TechNet-21 - Forum

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

Discussions tagged TechNet-21

Next conference

Does anyone know when the next conference will be and where? Thanks

Innovate to sustain; Replicate to Accelerate: MR Elimination

Dear viewrs of techNet community We wish to share the attached wherein a planning unit lead by AYUSH Lady Medical Officer has attained and sustained >95% FIC below one year and DPT 1st booster with OPV and MCV/MRCV. We feel proud to share this as it is attached to our Medical College.  Quote-2012: “With near eradication of poliomyelitis, global immunization commitments have to be in clear focus. Chasing measles outbreaks is costly to families and health systems. It is time to move faster to fill population immunity gaps”. Department of Health and Family Welfare services Dakshinakannada district in collaboration with partner organization (WHO) organized district level workshop on Measles elimination and Rubella control – the need of the year / month / week / day / hour.  Venue – IMA Bhavan, Mangaluru. District Health & FW officer Dr Ramakrishna Rao along with team of resource persons lead by SMO Dr Sathishchandra formally inaugurated the programme. He emphasized that Medical Officers have to identify the gaps in vaccination and close it timely. Team of resource persons spoke on the following topics moderated by SMO who interactively elaborated on strategies of elimination, case based surveillance, outbreak response using “Mentimeter”, case studies and “station approach” for active participatory learning. 1.    Measles and Rubella (MR) Epidemiology 2.    MR elimination strategy 3.    Progress on MR case based surveillance 4.    Modified MR case based surveillance 5. Revised outbreak response 6. HRA prioritization 7. Monitoring Indicators and data analysis 8. Case studies & Station approach Attaining and sustaining ≥95% MRCV two doses is the first of the 5 strategies. Dr Holla shared the following successful models operating in the field since Jan 2013 for attaining the same. Way back in Dec 2012, “Xmas Gift” was posted in the techNet-21 assuring >90% backlog clearance of MCV2 from 6% on 10th Jan 2013 – in just 2 weeks [Peraje Template]. The dramatic and unprecedented result of Peraje Sub-Centre was presented in the Academic Society Meeting in the Medical College on 30th Jan 2013 and ambitiously in the District Task Force [DTF] meeting at Dakshinakannada for replication in all the PHCs of the district. In just 3 months [Jan/Feb/Mar 2013] entire PHC Sampaje reached >95% of Full Immunization of below one year and complete immunization before 2nd year which included 2 doses of Measles. [Immunogram article published]. Measles and Rubella was introduced since Feb 2017. The attached 2 pager with photo will be shared with the viewers for any additional inputs. Way forward: District task force [DTF] to empathetically appreciate the success of PHC Kollamogru and replicate in all the planning units for acceleration. On authorization, KVG team is proactive in accelerating the coverage of MRCV two doses in all the remaining planning units of the district.  Acknowledgement: We thank the organizers for inviting faculty from departments of pediatrics and community medicine of private medical colleges and the management for deputing KVG team. With best wishes Dr Holla n Team                

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, 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.


My name is Abdullahi Umar an Immunization Information System and coverage specialist, working with African Field Epidemiology Network deployed to Borno State, Nigeria with the main purpose of supporting the state on the Implementation of DHIS2.

New TechNet-21 Resource Library

We are pleased to announce the launch of our new resource library available here:  What can you expect from the library:  - A faster (less than 1 second!) and more powerful search engine with more filters (type of document, category, language, disease, author...)  - More documents as our Cold Chain Equipment documents are now also available in the library   - You can now mass download your search result into a zip that includes a csv file with the resources info and all the uploaded files attached  - It's optimized for mobile devices  - You can choose between two grid views or a list presentation  - You can easily post comments on each document page  - The downlaod page offers a suggestion of related resources    And as before, if you see there's a relevant missing document, you can upload it in the resource library to make it available to all!  Our resource library is one of the most exhaustive immunization-related online library, we hope you'll enjoy it! Please do leave a post here if you have any question! 

