TechNet-21 - Forum

This forum provides a place for members to ask questions, share experiences, coordinate activities, and discuss recent developments in immunization.

Webinar on PQS cold chain equipment area on TechNet: 17 October 2019

Do you work with WHO PQS-prequalified cold chain equipment – refrigerators and freezers, cold boxes and vaccine carriers, coolant packs, and temperature monitoring devices? If so, you may be interested in the new Cold Chain Equipment (CCE) area of TechNet-21.org, which includes detailed information on all WHO PQS-prequalified products, including installation and maintenance guides, training resources, brochures, videos, photos, as well as product feedback from TechNet members. Next month, TechNet will host a webinar on the new CCE area. We will explain how to use the new area, as well as how PQS manufacturers can manage the information and resources provided for their products. An update on the new WHO PQS website will also be provided. The webinar will take place at 4pm CEST on Thursday, 17 October and will be moderated by Alex Pascutto, TechNet Community Manager. The following experts will also be on the panel: Dan Brigden (WHO EPI) Isaac Gobina (WHO PQS) Matt Morio (PATH) Gemma Huckerby (consultant) Others TBC The link to the webinar will be provided one week before the date. Save the date and please join us!   About the CCE area Every PQS-prequalified CCE product has been given its own page. Each page includes detailed information on that product, including: Product data from the WHO PQS CCE website Resources for the product shared by TechNet members, including technical guidance from WHO, UNICEF, and other partners, installation and maintenance guides, training materials, and manufacturer brochures Videos on the product Feedback from TechNet members on the product PQS manufacturers with a TechNet account can manage some of the information displayed on their product pages, for example by updating the product description, as well as adding product photos and videos. Note: the CCE area features technical information available on the WHO PQS Catalogue website. Please refer to this website for official WHO guidance and the latest information on PQS products.

Webinar: HR for SCM – Lets Consider HSCM Career Paths & Professionalization (GHSC-PSM)

Dear SCM Colleagues, The USAID Global Health Supply Chain Program-Procurement Supply Management (GHSC-PSM) project invites you to the fifth in a series of SCM Workforce Development webinars, ‘HR for SCM – Lets Consider HSCM Career Paths & Professionalization’. Are you frustrated with skilled HSCM staff leaving your organization? Do you get frustrated with the lack of health supply chain management (HSCM) job opportunities? Would you like to improve the career pathways for HSCM in your country? Professionalization of the HSCM workforce is often mentioned with an overarching desire to improve competence of HSCM workers and have them engage in a meaningful career, developing and applying their SCM skills to improve the availability of medicines for patients. There are systematic things to consider and apply, that will improve the professionalization of your local and national HSCM workforce. Wednesday the 2nd of October, 8am to 9am EST. At the conclusion of this session participants should be able to: • Explain what professionalization means in the context of HSCM and consider career pathways in this context
• Describe the roles of various SC Professional Associations
• Explore a proposed GHSC-PSM SCM Professionalization Framework
• Consider steps that can be taken to improve the professionalization of SCM cadres in your own country and organizational context The webinar will be facilitated by Dr Andrew N Brown (GHSC-PSM) and Mr Michael Egharevba (GHSC-PSM). Andrew is the GHSC-PSM Workforce Development Specialist Team Lead. He has more than 20 years of experience in pharmaceutical health systems with a specialized focus on human resources development in the health supply chain context of low and middle-income countries. He has extensive experience working with international and national stakeholders to strengthen human resource management systems to effectively develop, recruit, retain, and support the health workforce for increased access to quality health services. Michael is a Workforce Development Specialist within the GHSC-PSM. He has 20 years of experience in pharmaceutical health systems with a specialized focus in health supply chain management, monitoring & evaluation of health indicators in low and middle-income countries. He has extensive in-country experience working with international and national stakeholders to train on various areas of supply chain management, conduct health logistics system design and quantification for health commodities. You can access the webinar through the link below: ......................................................................................................................................... Join Skype Meeting https://meet.lync.com/chemonics-ghsc-psm/abrown/SR5K6HT9 Trouble Joining? Try Skype Web App Join by Phone Toll-free number: +1 (888) 662-4175,,6673602# Toll number: +1 (312) 777-1441,,6673602# Find a local number Conference ID: 6673602 Help 033])!] ............................................................................................................. We look forward to engaging with you in the webinar. Regards, Andrew Dr. Andrew N Brown
Workforce Development Specialist Team Lead for: Workforce Development and Enabling Environment Contractor for USAID Global Health Supply Chain Program Procurement and Supply Management 251 18th Street South, Suite 1200 Arlington, VA 22202 United States
m:+1.571.665.8319 +61.411.137.625
e: abrown@ghsc-psm.org
Skype: andrew.brown.uc

New post in RECAINSA's blog

Dear colleagues We have a new post in our blog and we appreciate your reading, feedback and dissemination in your networks. The Unique Digital Health Record: The Transformation of Health Services in Costa Rica Abstract Manuel Rodríguez Arce, Director of the Unique Digital Health Record Project, EDUS in Spanish, of the Costa Rican Social Security Fund, CCSS, shares the experience of its implementation in Costa Rica using eHealth strategies and the main lessons learned in terms of digital transformation in health of the Costa Rican healthcare model.Link: http://bit.ly/34JaGtz The original language of post is Spanish but you can also read in English, French and Portuguese, using the option "Idiomas" located in up-right position of our Web Site Thanks and best regards Daniel Otzoy

Immunization Data: Evidence for Action findings now available on TechNet-21

The Immunization Data: Evidence for Action (IDEA) report and supporting materials are now available on the TechNet-21 website in English, Spanish and French. The IDEA report, A Realist Review of What Works to Improve Data Use for Immunization: Evidence from low-and middle-income countries, was written by PATH and the Pan American Health Organization (PAHO). It provides the immunization community with clear, proven strategies for improving the quality and use of immunization data. In addition, it outlines how funders, policymakers, and program implementers can incorporate these best practices to improve the efficacy of state, regional, and national immunization programs. The available materials include the full report, an executive summary, the review’s guiding Theory of Change, an evidence synthesis table and a summary of the five top findings. In addition, there is an Evidence Gap Map. For each primary intervention type identified in the IDEA literature review, the gap map visualizes all the pieces of evidence and promising strategies identified. The gap map illustrates where there is greater coverage of evidence and promising strategies as well as where there are gaps in evidence to help inform future research needs. To view the Evidence Gap Map and all the IDEA materials please visit: https://www.technet-21.org/en/topics/idea

