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.

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 ? 

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

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 https://www.who.int/immunization/programmes_systems/supply_chain https://www.who.int/immunization/programmes_systems/service_delivery https://www.who.int/immunization/programmes_systems/supply_chain/evm https://www.who.int/immunization/documents   WHO PQS http://apps.who.int/immunization_standards/vaccine_quality/pqs_catalogue/categorylist.aspx?cat_type=device   TechNet  https://www.technet-21.org/en/library TechNet Resource Library. Use Search and Explore to find docs. Also use Filter by meta tags. https://www.technet-21.org/en/pqs-cce For cold chain equipment   UNICEF https://www.unicef.org/supply/index_68367.html https://agora.unicef.org/ - eLearning videos   PATH https://vaccineresources.org/browse.php Vaccine Rsource Library    Immunization Academy https://www.immunizationacademy.com training videos

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

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

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

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 are available on the "Coverage Surveys" page of TechNet-21 (https://www.technet-21.org/en/topics/vaccination-coverage-surveys) 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. https://www.dropbox.com/sh/96ho3ta1l2qo65s/AAAAcmmNryuBksMk7o5mcLEza?dl=0

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      

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       

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  

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         

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

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 TechNet-21.org 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." https://www.ungm.org/Public/Notice/79163 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" https://www.ungm.org/Public/Notice/79219

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

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

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

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    

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

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 :-)

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

Dear TechNet community,  In order to improve your experience as TechNet-21 users, we have recently migrated the website to a new host, to make it faster and more secure. We hope you will appreciate the improvements made. Website migration being a complex process, there might be some technical glitches that have not been noticed yet. Should you have any problem with the new platform, please let us know using one of the following methods and we will do our best to fix it: Use the following Contact form https://www.technet-21.org/en/home/contact  Email the TechNet Moderator directly (moderator@technet-21.org) Reply to this forum post if you have general feedback to share about the website. Many thanks, The TechNet-21 team PS: We will be reaching out to all members shortly with a request for feedback on how we can improve the TechNet platform and provide more value to our members. Stay tuned.

