dhruv wrote: A wise option. Why don't we develop a cellphone-based VAERS? Prabir wrote: See http://www.slideshare.net/prabirkc/sms-based-death-reporting which has to do with a simi...
Many thanks to Diana Chang Blanc for sharing this information with the forum! Dear colleagues, ... Please find below the web link to the “first batch” of the WHO Information Sheets on Observed Rates of Vaccine Reactions. We would highly welcome if you could share these sheets with colleagues ...
The two main challenges in implementing Routine Immunization are: 1) reaching all the beneficiaries, tracking and holding them to achieve full vaccination, and 2) immunizing the vaccinated, i.e., attaining seroconversion for specific protection against VPD. The latter requires high quality service ...
Cross-posted from the February 2012 Global Immunization News issue. Many thanks. 29/02/2012 from Jhilmil Bahl, WHO HQ As the introductions of Pneumo and Rota vaccines in 2012 are fast approaching, training materials are being developed at WHO/HQ. Rotarix materials will be available by mid-Ma...
India has been taken off the polio endemic list. This short film, uploaded by the Gates Foundation, acknowledges the people in the field who made it possible. [youtube]FeuApCaX-o8&feature=plcp&context=C3d05e73UDOEgsToPDskKx3MV45kovP1M0bAtb6Hbj[/youtube] In a related article, T Jacob ...
The Journal of Infectious Diseases has a special issue (March 1, 2012: Suppl.1) devoted to the very important topic of integration of immunization with health services delivery. The wide-ranging articles cover experiences, integration framework, integration in outreach services, improving coverage ...
Cross-posted from the WHO website. Many thanks to Hayatee Hasan Every immunization programme in the world has a national vaccination schedule that specifies the age at which antigens are to be given. But as we well know, in real life things rarely go according to plan! Inevitably, children and...
The American Academy of Pediatrics (AAP) recommends that the HPV vaccine be administered at 11 to 12 years of age in both boys and girls.I do not know the studies that show cost-benefit analysis of the vaccine in females, especially in a scenario when many countries are against this vaccine. The ...
Cross-posted from the January 2012 issue of GIN with thanks. 31/01/2012 from Madhav Balakrishnan, WHO HQ The Global Network for Post-marketing Surveillance (PMS) of Vaccines was established by WHO in early 2008 with a primary objective to monitor the safety of WHO prequalified vaccines supplied thr...
Cross-posted from the January 2012 GIN issue with thanks. 31/01/2012 from Philipp Lambach, WHO HQ An important part of post-licensure vaccine safety surveillance is to collect and analyse reports of Adverse Events Following Immunization (AEFI). Analysing multiple AEFI reports helps determine if ...
Cross-posted from the January 2012 Global Immunization News issue. Many thanks. 31/01/2012 from Osman Mansoor, UNICEF Pneumonia and diarrhoea remain the top two causes of child deaths. The availability of new vaccines against the top causes of pneumonia (Hib, PCV) and diarrhoea (RV) in children...
MCHIP is USAID funded project working on immunization, Family planning and new born care in India. One of the activities of MCHIP is to work with the district authorities to improve immunization program management. In this context, MCHIP has developed a demo site in health facilities in Districts of...
This educational and compelling video conveys the importance of young people receiving the meningococcal meningitis vaccine before going to college. Since adolescents ages 16 to 21 have the highest rates of meningococcal meningitis, the video tells the story of two college students: Jamie Schanbaum,...
We have a very interesting post from Robert Steinglass from JSI on a subject rarely discussed on the forum. Thank you! To address vaccine “hesitancy,” frame the question broadly says Robert Steinglass There has been much legitimate discussion in the past 6 months about a growing problem of v...
Dear Friends, Sharing with you the PPT by Katie Hampson for comments, that was telecasted world over in a webinar by World Rabies Day....
The topic relates to Advance Market Commitments for whose benefit, the Pharma or the beneficiaries? The issue of Advance Market Commitments need urgent attention as this hs aquired a dangerous trend in industry. Advance Market Commitments is only benefitting pharma companies as there is only all ben...
GoI is planning to put in place open vial policy at the facility level. In that context I would like to get comments from the members on a draft opertional guideline. This has been prepared from WHO and other resources on open vial policy. We intend to draft a pictorial guidlines covering following ...
This has been cross-posted from the SABIN website with thanks. Since late 2008, the Sustainable Immunization Financing (SIF) Program has been operating in twelve African, and three Asian pilot countries. Using a collective action approach, SIF invites key stakeholders - especially parliamentar...