Rencontre Scholars ivoiriens et DCPEV à Abidjan le 28 août 2019

Le mercredi 28 août 2019 à 15 heures, s'est tenue à Abidjan une importante rencontre entre les Scholars de Côte d'Ivoire et les autorités du PEV national. L'ordre du jour a porté essentiellement sur la présentation du groupe pays Côte d'Ivoire. La rencontre a vu la présence effective du Professeur EKRA  Daniel, Directeur Coordonnateur du PEV national et d'une dizaine de Scholars venus de tous les coins du pays. Le Team Leader, Kouame Etienne Gata a dans son intervention situé le contexte de la rencontre après avoir remercié l'équipe dirigeante de la DCPEV.  Le Chef d'équipe est revenu dans son exposé sur l'approche pédagogique de l'OMS qui depuis 2016 a recours à la méthode Scholar afin de soutenir le renforcement des capacités des pays pour la vaccination. Cette methode développée par la Fondation Apprendre Genève vise à renforcer les compétences et les actions dans les domaines de la Santé publique et de l'humanitaire. Le groupe pays Côte d'Ivoire à l'instars de nombreux autres pays du monde s'est engagé résolument dans l'aprentissage des cours Scholar et compte aujourd'hui plus de cinquante (50) apprenants que ce soit pour les cours Survey  Scholars,  SPMVS , AMV.    Poursuivant son exposé sur la présentation du groupe Côte d'Ivoire, le Team Leader a montré l'effort de structuration interne qui a été fait et informé le Directeur Cordonnateur du PEV sur la mise en oeuvre de certains projets individuels dans le cadre de l'Accélérateur d'Impact. Il a ajouté qu'un projet collectif conforme au PPac 2019-2020, qui s'intègre dans l'effort plus général de réduction des inégalités et d'amélioration de la couverture vaccinale du pays a été élaboré et attend d'être implémenté après validation et appui de  la DCPEV. Il a été appuyé en cela par le Porte-parole du groupe , M.  AKAFFOU Fulgence qui a décrit l'expérience de mise en oeuvre de son projet individuel. Le Chef d'équipe a avant de clore son intervention,  procedé à la lecture du serment pour l'impact sous les applaudissements de l'assistance. Prenant la parole, le Directeur Coordonnateur du PEV a remercié les participants et décidé d'apporter un appui ferme aux Scholars de Côte d'Ivoire. Il a instruit le Team Leader de faire parvenir à la DCPEV, la liste des Scholars et souhaité la présentation et la validation par sa structure du projet collectif. Le deuxième temps fort de la cérémonie a été marquée par la remise symbolique des Certificats OMS Scholars par le Directeur aux différents Scholars présents. Commencée à 15 h 04 mn, la rencontre a pris fin à 16 h 17 mn avec la prise de photo d'ensemble. Fait à Abidjan le 28 août 2019 Le Team Leader pays Kouame Etienne Gata

CME workshop on Diagnostic role and the Rights to be observed in Tuberculin Skin Test (Mantoux test) at St John Medical College (SJMC), Bengaluru held on 04 Sep 2019.