Next meeting TechNet-21

Hello Any idea about the next meeting Technet 21 : Dates, country? Best Regards  Ramzi 


Merci pour les documents.Y'a t-il des versions en français ? 

True Story of Elite Babies

Dear viewers  Several workshops were routinely held in the past and many more will be held in the future also especially to address urban immunization issues. Mission Director of Karnataka, in his inaugural speech expressed his deep apprehension as to whether the workshop will end with feasible solution. Some issues are perpetual look too complicated but very simple solutions are available which can be implemented with adrenaline speed in a sustainable way provided “bottom up approach, local tested innovations” are valued as iterated by GVAP as their 5th and 6th strategic objectives. Attached example represents lakhs of babies of elite family for whom right vaccines with known potency are either delayed or denied or administered with no known potency, vaccination data are not transferable to HMIS hence do not add to the countries progress. These children are deprived of the luxury of FIC before first birth day and complete immunization before 2nd birth day – 2 of the 4 critical key indicators of Intensified Mission Indradhanush – the most ambitious flagship programme of the country. But this is a “SOLVABLE PROBLEM”. Holla n Team

Looking for immunization supply chain resources

Dear TechNet members, I'm trying to work out the best place to go on the Internet to find immunization supply chain-related resources such as guidance documents, eLearning videos, etc. This is the list I could come up with. Please can you share others if you know of any. Many thanks.    WHO EPI   WHO PQS   TechNet TechNet Resource Library. Use Search and Explore to find docs. Also use Filter by meta tags. For cold chain equipment   UNICEF - eLearning videos   PATH Vaccine Rsource Library    Immunization Academy training videos

Providing all India solution to all India problems

Dear all Context: IAPSMCON – 2019: Symposium on Routine Immunization (RI) In this month, symposium was held at the national level on RI, chaired by National Consultants and senior designated persons from Immunization Technical Support Unit [ITSU] for Government of India implementing the programme in Medical Colleges and the country. Following are some of the concerns expressed and discussed: Role of medical college
a) Capacity building of nursing staff / undergraduates by including RI in the curriculum,
b) Developing communicating skills with parents / care givers
c) Establishing dedicated vaccination clinic in the college and tertiary care centres
d) Adequate exposure for gaining operational knowledge during internship and
d) Taking up research activities in various thematic areas.

Establishing inter departmental / inter-sectoral co-ordination / for active participation in respective interwoven thematic areas.

Proactive adequate involvement by both public and private sectors for
a) Closing operational gaps.
b) Uniformly strengthen RI programme for its optimum benefit and long term impact.
c) Promoting protocol approach for practicing uniform schedule – especially in the private sector.

Adequately addressing AEFI. 

ITSU expressed concern about determinants of denominator & need for preparing 100% specific & sensitive duelist for optimal mobilization, vaccinating close to the schedule to minimize population immunity gap. 

Obliterating the gap between reported and surveyed coverage’s. 

Timely, completely & retrievably documenting the vaccination data (numerators) against specific denominator (target) to derive valid performance indicators. As of now, RI Micro-plan and Intensified Mission Indradhanush put together has more than 2 dozen forms and formats necessitating to depend on public health specialists to train the staff but yet there is no single interface for the grass root level workers on which both child wise antigen wise denominator (target) & child wise antigen wise vaccination data – the numerator (achievement) can be recorded to obtain the performance indicators to report true achievement by the ANM.   All the above concerns are successfully addressed by KVG Medical College: Established “Dedicated Vaccination Clinic” to successfully play the role of Medical College to roll out graduates and specialists with right uniform operational knowledge. IAPSM has included this in its compendium – 2018 for replication in all Medical Colleges – PPT attached.