This is not a new thing. After delivery requesting for an early discharge is a common high risk practice. There is a rising awareness among the community, thanks to social mobilization by the ASHA and the Govt for introducing "ASHA" who accompanies the precious pregnant women who deliver the future ...
by Kamel Senouci, AMP and Liliana Chocarro, Consultant As a wider array of vaccines become available in developing countries, many national immunization programs are starting to rely on the professional advice of National Immunization Technical Advisory Groups (NITAGs) to help them make critical ...
by Miloud Kaddar, WHO/IVB and Sarah Schmitt, Consultant The World Health Organization (WHO) recently launched a new project to address the need for reliable, accurate, and neutral vaccine product, price, and procurement information among countries newly graduating from GAVI Alliance (GAVI) support...
In late 90's we are hearing about '0' OPV . To start with '0' meant one which is not entered in the immunization card. It can be administered on the day of birth ( 0 day) or within 2 weeks so that there will be a gap of 4 weeks between the 2 drops of potent OPV given in this period and the first dos...
Dear All, I am attaching a document titled Improving UIP Coverage in India, a concept note. The note looks at the current UIP situation, constraints and suggests few solutions to improve UIP coverage and quality in India over medium to long term. I hope the forum members would like it and add resp...
It all started with this letter to an e-group: Dear Friends, The need for screening before vaccination and the presence of a doctor during the procedure, as stated by Dr T Jacob John, cannot be overemphasized. I am happy that this much sense is now seeping back into mainstream thinking. Now what...
Both the care takers and the service providers generally believe that by administering the vaccines one gets protected against the VPD's. But it's well known that neither the vaccine has 100% efficiency nor the immune system of all will respond uniformly. This intrinsic factor becomes the 'Limiting'...
The potential of immunization to improve public health continues to grow as new vaccines against major diseases are developed. The recent infusions of support for global immunization, both through the recent replenishment of GAVI Alliance funding and the Decade of Vaccines, will increase the worldw...
This article appears in the 23 June 2011 issue of Vaccine: "Assessing the potency of oral polio vaccine kept outside of the cold chain during a national immunization campaign in Chad". This study provides proof-of-concept evidence that certain typs of OPV remain potent and thus can be kept...
Our NGO- Mission India Foundation (www.mifusa.org) has taken up another vaccine to make it accessible to kids in rural parts of India. We have the target to immunize 5000 kids and teenagers (2-18 years age) in the year 2011. We are using a Intra-muscular vi-polysaccharide vaccine for the purpose. My...
Any updates about how soon we may see HiB and Pneumococcal vaccines included in the national immunization schedule of India? What stage are the efforts of the government in this regard?...
Dear Moderator, Four more infants died due to measles vaccination in Kutch on March 16 and two more died on March 18. There are deaths being reported consistantly all over the country within few minutes of vaccination but none has been attributed to vacination by the investigating...
In collaboration with Merck & Co., Inc. and GSK, PATH Seattle has prepared a list of countries where each of these company's vaccines is licensed and a world map showing the countries where one of the vaccines is licensed for use and the countries where both vaccines are licensed for use. These ...
In recent years, supply chain management has received growing attention as both a priority and a challenge for many countries scaling up immunization services with new vaccines. Indeed, the vaccine supply chain and logistics systems face the challenge to manage an increasing number of vaccines of hi...
Dear Friends, More than 225 Rag pckers, Door to door garbage collectore and News paper howkers were administered FREE INTRADERMAL preventive vaccination ( Pre-prophylaxis) on World Rabies Day 2010 at State Intradermal antirabies Clinic and research centre, Shimla, Himachal Pradesh, India. ( Some P...
For many years it has been the advice to national immunization programmes to have a "supermarket approach" to the delivey of vacines to health care clients. Basically, whenever a child showed up in a health facility, the vaccination would have to be provided, ie. if necessary a vial opened...
I have designed a Cover page for the RI Microplan Booklet depicting the National Immunization Schedule in the 'horoscope like' matrix. This is used by the planning units in Karnataka. RI-Coverpage.pdf...
Friends - please see here the Call to Action recently approved by the GAVI Alliance Civil Society Constituency Steering Committee regarding the forthcoming Pledging Conference on June 13 in London. We invite your endorsement of the Call. If you/your organization wish to endorse the Call, please so...
On 11 May the Safe Injection Global Network published its 598th (yes, 598th) electronic newsletter that reaches some 800 subsribers worldwide. This week's email celebrates World Blood Donor Day but also has 24 other items about safe and appropriate use of injections throughout the world. Examples ...
The national vaccine policy draft, submitted by the government in the Delhi High Court recently, strongly favours inclusion of new vaccines in the Universal Immunisation Programme of the country. The court had sought the draft from the Centre last year in a petition against introduction of new va...