Dear viewers KVG team wishes to share the following with the viewers and supporters of "End TB Programme" as tuberculin skin test [Mantoux test] is in practice since 1907 however there are many programmatic errors happening at the service delivery point which can be witnessed by anybody anywhere in the country administering tuberculin. Context: The Union Government has rolled out a programme for universal screening of an estimated 250 million children and adolescents below 18 years annually for Leprosy and Tuberculosis (TB) and put on treatment if required. TB kills an estimated 4.8 lakh Indians (sharing 31% of global TB deaths) every year [>1,400 every day]. India has the highest TB burden (27% of the world) with more than a million ‘missing’ cases every year that are not notified – either undiagnosed, unaccountable, inadequately diagnosed and treated in the private sector. (https://indianexpress.com/article/india/govt-rolls-out-scheme-to-screen-all-children-below-18-for-leprosy-tb-5943004/ accessed on 06-09-2019). In this regard Manotux test [TST] has a definite role. Tuberculin Skin Test (TST) is a simple and reasonably reliable method for the detection of infection by Mycobacterium tuberculosis. It is a diagnostic aid for corroborating with clinical findings though not a confirmatory test. Quote: It has to be approached “with respect, administered with care, read with deliberation and interpreted with sentient discrimination.”  Programmatic errors observed during opportunistic proactive supportive supervision: All the 8 rights to be observed before / while and after administering vaccines are applicable to Tuberculin also plus 2 more: a) Do’s and Don’ts for the patient during the reactogenic period of 0 to 48hrs; b) reading the test between 48 and 72 hours without fail. In almost all Medical Colleges visited in 4 states, tuberculin manufactured by “arkray” with different strengths is used: viz. 1TU, 2TU, 5TU and 10TU RT23 in 0.1mL, 5mL per vial providing 50 ID doses of 0.1mL each. Though the test is in practice since 1907, following programmatic errors in various permutation combinations were observed in different thematic areas of administering / reading TST: Cold chain: Stored in domestic refrigerator with vertical door opening horizontally. Often kept in the inner aspect of door abutting freezer compartment, tuberculin getting frequently frozen. Once brought from the main store, kept in the tray at the service point during working hours, often till the last dose in some institutions for couple of months. VVM: In India, tuberculin is not dressed with VVM and hence the potency of the reagent at any time is not known. Pediatric age: No uniformity, ranging from 0 – 5yrs to   0 – 18yrs.     About TU per 0.1mL and the units administered: “Testers” are not aware of number of TU per 0.1mL as a result in one college 10TU per 0.1mL is administered to children and 1TU in 0.1mL to adults. Different colleges are administering different strengths: 2 TU in 0.1mL for all, 5 TU in 0.1mL for all and 10 TU in 0.1mL for all. Quantity / volume: 0.05mL of 2TU in 0.1mL to children, 0.05mL of 5 TU in 0.1mL for children, 0.025mL (one digit from insulin syringe) of 10 TU in 0.1mL for children & or quantity made up to 0.1mL diluting with normal saline were administered. Volume < 0.1mL cannot yield wheal of required diameter of ≥7mm diameter; smaller diameter is like providing "badminton court for playing foot ball". Route: Often administered Sub Cutaneously. Multi dose vial policy: Once the vial is opened (opening date), same vial is used beyond the recommended 30 days till the last dose, with or without cold chain. Opening date and Beyond Useable Date (BUD) are not mentioned on the vial, not in compliance with guidelines. Trained staff: Testers are not “dedicatedly” trained for administering tuberculin, but many regular staff nurses & or lab technicians could administer intradermally correctly. In some institutions “testers” are not “dedicated”, anybody is allowed to administer from nursing students, interns, Post graduates. Wheal: The diameter of the wheal is not measured hence if the wheal is small (≤6mm); there is no repetition of the test immediately. AEFI Kit: Not available at many places. No display of standard operating procedure and job-aid at the service point. 2 step tests in needy circumstances are not in practice. Documentation: No standard documentation hence no indicators can be obtained required for performance review / operational research if any. Instructions to the patient / beneficiary: Explaining the procedure and giving Key messages to the patient are hardly adhered. Reading of the test: Test needs to be read between 48 and 72 hrs unlike many test doses in medical practice which is read ~30 minutes of administering the test dose. In substantial cases results were not read (~30%) defeating the purpose of the test. What we did: Charity should begin at home. We established nursing station for administering tuberculin skin test in the dedicated vaccination clinic in KVG Medical College by the dedicated staff. Developed a Supportive Supervision checklist as per CDC and RNTCP guidelines, used the same in the capacity building of testers and the officers in various Medical Colleges. Regularly shared the observations with DTF, STF, ZTF and NTF. We appraised the visitors to our college. As directed by the State Task Force, in collaboration with DTO, conducted training workshops to the Matron, testers of Medical Colleges of home district at the “Demo-site” of KVG Medical College. As directed by STF, experiences of training workshop presented in the STF meeting at State Institute of Health and Family Welfare on 7th June 2019. Way forward: Conducting similar CMEW in all the Medical Colleges of Karnataka for sensitization followed by intensive training of testers in small batches at the “Demo-site” in KVG Medical College in collaboration with government. Acknowledgement: We thank all the supporters of “End TB” programme.  With regards   

Together, developing quality, reliable immunization products that meet every need

  The WHO PQS product feedback cycle Did you know that at the heart of WHO Performance, Quality & Safety (PQS) is a crucial performance monitoring and feedback mechanism? This mechanism makes it possible for PQS to enforce and improve product standards and make sure that products and devices procured for use in immunization programmes are suitable, quality and reliable. This cycle of feedback and improvement is powered by the input of EPI programmes and product manufacturers. In-field insights - such as reports of product life cycle performance or defects and faults - help WHO PQS develop new or review existing product specifications to maintain a robust prequalification process and, ultimately, help EPI programmes safeguard and deliver precious potent and safe vaccines. Envisioning the future WHO PQS also gathers up-to-date insights about the evolving requirements of product users’ operating environments, with which PQS can help shape the design of novel product features. Desired future product features are incorporated into PQS target product profiles (TPPs) as aspirational targets for manufacturers’ product development. Recent examples of technical advancements thanks to PQS TPPs include remote temperature monitoring devices, and solar power energy harvesting capabilities. Both of these advances answer current needs of product technicians and other health centre staff, reinforcing abilities to deliver reliable vaccination services. Five minutes to fruitful feedback! So, calling all product users and product manufacturers to help improve performance and drive innovation of immunization products and devices! Tell us about any product defects as they happen, and take a moment to imagine your dream-features for any PQS products: submit your feedback with this simple form: http://apps.who.int/immunization_standards/vaccine_quality/pqs_catalogue/feedbackform.aspx or click the link and bookmark the feedback form today!  

Drones for Health, exploring immunization supply chain solutions in DRC

Dear TechNet Community, I have an exciting milestone to share on behalf of the VillageReach Drones for Health team: Since 2015, VillageReach has collaborated with stakeholders at local, regional and global levels to support supply chain solutions, including exploring the use of unmanned aircraft systems (UAS) for health to speed up deliveries and to reduce costs in logistically challenging, low-resource environments. In the Democratic Republic of Congo (DRC), we are working with the Government and Gavi on a phased approach to test and integrate drones into the existing immunization supply chain in Équateur, a large and logistically challenging province in northwestern DRC. The aim is to integrate a new transportation solution to supply vaccines more quickly and efficiently to the most inaccessible health centres in the province. VillageReach with Swoop Aero, national and provincial government stakeholders in DRC hit an exciting milestone – repeated, safe transport of vaccines and other products, via drone, in Equateur province. In summer 2019, Swoop Aero conducted a series of test and demonstration drone flights to deliver vaccines, syringes, medicines and other supplies from Mbandaka town to the village of Widjifake, which is 3 hours away by road, but 20 minutes by drone. Flights were conducted across the Congo River, forests and the populated area of Mbandaka. In just 5 days, Swoop’s drones conducted 50 flights to and from the health centre, covering a total of 2000 km in the air and transporting over 25 kg of health products for Widjifake and three other neighbouring health centres. The results from DRC will help to inform programming and decision making regarding the next phase, including the integration of UAVs in the routine vaccine transport system to deliver immunization products in the Équateur. Through collaboration with governments, the private sector and non-governmental organizations, VillageReach is an expert in managing proof-of-concept flights that can further guide the decision to invest in the implementation of integrated supply chains. I welcome and feedback or questions from those who are working with or interested in using drones for immunization delivery. If you would like any more information, do not hesitate to reach out. Best, Gabriella Ailstock VillageReach, Drones for Health Team https://www.villagereach.org/work/drones-for-health/