Operating Extended Immunogram in the attached planning units which provides the simplest, surest, evidence based, dependable denominator (target), to record child wise antigen wise vaccination data in the same sheet enabling the ANM to derive the performance indicators herself, made ready 100% specific and sensitive duelist for the coming session, puts them on all time mission mode. This tool provides child specific, age qualified valid drop-out rates. Saves lot of documentation time. At any given time she can upload data to RCH portal, feed HMIS. On transfer, just handover the data to the new comer for seamless continuation of the programme. Thus it makes the programme sustainable and “specialist free”. IAPSM invited the KVG team to present “Extended Immunogram” in the IAPSMCON – 2019 as one of the best community practices for replication in the Medical Colleges.   Designed “Combo-card” providing nation friendly combo schedule – district / state specific essential vaccines of National Immunization Schedule in part A and Nation specific Optional vaccines in part B for uniformity in the private sector. Vaccination data entered in this card are HMIS compatible and can be included in the report adding to the national progress. Inner page attached for reference. Thus we are proud to provide all India solution to all India RI problems in the simplest, easily replicable way. Wish you happy reading for replication please Holla and the team

New Cold Chain Equipment area on TechNet

We are pleased to announce the launch of our Cold Chain Equipment (CCE) area. Are you: A current or future WHO PQS-prequalified product user who needs information to use or maintain a specific PQS device? A trainer in need of specific documents for training purpose? Looking for specific information to decide which products are more suitable to your needs? If yes, then the CCE area has everything you need to know. This includes installation and maintenance guides, training resources, brochures, related policy and recommendation documents, videos, photos, as well as product feedback from TechNet members. In addition, the community can participate to help each other. The CCE area is a crowdsourced space. Any user can share feedback on products (for example provide his/her experience on products (s)he uses, share pictures of the products, etc.), pictures, videos, resources (manuals, training resources, etc.) whether from official sources or self-made. This is a space built by the community for the community. PQS manufacturers can also manage their product pages and upload new documents to help the community to better understand and use their products. The CCE area is organised by PQS category and each PQS product has its own product page. This page provides a list of resources, technical details, videos, and user feedback. Browse the categories to find a product or use the internal search engine. If you have any question or comment, please post a reply below or get in touch with

Happy New Year from the TechNet-21 team

Dear TechNeters, On behalf of the TechNet-21 team, I would like to wish you all a happy new year! May 2019 bring  joy, health to everyone and keep increasing immunization coverage and decreasing under-5 mortality.  "Write it on your heart that every day is the best day in the year"  Ralph Emerson I will leave my moderator/community manager seat to a great person who will serve our community with dedication and professionalism - not disclosing the name though, watch this space for an announcement soon! Thank you for a very rich year in your company. With warm regards, Olivia

Is it possible to achieve and sustain >90% FIC and Booster by 2020?

Dear viewers, A merry Christmas and a Happy new year 2019! On Christmas Eve of 2012, we shared the first write up on Immunogram as “Xmas gift”. Today, 6 years later, we wish to share it again because it can potentially achieve and sustain ≥90% Full Immunization Coverage (FIC) below one year and booster between 16 & 24 months as a package - see the attached one pager. Hope governments and other stakeholders will take up the success story for replication in a wider area. best wishes n happy reading

A year since TechNet met.. news of 'scale-up' ?

So, where are we now? More than a year has passed since the last TechNet-21 meeting! We have a year ahead of us before the next meeting! As time races by, I feel the need to know more about progress that is being made with the many new initiatives that were described by countries and organisations towards scaling up for maximum impact in the shortest time. Presentations in 2017 focused on demonstrations and pilot projects designed to advance the science of cold chain technologies, monitoring and evaluation techniques. Compared to the flourish of innovations reported from most regions, the process of scale-up to national implementation and evolution of global policy seems slow. In the face of expanding demand to introduce more vaccines and to extend immunization services, we need to hear about scale-up and widespred adoption of the most robust and successful iniatives reported in the TechNet-21 sessions in Portugal last October.