Dear Moderator, I am perturbed to know that people of Bangladesh have to pay Tk 40.25 to get obsolete Nerve Tissue Vaccine (NTV), recommended not to be used by WHO, but they are getting Pentavalent Free ! Banglaseh spends approximately Tk 1 crore ( 10 Million )every year on nerve ...
Many thanks! A dozen updates this week as the new vaccine pledging meeting approaches. Will the funds pledged next month cover the needs for introduction of rotavirus, pneumococcal and HPV vaccines? ‘The doubt is permitted,’ as they say in French. Here are the titles of the new technical upda...
Epidemiologists and public health researchers from multiple institutions are collaborating to gather and analyze the best available data on deaths and sick days caused by over 100 diseases and injuries around the world. The culmination of their work is the Global Burden of Disease (GBD) study. RT...
Dear Moderator, Introduction of the pentavalent vaccine into RI in India needs to be considered in the face of evidence that reveals that it may not be so very beneficial. Also when coverage with existing vaccines leaves a lot to be desired, what is the purpose of introducing a new vaccine that ma...
Have put together some slides on the issues involved. This is an educational power point- long, but of use to prepare classes for health workers or doctors- http://www.slideshare.net/prabirkc/toxic-shock-syndrome...
A news brief about the ongoing Measles SIA in Cambodia follows. Also attached with this post are a presentation on the SIA and the Implementation Guidelines. For further information, please contact Aun Chum, Health Officer, UNICEF Cambodia ([email protected]). Cambodia's Ministry of Health launche...
This message has been cross-posted from HPV Vaccine Global Community of Practice. With many thanks to Robert Steinglass. Dear Lisa, I agree with Sarah Mullins that there is a great opportunity to find links with a larger package of interventions, including tetanus vaccination. The following four r...
The introduction of HPV vaccination is facing many challenges. The article published by Pollack et al. in the January issue of the Bulletin of the World Health Organization, besides providing useful information about the disease and the vaccine, discusses these challenges. Possible integration int...
In this podcast, Steve McCarney, cold chain technologies specialist with Project Optimize, PATH, shares his insights with Pharma IQ, on how advances in vaccines and emerging markets have impacted the cool chain and will continue to do so. He also assesses the impact of technology innovations on the ...
Webinar now available on Cervical Cancer Action website; Please visit the Cervical Cancer Action Multimedia web page to watch and listen. For more information, please contact [email protected] [size=14]HPV vaccination in developing countries: Recent lessons from six pilot programs[/si...
Call for Documents on the Effects of New Vaccine Introduction on National Immunization Programs and Health Systems Robert Steinglass and Mike Favin post this request. The USAID-funded MCHIP Project (Maternal and Child Health Implementation Project) would very much appreciate your assistance in...
Many thanks to Diana Chang Blanc for sharing this information with us. Introducing a vaccine: Policy and Programme Considerations Dear Colleagues, You may recall a brochure from the June 2010 NUVI Meeting "market place" describing an updated Vaccine Product Menu which would be av...
POST 00912E : JE VACCINE INTRODUCTION 17 April 2006 ________________________________ Vikram Singh (mailto:[email protected]) from India, contributes some information of interest on the introduction of Japanese Encephalitis vaccination in India. The information he requests has been sent to him ...
A big thank you to Kim Kertson, PATH, for this note! Less than ten years after the creation of the Meningitis Vaccine Project (MVP) the new meningococcal A conjugate vaccine is ready to be introduced in Africa. MenAfriVacTM was licensed by the Indian regulatory authorities in December 2009, prequ...
I have one suggestion on a different topic for which I need comments from experts.  In Polio Eradication programs, the Non-Polio Entero virus rates in the stool specimens is taken as a proxy indicator of adequate stools and effective reverse cold chain. This indicator becomes all the more important ...
Cross posted from http://www.globalhealthmagazine.com/guest_blog with many thanks.  MDG 4: Delivering on the Promise of Immunization  09/14/2010  Rebecca Fields and Robert Steinglass: Make vaccination a reality for all children (image:http://www.globalhealthmagazine.com/guest_blog_top_stories/delive...
As regards prophylaxis you can address only specific group. How long are you going to use the prophylaxis? These are the issues to be addressed and I appreciate your concern. Regards, Nagaraj...
I need an urgent reply on the following questions regarding H1N1 pandemic from the experts: Pakistan is faced with worst floods in its history. Can we start H1N1 vaccination among the affectees specially those in the camps? If yes which groups to target? We have enough doses of TEMIFLU in our stock...
Attached are some photos of Sun Frost's latest Tubular Sterilizer. Syringes are placed directly into the sterilizer, minimizing handling. When full the vacuum tube sterilizer is removed from its stand and placed in the sun. The collector is effective even in hazy conditions. Fifty syring...
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