Continued Medical Education Workshop for sensitizing on Tuberculin Skin Test

Dear viewers in view of the following context we [KVG team] wish share the attached. Context: The Union Government has rolled out a programme for universal screening of an estimated 250 million children and adolescents below 18 years annually for Leprosy and Tuberculosis (TB) and put on treatment if required. TB kills an estimated 4.8 lakh Indians (sharing 31% of global TB deaths) every year [>1,400 every day]. India has highest TB burden (27% of the world) with more than a million ‘missing’ cases every year that are not notified – either undiagnosed, unaccountable, inadequately diagnosed and treated in the private sector. (https://indianexpress.com/article/india/govt-rolls-out-scheme-to-screen-all-children-below-18-for-leprosy-tb-5943004/ accessed on 06-09-2019). In this regard Manotux test [TST] has a definite role. Tuberculin Skin Test (TST) is a simple and reasonably reliable method for the detection of infection by Mycobacterium tuberculosis. It is a diagnostic aid for corroborating with clinical findings though not a confirmatory test. Quote: It has to be approached “with respect, administered with care, read with deliberation and interpreted with sentient discrimination.” All the 8 rights to be observed before / while and after administering vaccines are applicable to Tuberculin also plus 2 more: a) Do’s and Don’ts for the patient during the reactogenic period; b) reading the test between 48 and 72 hours without fail. In almost all Medical Colleges visited in 4 states, tuberculin manufactured by “arkray” with different strengths is used: viz. 1TU, 2TU, 5TU and 10TU RT23 in 0.1mL, 5mL per vial providing 50 ID doses of 0.1mL each. Though the test is in practice since 1907, many programmatic errors in various permutation combinations were observed in different thematic areas of administering / reading TST.  What we did: Charity should begin at home. We established nursing station for administering tuberculin skin test in he dedicated vaccination clinic in KVG Medical College. Developed a Supportive Supervision checklist as per CDC and RNTCP guidelines, used the same in the capacity building of testers and the officers in various Medical Colleges. Regularly shared the observations with DTF, STF, ZTF and NTF. We appraised the visitors to our college. As directed by the State Task Force, in collaboration with DTO, conducted training workshops to the Matron, testers of Medical Colleges of home district at the “Demo-site” of KVG Medical College. As directed by STF, experiences of training workshop presented in the STF meeting at State Institute of Health and Family Welfare on 7th June 2019. Way forward: Conducting similar CMEW in all the Medical Colleges of Karnataka for sensitization followed by intensive training of testers in small batches at the “Demo-site” in KVG Medical College. Acknowledgement: Thanks to the supporters of End TB programme. Please find the attached for additional inputs from the viewers. with regards Holla n team      

Information System Analyst Consultancy

The Comprehensive Family Immunization Unit (FPL/IM) at the Pan American Health Organization, (PAHO/WHO) is looking to hire a Systems Analyst/ company that will gather systems requirements for the development of a regional web-based solution to collect, analyze and consolidate case-based data from all geographic levels for surveillance of vaccine-preventable diseases and that it meets the needs of various type users at regional, national and sub-national level. The candidate should have proven experience in writing technical requirement and presenting to vendors. The incumbent should perform interviews to stakeholders in Washington, DC, as well in some countries. In addition, the consultant should lead on an international workshop with countries users to consolidate requirements. The documentation should be written in English. The consultant require to communicate with Spanish speakers. The length of the consultancy is 4 months. See attached TOR If interested, please send your CV to ortizcla@paho.org ;ojedapao@paho.org. 

Immunization Supply Chain Leadership Webinar Series

See the attached announcement for details on the upcoming webinar series. Register in advance for the Strategic Planning for Immunization Supply Chain webinar on September 17th using this link: https://jsi.zoom.us/webinar/register/WN_ZC6udeUSREuv-2kvxTNX1w After registering, you will receive a confirmation email containing information about joining the webinar. A link to register for each subsequent webinar will be emailed to you in advance of each webinar. Please address any questions to Barbara Lamphere at barbara_birch_lamphere@jsi.com.

Telemedicine and Teleeducation Strategies from the community base: The experience of TulaSalud in Guatemala.

Dear colleagues We have a new post in our blog and we appreciate your reading, feedback and dissemination in your networks.  Abastract
Isabel Lobos and Noé Quiroa share the experience of TulaSalud in Guatemala and tell us how intervention in community context using digital health strategies has contributed to the reduction of maternal mortality in places where it has been implemented, demonstrating that planning and design of solutions, including community-based experiences, could have a great impact for prevention and timely care of morbidity and mortality in rural, indigenous and excluded areas in low-income countries. Ful blog post: http://bit.ly/2LfLL8Z The original language of post is Spanish but you can also read in English, French and Portuguese, using the option "Idiomas" located in up-right position of our Web Site. Thanks and best regards Daniel Otzoy

WHO Guidelines on the international packaging and shipping of vaccine

Dear Sir/Madam, Kindly be informed that the revised Guidelines on the international packaging and shipping of vaccines has been published on the WHO website for public consultation. https://www.who.int/immunization_standards/vaccine_quality/vaccines_packaging_guidelines2019/en/ We would appreciate your comments not later than 30 September 2019. Thank you and best regards,