New Materials - Practical guidance to do a vaccination coverage survey

New materials are available on the "Coverage Surveys" page of TechNet-21 ( on the "17 Steps to do a Coverage Survey". This collection contains a series of documents & presentations outlining the basic steps of a vaccination coverage survey, as well as some presentations on commonly asked questions and variations on a coverage survey. This also contains links to resources (templates, models, examples, etc). This link takes you to the drop box folder with all the materials.

"Dream Realized" Celebration of EuVac Baby Award Ceremony: 14 Nov 2018

Dear viewers, As announced earlier in August 2018, the author with the help of his team could realize his dream and celebrated “EuVac Baby Award Ceremony” today in KVG Medical College Hospital. Dr KV Chidananda, Medical Director, iterated that parents have very crucial role in getting their children vaccinated timely and completely. Many parents are vaccinating their children more close to the schedule than in the previous decades. This is a welcome step, depicting more awareness among the beneficiaries. He profusley thanked Dr Subramanya Taluk, Health Officer, and Dr Bhanumathi, AMO of CHC Sullia, all the Jr Health Assistants female, AWWs, ASHAs from the Government who brought the eligible beneficiaries from their respective area for the celebration and made it more jubilant. He congratulated all the parents. He felicitated the Vaccination team of the college providing world class services and supporting the government in implementing RI programme. All the three attached PHCs will cross 90% vaccination coverage before 2018, and the college will help in sustaining the high coverage.  Parents were greeted with warmth, they were provided a small gift (a tumbler and a spoon), and a certificate of appreciation. Laasya - the Indexed baby - was specially honored.  Please find the attached one page depicting the glimpses of the celebration with photos. We heartily wish you a happy reading. Holla and the team      

Once in a Blue Moon

Dear viewers “Once in a Blue Moon” is a short half-page story of a true event that occurred on World Immunization day the 10th November - of which Baby Greeshma, born on 26th August 2018, is the main character.
This story can easily explain the dynamics of an outreach session, various components of RI programme required for successful implementation. Hope the viewers will enjoy the short story. Best wishes Holla & Team       

“Rare but not uncommon”

Dear esteemed viewers, ANM Mrs Chandrakala KM, AWW Mrs Indiravathi and ASHA Mrs Saraswathi K are the 3 ‘A’ces working in Health Sub-Centre Baddadka of planning unit Aranathodu of Sullia Block of Dakshinakannada District, Karnataka State, India. The entire planning unit – PHC Aranthodu will cross >90% coverage including booster dose by 2018 itself. The attached one page write-up describes a very rare event, though not uncommon in RI programmes hence thought of sharing with the viewers on this occasion of World Immunization Day. It is possible only through the simplest tool and a unique approach.  We hope all of you will enjoy the reading. Best wishes, KVG Team  

Sharing for Caring

Dear esteemed viewers On the eve of Karnataka State Raising day (Kannada Rajyotsva), KVG team wishes to share the attached for caring the children of Karnataka and beyond. India is committed: - baby Rukhsar was the last case of Poliomyelitis due to wild polio virus in Jan 2011, - it got the certification of Polio Eradication in March 2014 for which entire world congratulated the country. Karnataka is even more committed, and had the last case of polio due to wild virus in Nov 2007. Sustenance of Polio free status till Global eradication is also extremely important through attaining and sustaining very high routine immunization coverage - that's the 1st strategy of polio eradication. WHO experts say that as long as a single child remains infected in the world, children in all countries are at risk of contracting polio. Failure to eradicate polio from the last remaining strongholds could result in as many as 200,000 new cases every year within 10 years all over the world.  Legacy: When immunization coverage in Syria with a population of ~18.3 million, dropped from 91% in 2010 to 68% in 2012, amounting to 500,000 susceptible children in absolute numbers in 2013; fresh polio cases occurred inspite of remaining polio free since 1999. Currently, RI coverage of the country and Karnataka is 62 & 63% respectively as per NFHS 2015-16. In Karnataka, the immunization coverage is ranging from as low as ~41% to 77% among 30 districts. Compared to Syria, it is critically low favoring importation of wild polio virus at any time. IPV is in use, but the coverage of which is much lower than OPV; National IPV2 coverage is 54% and 28% for Karnataka as per ITSU dashboard Indicators for the year 2017-18. In 2017, population of India was 1.339 billion and Karnataka was 66.8 millions, 3.65 times larger than Syria. Hence, on war foot we have to raise immunization coverage to >90% and sustain the same forever. In this context, we wish to share what we are doing in our Medical College which can rapidly close population immunity gap, vaccinate close to the schedule and sustain the same forever. I thank Drs Niranjan & Nirajan, Interns posted in the Rural PHC for giving the title “Sharing for Caring”. Wish you happy reading and replication Holla & Team         

Sunday - Longer than Monday

Dear viewers, Greetings from KVG team. India launched Mission Indradhanush on 25th Dec 2014 to achieve >90% full immunization coverage (FIC) by 2020; it was intensified in October 2017 and the timeline was advanced to 2018 by the Honorable Prime Minister of India -- a silver line in the RI programme. We had an internal departmental discussion on the duelist of 12 HSCs of recently attached Primary Health Centre (PHC) who have completed 2 rounds of Intensified Mission Indradhanush (IMI) in Aug and Sep 2017. Delay in achieving the objectives by any country will affect Global achievement. Currently, at the global level there is serious concern about the quality, quantity, sensitivity, specificity, validity of the data, especially denominator / numerator / specific duelist / simplicity with which these can be obtained / how important it is in decision making / at what level and how quickly the right decision can be taken and timely executed etc. The attached true illustrations tilted as “Sunday – Longer than Monday” easily explain the situations. We are working together with 3 attached PHCs of the government on academic interest and social service to facilitate the service providers in attaining the objectives timely and sustain forever. 3 ‘D’s Affect: Duelist: the Determinant of Denominator" that was shared long back is very much relevant for understanding the intricate mechanism in the field, and is also attached for ease of reference. We wish you all a happy reading though it is a bit long. KVG Team

We are hiring!

TechNet-21 is looking for talented people to join the team. The following roles are currently being advertised: Website community manager, full-time, 12 months from January-December 2019 Website administrator and develop, full-time, 12 months from January-December 2019 If you want to help shape the direction of the technical network for strengthening immunization services, please refer to the full details below. We look forward to hearing from you :-) Community Manager for the website: "Increase the quantity and value of community engagement on the TechNet-21 website, working with partners and the community itself to deliver new and improved features and services. The position includes website moderation and support, content management, localisation management, and social media management responsibilities." Website administrator / developer for the TechNet-21 Website: "Deliver new website features and improved functionality, regular website support and maintenance, and website administration / development activities"

Positive Role of HBR in Immunization Programme: EuVac Baby award

Dear viewers, On behalf of the KVG team, I wish to share the PPT on Eu-Vac Baby presented during the regular Academic Society Meeting today. Laasya, D/O Chaitra C.G is the indexed Eu-Vaccinee who timely graduated as a fully immunized child (FIC) before first birthday and “complete” immunization in the 17th month. As agreed among local stakeholders, babies and their parents will receive the Eu-Vac Baby award next 14th Nov 2018, which is “Children’s day” in India, hoping for a successful public health-related event. This is made possible thanks to the revised design of the vaccination card in the integrated “Thayicard” – the HBR of Govt of Karnataka and the Combocard –, and the Vaccination+ card of KVG Medical College & Hospital Sullia that was issued to the parents at the time of discharge. If all the private birthing facilities providing vaccination services would use this example as a good practise, the population immunity gap will shrink, helping the country and the world to achieve goals and objectives of Routine Immunization [RI] programmes well in advance. I sincerely thank all the parents, especially the dedicated mothers who are bringing their children precisely on the stipulated due date or very close to the schedule date, vaccinators [Staff nurses] of the vaccination clinic for their dedicated services & my colleagues who edited the PPT, HOD who moderated the session. With regards, the KVG Team

Routine Immunization Master Register: Data analysis – Points for universal action