Learning's from Duelist PHC Kollamogru

Dear viewers The following illustration emphasizes the importance of keeping vaccination data up to date on a regular basis and to explore the measures to promote EIR.  PHC Kollamogru is one of the 3 planning units attached to KVG Medical College Sullia located in the interior hilly area with sparse population, rich with forest, rubber plantation, coconut trees, plantains etc. It has a population of 9692, five sub-centers, an estimated 130 pregnant women, 117 below one year children [birth rate 12/1000 per year], 521 under five years residing in 2084 houses  [child house ratio of 0.25  & people @4.6 per house]. This PHC is enumerating / line listing vaccination data in the “Extended Immunogram” since April 2013 coinciding with introduction of Pentavalent in the National Immunization Schedule [NIS]. Proactively, on updating vaccination data as a routine, we prepared the duelist for the month of August 2019. With the introduction of RCH Portal, ANMs became busy in entering data to RCH portal, poor connectivity drastically retarded the process and resulted in the following: Provisional duelist had 62 children – 53% of annual target, about 10% more than Expected Due Children (EDC). [Calculating EDC: A child has to visit 5 times as per present NIS in India for completing FIC below one year and booster before 2nd year excluding newborn vaccination. i.e. 117×5=585 visits. 585÷12= ~49; 41.88% of annual target  of 117. Since vaccination is done once a month in the outreach and once a week at the PHC, EDC will be a little more than 42% of annual target]. On updating the data, the list got shortened to 47 by 24.2% [40.17% of annual target – more specific]. Data of 9 children (19.1%) yet to be fed to RCH portal hence not in Electronic Immunization Register [EIR]. EIR has ~20% less data than in manual register. On 29th August 2019 dose wise mobilization of children is given in the table below: Dose 1st dose 2nd dose 3rd dose MR1 Booster MR2 Total FIC   Due in Aug 7 9 3 10 24 53 10 Vaccinated in Aug 4 8 3 8 10 33 8 Following is the table with dose wise due children prepared on updating the data in the Extended Immunogram master register at the PHC for the month of September 2019. We wish to study the proportion of mobilization Dose 1st dose 2nd dose 3rd dose MR1 Booster MR2 Total FIC   Due in Sep 10 10 7 6 23 56   Vaccinated in Sep               In this list 15 children of 56 (26.78%) are yet to be entered in to RCH portal. At any given time, in the existing situation and process, EIR is having about 25% less data than actual and hence the indicators are not reliable for performance review to guide the programme. So what: An expert team has to genuinely study and explore as to how to make the RCH Portal very useful for the grass root level workers and managers at all levels. All PHCs can easily replicate Kollamogru model. best wishes Holla n Team  
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What Collaborative tool do you use?

Hey there how are you all today? I'm not sure if i’ve got permission this time to get out of the basement to post this but lets just keep it between you and I and to be fair i needed my yearly dose of Vitamin D.  For those of you that don’t know who i am My name is Alex Lee and i’ve been the website administrator behind TechNet for the last six years, i’m also the tech guy running around like a headless chicken during the conference live streaming you all.  Any how back to why i’m posting. While i'm  absorbing some vitamin D, I’m also in the middle of brainstorming how to make the Network area of TechNet a better collaborative tool for you. Let me start at the beginning and break down what you can currently do in the Network area. For those of you who are on facebook and use it, that is basically what we have. We have our own Facebook installed on our servers, what i mean by that is you have basically all the options as facebook does,  A profile you can update, Create groups, Create Events, Instant message, a newsfeed to stay up to with what’s been going on , find new contacts and a whole lot more.  Now that’s all great and stuff, but if I think about what the Website is for from an outsider looking in, it's to continue the discussions that take place at the conference AND to act as a tool to facilitate collaborating together so that people can work all together on their common projects or priorities. This is my personal view or at least what I believe the website should be used for based on my 6 years working with TechNet The main area i’m focusing on at the moment is the way our Groups work. Right now the current state of the groups is more of a Social group than a Collaborative Group tool. What i would really like is to let you have the ability to work on documents, create reports and maybe have the ability to create tasks and milestones for your different projects and to make it the easiest place for you all to collaborate together internally, but before i implement all of  that i need to  understand what you currently use to collaborate together.  For example, Let's say you're working on a report for your project(s) to give to funders or management, how would you currently work together on it? What systems do you use, do you just use word and send via email or do you use a collaborative tool like google docs, MS team sites, 365 office groups, Yammer… etc.?  The reason I’m asking is because I don’t want to reinvent the wheel, there is no point, it’s 2019, the technology is already out there and doesn’t need to be reinvented, but if i do want to make TechNet a safe and easy place for you to collaborate together, I do need to figure out a way to integrate your favourite tools in to the groups area. That's about it otherwise i’m going to end up looking like a sun dried tomato if i stay out to long (an English man sneaking out from the basement … in the sun… not a good combo. :-) any how Stay healthy have a a great day and thanks in advance for your inputs. keep in mind this is to make your life as easy as possible when you are on TechNet so don’t be shy!!  Alex Lee

HLN Releases Update to its Award Winning Open Source Immunization Forecaster

On August 28, 2019, HLN released a new version (v1.20.1) of the Immunization Calculation Engine (ICE). ICE is a state-of-the-art open-source software system that provides clinical decision support for immunizations for use in Immunization Information Systems (IIS), Electronic Health Record (EHR) and Personal Health Record (PHR) Systems. This version includes important updates to the DTP Vaccine Group including: Updated the Adolescent Tdap Recommendation and Evaluation rules as per the latest Tdap guidance included in the 2019 CDC Immunization Schedule. Added a rule requiring that in order for the primary series to be complete via the DTP 3-dose series, at least one of the doses administered must be a pertussis-containing vaccine. The full software release is available for download at https://cdsframework.atlassian.net/wiki/display/ICE/Downloads. A revised ICE Implementation Guide is also available. See the feature article about ICE in Open Health News.
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Who wants some How to Videos?