Dear colleagues, Warm greetings from me and KVG team. On 15th Aug 012, I mailed “Dewalbari – one pager” highlighting the unprecedented lesson learnt by me – taught by Bina, Pumpum, 4 AWS and 4 ASHAs of Dewalbari HSC of Jamtara. On 4th Saturday – 28th July 2014, ANM Mrs Bina screamed and jubilantly declared that her HSC became “IRI free”. Bina et al proved that the strategy of 4 weeks in 4 successive months can rapidly clear the backlog, attain very high coverage (>90%) of both FIC and the booster. Later, I learnt from CMO, Dr Ashok that they were the trainers and the entire district attained and sustained high coverage inspite of universal vacancies there by escaped from MI list. Bina et al + the other 3 “A”ces of other 4 HSCs [Chandradipa, Madhupur, Kalhor & Rakti] helped in publishing the article – ‘IRI Simulation Study’. On seeing Dewalbari model, ANMs – Mrs Rekha & Mrs Shobitha of Sampaje PHC – the Rural Training Center (RHTC) of our College, demanded for replication giving birth to series of models: Peraje template, Immunogram study of Sampaje, Upparhalli template, Nellimaradhalli template, Gummankolli template, Operation SIgMA, IRI compatible micro-planning books by 57 planning units of ‘difficult district’ – Chikkaballapura in just 6 months,  Guthigar PHC model in 15 days, Kollamogru PHC model in 5 days, Mission Indradhanush Simulation Study [MISS Sampaje], ANISOTIC Baby, EuVac Baby. With these, we declared the task list of what KVG team can do with time span through the approach of learning by doing and working together. This methodology taught me how to learn and facilitate the grass-root level service providers in developing the simplest, surest, user friendly, replicable tool and working together, not only for ourselves but for the whole district/state/nation – the mankind of the world, for the latter half, honorable PM of India got standing ovation for the 7th time when he addressed 153 countries. All the above were already shared with the stakeholders at all levels. And now: We [me & two Asst Professors] happened to visit recently allotted PHC to our Medical College. Out of “RI” passion, requested for the Master register, analysed the data and found scope for facilitating 3 ‘A’ces. With mutual proactive active participation – both KVG team and the Government staff, we will surely learn a few more lessons which will simply help us to improve the coverage. This is one more lesson learnt from Dr Vijay Kiran Mente: “IF YOU FIND SOME LAPSES OR OPERATIONAL GAPS, IF YOU CAN IMPROVE, DO IT RIGHT ON THE SPOT, DO NOT ESCALATE TO THE SUPERIORS”. Shortly we wish to share the lessons learnt by our team with all the stakeholders as we have been doing. With regards Holla n Team

A true story of an "EuVac" Baby in positive role.

Dear colleagues We feel proud to share a true story of an “EuVac” bay in positive role. Three days back we shared the story of an “ANISOTIC” Baby in negative role. These illustrations highlight the need for an appropriate Home Based Record [HBR] as recommended by WHO. Both the illustrations are qualitative and hence single “story” is the story of millions. Unique bottom up approach of learning by doing & working together is the methodology used in 4 studies: viz. IRI simulation study, Promoting HepB birth dose in a tertiary care hospital [for this Rush University awarded best podium presentation award], Immunogram and Mission Indradhanush Simulation Study: all yielded unprecedented results in the shortest duration.  Honorable Prime Minister of our country while addressing 153 Nations iterated “we are working together not just for better future for ourselves but for the whole world” for which there was 7th standing ovation from the audience.   We wish happy reading of the attached true story of an “EuVac” baby in positive role. best wishes KVG Team


Dear viewers In India, an estimated 90 lakhs children are either partially vaccinated or unvaccinated and the GOI aims to attain >90% Full Immunization Coverage by 2018 through Intensified Mission Indradhanush [IMI] – an ambitious flagship programme of the country with utmost commitment. We are left with 5 months more from now. Constraints and problems are innumerable with rural urban differentiation. One such ubiquitous grievous problem is dissimilarity [ANISOSIS] of vaccination cards [HBR-Home Based vaccination Records] in the private sector. In urban areas as high as 40% and in rural area ~10% are vaccinated by private service providers whose  schedule is not matching with National Immunization schedule hence their vaccination status cannot be transmitted through Health Management Information System (HMIS). As a majority of these children mainly of high income group are deprived of Mother & Child Protection Card [MCP Card / Taayi Card] from the government, they do not have unique number to feed the data online to Mother and Child Tracking system [MCTS]. In response to this, Indian Academy of Pediatrics [IAP] – strong supporter of Immunization programme, on 03rd Sep 2016, removed the revised IAP schedule 2016 perceiving it as controversial and promised to come out with new NIS Compatible version in 2017. However this is not being communicated effectively to the private service providers – the attached is one such illustration of >20lakhs of children in India afflicted by “ANISOSIS” of vaccination card [HBR]. Dr David Brown et al from WHO, did extensive work on HBR emphasizes that a proper HBR definitely helps in adequate documentation of vaccination dates, educates parents and service providers, facilitates timely completion of vaccination schedule and much more to the country and the world. Hope the attached illustration will be useful in understanding the dilemma both for the parents and the nation. Warm regards Holla n team

Menu List of What KVG team can potentially do

Dear all India is politically committed to advancing the target of achieving >90% full Immunization coverage before 1 year from 2020 to 2018 through Intensified Mission Indhradhanush (IMI) launched in October 2017. We are now left with only 5 months in 2018. Probably we may be able to achieve that goal by 2020 as set earlier.  Proem: India is committed; since the inception of EPI in 1978, consistently trying to improve the coverage both quantitatively and qualitatively through UIP, CSSM, RCH, NHM, IRI, MI, IMI…………… Quote: “In spite of all positive changes, there are ongoing challenges and shortcomings in the national immunization programme. Despite being operational for the past more than 30 years, only 65% of children in India receive all vaccines during their first year of life, thus contributing to continued high burden of morbidity and mortality in children from vaccine preventable diseases (VPDs)*”. For rapidly closing the population immunity gap through special drive with additional sessions, GOI in collaboration with development partners like WHO / UNICEF / USAID and other NGOs launched the most “ambitious” project – Mission Indradhanush (MI) on 25th Dec 2014 - Good Governance day. Between 2009 and 2013, FIC increased from 61 to 65% @ 1% per year. Thus ~90 lakhs children are either partially vaccinated or unvaccinated. This is further accentuated by the private practitioners, especially in the urban area who vaccinate children with NIS incompatible schedule hence the data cannot be fed to HMIS, antigens with no known potency resulting in vaccinated but sub-optimally immunized as evidenced in the outbreak investigations of measles wherein more cases of measles occurred among vaccinated by private practitioners. Through MI, India aims to increase vaccination coverage @5% per year to attain>90% by 2020, which is advanced to 2018 through “Intensified Mission Indradhanush (IMI)” – an exhibit of high political commitment.                                                                                               Despite of all these; as of now, set objectives could not be achieved. Please see the attached for the menu list of time-bound tasks which we may be able to do in collaboration with stakeholders - both Government and Private including key development partners. Best regards, Holla n team    

You make TechNet-21: we want to hear from you

Dear TechNet community,  We are reaching out to better understand how TechNet-21 can help you to strengthen immunization services, and what value the platform brings to our members. We have a few of questions for you - feel free to answer them all or as much as you want!  Issues that matter to immunization professionals Which issues keep you awake at night, that would be worth engaging the wider TechNet-21 community on, perhaps as part of an online deep-dive discussion? Are you working on a document or a project that you will need to launch or for which you would require feedback from the community? Do you encounter any technical problem in your daily work that you think the TechNet-21 community could contribute to solve? Are you working on an innovative idea that would benefit from fresh perspectives from people in the field? Are you in need of collecting good practices, lessons learnt or even post-action reviews for one of your projects? The value TechNet-21 brings to you What benefits do you get from being a member of TechNet-21, and what kind of resources help you in your job? What do you think of the TechNet-21 platform? What’s your favourite and most useful areas of the website? What would you like to see more of? Looking forward to hearing from you and strengthening the TechNet-21 platform together! The TechNet-21 Team

Thank you, Padmini!