Hey there Me again! How is every one today? hope the heat isn’t reducing your productivity, it sure has my’n to be honest, I hate the heat I'm more of a cold weather kinda guy! Any how I’ve been meaning to do some “how to use TechNet videos” for a while now but have been putting it off just because i hate being on camera or recorded, but i know thats a stupid excuse so i’ve decided i’m going to do them for you the members! but first i wanted to gather a bit of data before i do, being the nerd that i am DATA RULES! lol any way my question to you is pretty simple: What part of the site would you like me to start with?  Forum Network Library  CCE Topics Careers You decide! The ones with the most votes is the area i’ll start with and i'll make a mini series about it. Oh actually let's add to that, who here would prefer a live stream rather than a recoded video, I can do it either way but i won’t be in a suit and will probably be in my basement, live i’ll be able to answer your questions at the same time if you want! Add in the comments! You decide! Take Care (don’t forget to drink your water and not the coffee/energy drinks that i have been, i’ll never learn!) All the best Alex!

JSI Webinar | Building Bridges to Stronger Leadership and Governance for Health

Building Bridges to Stronger Leadership and Governance for Health Strengthening Primary Health Care and Immunization in the post 2020 era in Africa   Thursday, April 25, 2019 9:00 -10:30 am  |  Eastern Daylight Time (New York, GMT-04:00)    Strong health leadership is not only critical to achieving universal health care (UHC), but is the driving force behind attaining and sustaining achievements in primary healthcare, immunization and other health goals. With shifts in global and country geopolitical dynamics, underperforming health systems, capacity gaps and inequities between and within countries’ the need for strong leadership is more important than ever. Join John Snow, Inc and our distinguished panel to discuss the underlying enablers, and address ways to generate a pathway for strong leadership approaches post 2020. The webinar will build on the recent African Leadership Meeting and deepen the conversation on how a greater investment in leadership will be crucial to achieve UHC in Africa.  Hear from our expert panel, which includes: Dr. Margaret Agama-Anyetei, Head of Division Health, Population and Nutrition at African Union Commission Dr. Muhammad Ali Pate, Chief Executive Officer, Big Win Philanthropy and Adjunct Professor of Global Health, Duke University Global Health Institute Dr Ranjana Kumar, Senior Specialist, Country Governance, Leadership Management & Coordination, Gavi Dr. Possy Mugyenyi, National Technical Director for MCSP/SS4RI Uganda, John Snow, Inc. Professor Richard Adegbola, Independent Consultant, Immunization & Global Health at RAMBICON, Lagos, Nigeria  Moderator: Dr. Folake Olayinka, Immunization Team Leader for Maternal and Child Survival Program, John Snow, Inc. Register  After your registration has been completed, you'll receive instructions for joining the meeting.    Need help? Go to http://collaborationhelp.cisco.com   

Management of Vestfrost Equipment

Dear TechNet-21 Community, Following the WHO PQS statement on the Vestfrost investigation, please find attached guidance on the management of the equipment and vaccines. Thank you. Michelle Seidel Immunization Supply Chain, Programme Division Office: +45 45 33 56 12, Mobile : +45 30 78 76 54, E-mail: mseidel@unicef.org  United Nations Children’s Fund UN City,Marmovej 51,Copenhagen, Denmark Follow us on Facebook, Twitter, YouTube and at www.unicef.org 

Are you interested in Electronic Immunization Registries (EIR)?

  We are pleased to announce that the Pan-American Health Organization (PAHO) has just launched its Scholar programme with an inaugural course in Spanish on the topic of electronic immunization registries (EIR). If you would be interested in taking this course in English or in French, please complete this form to express your interest. Upon registering your interest, the link to download the publication “Electronic Immunization Registry: Practical Considerations for Planning, Development, Implementation and Evaluation, 2018” will be displayed on your screen. If you are a Spanish speaker or work with Spanish speakers, you will find the full course announcement via this link. Please share this call for expressions of interest with your trusted colleagues and networks.

Webinar: Historia Clínica Electrónica (EHR)

Estamad@s colegas / Dear colleagues Iniciamos el ciclo de Webinars con la Red Centroamericana de Informática en Salud / We start the webinars cycle with Central American Health Informatics Network. - Tema / topic: Historia Clínica Electrónica / Electronic Health Records - Día /day: Sábado 31 de agosto de 2019 / Saturday, August 31th 2019 - Hora / time: 10 AM - Centro América / Central America 11 AM - Bogotá 12 PM - Washington D.C. (EST) - Registro en / register: https://recainsa.org/webinar-hce-ago-2019/ ** Only Spanish language Agradecemos compartir esta información con sus redes de contactos / We thank you for sharing with your networks. Saludos cordiales / Best regards Daniel Otzoy

Invitación a nuestro blog / Invitation to our blog

Estimadas(os) / Dear all Colegas de los países de América Latina y El Caribe interesados en compartir sus experiencias de éxito con Registros Nominales Electrónicos de Vacunación, quiero cordialmente invitarlos a escribir en el blog de la Red Centroamericana de Informática en Salud: https://recainsa.org/blog/   /  Colleagues from Latin America or Caribbean countries interested to share your successful experiences about Electronic Immunization Records Systems, I would like to invite you to write in the blog of Central American Health Informatics Network (RECAINSA in Spanish) Los requisitos son los siguientes / The requirements are: 800 a 1000 palabras / 800 to 1000 words Una o dos imágenes o fotografías sobre la publicación / one or two images or photos related to blog post Nombres y afiliaciones del autor o los autores / Names and affiliation of author or authors. Referencia a la fuente original de la publicación en caso haya sido publicado previamente / Reference to original source of publication in case it has published previously. Cualquier duda o comentario, pueden contactarnos a través de los siguientes canales / For any doubt or comment please feel free to contact us through follow communication channels: info@recainsa.org https://recainsa.org/contacto/ https://www.facebook.com/recainsa https://www.linkedin.com/company/recainsa/ Saludos / Best regards

Redesigned storage code for accommodating Rota Virus Vaccine in the 3+2 baskets [300L] Ice-lined Refrigerator in the planning units.