Today is Padmini Menon's last day as TechNet-21 moderator. She has been at the helm of the TechNet forum for moe than ten years, helping members with technical problems, moderating forum activity, managing the TechNet-21 social media channels, and other tasks too numerous to mention. Her tireless work in service of our immunization community has helped to build the platform to what it is today. A picture of Padmini (left) with the TechNet-21 team at the recent TechNet Conference in Cascais, Portugal in October 2017. Thank you, Padmini, for all your hard work, and good luck for the future. You will be missed :-)

Tuberculin Skin Test Test / Mantoux test: Adminstration practices in a local medical college, India

Quote from IAPSM BEST PRACTICES COMPEDIUM “Knowledge is of no value unless you put in to practice. Practice till you are the best, Practice to remain the best”  On 24th April, I had the opportunity to visit a Medical College in Dakshina Kannada. As hobby / passion / proactive social service, along with a post graduate from the department of Community Medicine, interacted with those who provide Mantoux test services in that College for mutual learning / capacity building to minimize programmatic errors if any. Current observations are attached with a few photos for illustrations. In this institution pediatric age for TST is ≤16 yrs, adults are ≥17 yrs. Pediatric age group grossly varied 6 / 10 / 12 / 14 / 16 & 18 yrs in different Medical Colleges. Similarly number of PPD units for children are also varied from 2 to 5 TUs; volume varied from 0.025mL to 0.1mL. We wish to share this with the global experts so that many who are senior consultants / policy makers in this field can advice / guide the service providers technically to minimize the errors to which the beneficiaries are subjected. Another apprehension is that, if “we” are making these many errors in a simple skin test practiced for more than several decades, are “we” not making errors in the recent and more sophisticated procedures / investigations which may affect the treating doctors in decision making?? Kindly give very valuable input for strengthening the programme to eliminate TB by 2025 in India.   Following were the errors found earlier in various institutions. 1.    Tuberculin vials were kept in the inner aspect of door of the domestic fridge, often abutting the freezer compartment, causing repeated thawing. 2.    Vial brought to the nursing station / lab in the morning at about 9 AM and returned in the evening at about 5 PM. Till such time it is kept in a tray at room temperature. 3.    Multi dose vial policy not adhered to; no opening date, no Beyond Useable Date & used for more than 2 months, even beyond 5 months till the last dose was spent. 4.    Inadequate skill of ID administration, weal size not routinely measured hence if the diameter is 0.1mL. 6.    TU PPD-IP units - - 10 / 5 & 2 per 0.1mL, 50 doses per vial are available. In the absence of 5TU/2TU preparations, 0.05 or ~0.025 mL were drawn from 10TU PPD-IP per 0.1mL preparation and administered. 7.    Yet times volume made up to 0.1mL by drawing normal saline and administered. 8.    Confusion with regard to pediatric age: 9.    Confusion with regard to PPD Units for children: 5 TU PPD-IP for all age group in some colleges and 2 TU PPD-IP or 0.05mL of 5 TU PPD-IP preparation being placed in a few other colleges. 10. No standardized documentation – entered in the general injection register in the OPD / general lab investigation register in the central lab etc hence, on request, >95% testing centers could not provide data when attempted through Google survey from, some could not share due to operational dilemma.   11. Results (reading) were not found entered in the case sheet in IP cases. 12.  Loss to follow up: test administered but not read by one who prescribed the test and or by the tester as some were discharged before 48hrs of test / inadequate address. 13. As of now, no VVM on the vials in India.   With best regards Holla n Team

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