Dear all Routine Immunization programme is rapidly expanding in the country, more and more vaccines are included in the National Immunization Schedule [NIS] in phased manner. Rota Virus Vaccine is being introduced in Karnataka. As customary, in Dakshinakannada district, training programmes were held in 2 batches on 17th & 19th July 2019 in collaboration with WHO country office, this will be followed by training at block and planning unit level. With additional vaccines, additional cold space is required. Most of the multi dose vials have 10 or more doses e.g. 2mL OPV provides 20 doses, 5mL MR provides 10 doses, 2.5mL fIPV provides 25 doses. Currently supplied RVV is unique in the sense 5mL per vial after reconstitution has 2 doses of 2.5mL each. Hence the storage code is revised to accommodate Vaccine Vials if not the diluents. A Planning Unit in Karnataka is not having more than 30,000 populations, at 20 birth rate; estimated annual target of 0-1year children will be 600, on an average 50 per month. RVV vial requirement is 50 infants×3doses=150×1.11wmf [@90% usage] =166.5 doses +25% buffer stock=166.5+41.65 = 288.15; rounded off to 290. @ 2 doses per vial, 145 vials are needed with 145 diluents and 290 6mL oral syringes. Diluents and oral syringes can be kept outside the cold chain and required number of diluent vials need to be kept in the ILR at least 24hrs prior to the session. Karnataka has the luxury of having adequate planning units, majority do not have more than 350 children per year at least in the rural area. Author had revised the earlier storage code of 2012 designed for ILR’s with 2+1 baskets [140L] for 300L ILR with 3+2 baskets, submitted to the state government which issued official circular on 29 April 2018 to all the districts and planning units. Now, in view of above it is redesigned for operational use and submitting the draft to the government for needful. regards Dr Holla

Sharing “Dewalbari one pager”

Dear viewers Please find the attached “Dewalbari one pager” which was mailed to the Country Representative on 15th August 2012 – a dramatic & historic event in the field of routine immunization. India was consistently trying to improve full immunization coverage, declared 2012-13 as year of intensification of routine immunization. Objective was to achieve ≥90% vaccination in the selected >200 districts. Strategy was one special immunization week in 4 subsequent months. Following state meeting in the mid march 2012, all districts were asked to submit logistic requirement in just one format by 31st March 2012. It was supposed to start from April 2012 and close by July 2012. Submission of consolidated plan needs timely submission by all the Health Sub centers to the Planning units >> block >>District. Hence author reached Dewalbari HSC. Bina & Pumpum were the ANMs. Methodology was learning by doing, working together, propagation through peer education blended with sustained supportive supervision. Think globally but act locally. Blessing in disguise: Special immunization weeks need special money. There was delay in the release of fund and the launch was delayed. We utilized this window period. We enumerated all those who were born since 01 April 2010 and prepared session wise specific micro-plan which automatically yielded specific due children. Ours was a zero budget programme but did intensification of routine session itself. End result: on 28th July, 4th Saturday after the last session by 5 PM ANM Bina gave the breaking news of the end result. “Sir; Dewalbari is IRI free”.  It was one of the happiest moment for me in the last >30 years of working for RI. I took some time to analyze the data and published “Dewalbari one pager” one of the simplest and the greatest surest way of achieving >95% FIC and complete immunization in just 4 months through reugular session itself. Later we published article on IRI simulation study. On the same line we did Mission Indradhanush simulation study and was disseminated. Both the studies proved that through a proper simplest tool (Extended Immunogram as of now) and the methodology of learning by doing, working together, propagation through peer education blended with sustained supportive supervision any area in the country can attain and sustain very high vaccination coverage as this promotes regular session to all time mission mode as this is non tiring. Hope India will achieve and sustain the goal of Global Vaccine action plan by Aug 2020. happy reading  Holla n team  

VVM Chart as a Job-Aid for Display

Dear viewers After seeing VVM in discard stage much prior to expiry date both in the store and at the service point, our team thought of developing a job-aid for display in the vaccination clinic for IEC, educating nursing / medical students, interns, post graduates, beneficiaries, care takers while delivering vaccination services. We have taken the pictures of available vaccines in India. If any other vaccine has VVM in India, it may please be incorporated. "It is a sticker with a central square containing a heat sensitive chemical and a fixed reference color ring for matching. On exposing to heat outside the critically set temperature of 2 to 80C, square irreversibly & gradually turns darker; merging with the outer ring indirectly indicates discard point matching with loss of potency of the vaccine. Based on heat sensitivity of the vaccines, 4 types of VVMs are innovated, placed on flip of the cap for BCG, MR, JE, RVV multi dose and on the label of HepB, OPV, Rotavac single dose, Pentavac, IPV, DPT, TT, Td. Beneficiaries have right to information; service providers can show the vaccine with useable VVM to the care takers to gain their confidence for better community participation." Happy reading and suggestions from the viewers Holla n Team  

Access Immunization Academy Video Lessons in French

Dear colleagues,   Immunization Academy would like to share some exciting news with the TechNet community.  As of July 2019, all 94 video lessons are available in French. With the complete catalogue of free video lessons now available in French, Swahili, and English, we hope that Immunization Academy will be accessible to an even broader audience.   As you may know, Immunization Academy launched in summer of 2017 to provide short, how-to video lessons for immunization professionals on topics such as cold chain, data monitoring, vaccine delivery, and more. We now have 33,000 learners in 195 countries.  Use Immunization Academy to:  Refresh your skills in your moment of need - Immunization Academy is free and accessible on any device  Download videos to watch offline  - You can learn and share knowledge with others without using cellular data or WiFi  Improve the performance of team members - Provide on-the-job training through quick, targeted video lessons  Learn a new skill - Create an account to save your favorite videos and build video playlists  We are currently working on adding new video topics and features that will make the learning experience even better for users around the globe. In the meantime, please share any suggestions you have directly with Alice@ImmunizationAcademy.com. 
 
Alice Bumgarner 
Director, Immunization Academy 
Alice@ImmunizationAcademy.com 

Avez-vous un intérêt pour les registres numériques de vaccination (RNV)?

La Fondation Apprendre Genève a le plaisir d'annoncer le lancement par l'Organisation pan-américaine de la Santé (OPS) de son programme Scholar, avec un cours inaugural en espagnol sur le thème des registres numériques de vaccination (RNV). Si vous souhaitez suivre ce cours en anglais ou en français, nous vous invitons à déclarer votre intérêt. Accédez au formulaire… Veuillez partager cette invitation avec vos collègues et réseaux de confiance. Lorsque vous enregistrez votre déclaration d'intérêt, le lien pour télécharger la publication "Registre numériques de vaccination: considérations pratiques pour la planification, le développement, la mise en œuvre et l'évaluation, 2018" (en anglais) s'affiche à l'écran. Si vous parlez espagnol ou travaillez avec des hispanophones, vous trouverez l'annonce complète du cours et le dossier de candidature via ce lien. Cliquez ici pour déclarer votre intérêt pour la version française…

Observance of World Breast feeding week

Dear all  For disseminating and practicing this years theme "Empower Parents, Enable breast feeding", KVG Medical college team observed breast feeding week.  Beast milk, colostrum in particular is considered as the “First Vaccination” by nature. Dr Savitha Satyaprasad, Professor & head of the department of pediatric dentistry from KVG Dental College explained the disadvantages of bottle feeding. Dr Bhavya from Obstetrics & Gynecology department, Dr Niveditha from Pediatric department, Dr Holla from PSM department of KVG Medical College blended with nursing students from KVG nursing college delivered the important messages through skit, lecture demonstration, video to the general public – the attendants of mothers who delivered the babies, nursing students, Medical students, nursing staff, local ASHAs & ANMs, AMO of Block Hospital, Block Medical Officer of Sullia. Dr KV Chidananda, Director of KVG Medical College delivered presidential address. The programme started with invocation by Dr Aishwarya, Introduction by Dr Geetha Doppa, MC’d by Dr Krithi Bhat, key note address, selecting & announcing the winners of poster competition by Dr AG Kulakarni – HOD, P&SM, vote of thanks by Dr Shashikala of PSM department. During the Ante natal checkup, pregnant women visit dedicated vaccination clinic for receiving Td vaccine, either 2 doses with minimum 4 weeks interval or one booster dose as per the situation. This gives an opportunity for the vaccination service delivery staff(s) to personally communicate all key messages which include proper examination of the breast during regular ante natal check up,  consumption of green leafy vegetables, adequate safe drinking water, personal hygiene, proper sanitation, early breast feeding, proper holding of the infant while feeding, exclusive breast feeding, continuation of breast feeding up to two years, newborn vaccination, routine immunization, well baby clinic, family welfare methods – throughout the year. Wish you happy reading Holla n Team  

CURSO DE OPS/OMS EN SCHOLAR SOBRE PLANEACIÓN E IMPLEMENTACIÓN DEL REGISTRO NOMINAL DE VACUNACIÓN ELECTRÓNICO

La Organización Panamericana de la Salud (OPS) le invita a postular al primer grupo del Curso de Certificación Nivel 1 sobre Planeación, Implementación y Evaluación del Registro de Vacunación Electrónico. Este curso digital interactivo en español (el curso en inglés se ofrecerá posteriormente) está dirigido a funcionarios del Programa Ampliado de Inmunización (PAI) y Administradores de Datos vinculados a los Ministerios de Salud a nivel nacional y regional, a los funcionarios de PAI de OPS de las sedes del país y de las agencias asociadas. Animamos al personal de vacunación que participe directamente en las actividades de registro de vacunación electrónico y que esté dispuesto a innovar en temas relacionados con la recolección de datos de vacunación, la calidad de los mismos y su utilización. La sesión informativa sobre este curso se llevará a cabo el 20 de agosto de 2019 a las 2 p.m. EST. Se recomienda encarecidamente a los solicitantes y otras partes interesadas que asistan. Cuando: Martes 20 de agosto de 2019 a las 2 p.m. EST (Hora en su ubicación) Enlace de registro: https://zoom.us/webinar/register/WN_nb8heTITRwO3Gd6F9sTa9Q  Anuncio detallado (favor leer detenidamente antes de postular al curso): https://learning.foundation/paho-eir-es/ FECHA LIMITE: 28 de agosto del 2019   Sólo los solicitantes admitidos recibirán una Carta de Aceptación por correo electrónico de parte de la OPS. Favor dirigir sus preguntas o comentarios a scholar-es@learning.foundation

Organizational Design for Public Health Supply Chains (Final Draft for Comments)

Dear all, We are happy to share a new publication called Organizational Design for Public Health Supply Chains. We welcome feedback on the final draft from the community before final publishing and wider dissemination. You can view the document here: https://issuu.com/bayus007/docs/od_for_public_health_scm_print_final_draft_for_com With increasing focus on coordination, collaboration and capacities within the public health supply chain space at the country level, there is a growing need for innovative and contextualized approaches led by skilled and competent workforce. Countries are taking concrete steps to strengthen ownership and sustainability of their public health supply chain system through financing, system improvements and re-engineering, including having dedicated supply chain/logistics roles and departments established within the ministry, programmes and projects. In response to country requests, UNICEF, with support from GAVI, has put together a practical guide to support country teams in the organizational design process. This guidance forms part of the country support package. While we do not intend to be prescriptive, this guidance can be contextualized to support decision-making and actions when creating new organizational structures, job descriptions and performance improvement approaches. It also provides templates and tools to support the immunization and health programmes in countries to ensure seamless supply chain operations for last-mile delivery and visibility. Contents Framework for effective organizations from the human capacity lens Country interventions linked to organizational design Assessing programmatic and organizational targets Defining HR requirements Organizational design for supply chains Gender-friendly organizational design Country case studies Developing and maintaining job descriptions Standard Competencies for Immunization – vaccine supplies and logistics HR capacity and performance strengthening Managing performance using coaching and mentoring Sample templates of organograms and job descriptions for supply/logistics systems You can view the document here: https://issuu.com/bayus007/docs/od_for_public_health_scm_print_final_draft_for_com For more information and enquiries, do contact: Adebayo Adekola | Email: aadekola@unicef.org


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