Dear TechNet community, The 15th TechNet Conference will take place next week in Cascais, Portugal. All plenary sessions will be streamed on the TechNet-21 channel on YouTube, so if you are not attending in person you can still participate remotely. https://www.youtube.com/user/TechNet21 Please use this link if you want to watch the plenary sessions live. We encourage you to submit questions to presenters by using the "Comments" box displayed underneath the video. You can also watch recordings of plenary sessions as soon as the session ends. A summary of the agenda is provided below, but for full details please refer to the TechNet Conference Guide.  https://www.technet-21.org/en/library/explore/global-initiatives/4170-technet-conference-2017-conference-guide Don't forget to follow TechNet-21 on Twitter for the latest conference updates - use the hashtag #technetconference to join the discussion. https://twitter.com/TechNet21Mod https://twitter.com/hashtag/TechNetConference Until next week!   Dan Brigden TechNet Conference Secretariat   ---   All times in UTC.   MONDAY, OCTOBER 16 CONFERENCE OPENING
16:00-18:30 Welcome remarks
Patrick Lydon (WHO), Oleg Benes (WHO EURO) Next-generation of immunization supply chains are needed to achieve immunization and health systems goals
Moderator: Ousmane Dia (UNICEF). Chris Wright (JSI), Alan Brooks (Gavi) Building a movement for advancing towards the next generation of immunization supply chains
Moderator: Kaleb Brownlow (Gates Foundation). Emma Stewart (PATH), Melissa West (VillageReach), Laura Herman (FSG) Making the most out of the conference - the agenda for dummies
Patrick Lydon (WHO)   TUESDAY, OCTOBER 17 CHALLENGES, SUCCESSES AND LESSONS LEARNT 08:30 - 08:35
Opening remarks 08:35 - 09:00
India’s experience in putting the building blocks together to attain high vaccine availability
Pradeep Haldar (Ministry of Health, India) 09:05 - 09:30
New technologies and management interventions that are enabling potent vaccine availability in Nigeria
Palman Usman Mduruwa (Ministry of Health, Nigeria) 09:35 - 10:00
Directing expertise toward redesigning Pakistan’s immunization supply chain
Arshad Chandio (Ministry of Health, Pakistan) 10:05 - 10:30
Creating an enabling environment: from local to global
Alan Brooks (Gavi) 16:00 - 17:00
Exploring the opportunity for collaboration in a country context
Laura Herman, Flynn Lebus (FSG)   WEDNESDAY, OCTOBER 18 INNOVATIVE SOLUTIONS AND APPROACHES 08:30 - 08:35
Opening remarks 08:35 - 09:00
CTC myth-busters
Moderator: Anna-Lea Kahn (WHO). Sople Ruth Coulibaly (Ministry of Health, Côte d’Ivoire), Joe Woodring (WHO WPRO) 09:05 - 09:30
Introducing new technology standards to solve immunization potency challenges
Isaac Gobina (WHO) 09:35 - 10:00
Interested in Drones? Consider this 10:05 - 10:30
The journey of continuous immunization supply chain improvement
Patrick Lydon (WHO) 16:00 - 17:00
Pitch Fest on innovations in data use and visibility
Moderator: Maeve Magner (SCM Advisory Services)   THURSDAY, OCTOBER 19 LET’S GET PRACTICAL 08:30 - 08:35
Opening remarks 08:35 - 09:00
Technical solutions alone will not solve vaccine availability: the need to create a datadriven culture
Arshad Chandio (Ministry of Health, Pakistan) 09:05 - 09:30
Uganda’s successes in improving cold chain maintenance and management
Opar Bernard Toliva (Ministry of Health, Uganda) 09:35 - 10:00
Convincing my boss to say “Yes”: How to advocate, engage, and get stakeholder buyin
Eomba Motomoke (VillageReach, Democratic Republic of the Congo), Guylain Kaya (Ministry of Health, Democratic Republic of the Congo) 10:05 - 10:30
Reframing the narrative: sustainable energy for immunization supply chain and health
Kyaw Kan Kaung (Ministry of Health, Myanmar)   FRIDAY, OCTOBER 20 COLLABORATIVE ACTION FOR IMPACT 08:30 - 09:30
From ideas to action: the way forward, together
Dmitri Davydov (UNICEF) 11:00 - 12:30
Connecting the dots – what do individuals and communities need to achieve impact?
Gobee Group 14:00 - 15:15
A Call to Action for the next generation of immunization supply chains
Moderator: Emma Stewart (PATH) 15:15 - 15:30 Closing remarks
Ousmane Dia (UNICEF), Patrick Lydon (WHO)

This is the second topic in my six-part Vaccine Supply Chain Futures series, and concerns advancing technologies of cooled-distribution. Pleae share your thoughts! What advances in technology and technique--available now or in the near future--that are likely to be critical success factors for the vaccine supply chain? I propose four important advances: Distribution of supplies in today’s world is achieved by pre-planned, regular, timely delivery from higher level to lower level stores. Quality and efficiency will never be achieved by ad-hoc collection of vaccines; Rates of vaccine consumption and utilization at the point of administration and in real-time can and should drive vaccine requirements forecasting at all levels. Data transmission technology to implement this is becoming available everywhere; Accidental freezing of vaccines that remains as a persistent problem particularly during immunization outreach and campaigns can be eliminated by new cooling technologies; Innovative, HYBBRID refrigerator option powered by solar or grid and that share the same energy buffer to achieve continuous, high quality cooling will merge in a single, universal product to replace yesterday’s complex procurement choices. These four sub-topics are discussed in more detail in the attached file. I invite you to click on this link to complete five multiple option questions: https://www.surveymonkey.com/r/GTC82DX I will return the analysis to you at the end of this week and the results will be posted before TECHNET for all five topics. Thank you!

Dear TechNet Community, A quick announcement to indicate that this is the last week where registration to participate in the 15th TechNet Conference will remain open. http://www.technet-21.org/en/home/technet-conference/2017 Space will be limited so we cannot guarantee that all registered participants will be able to attend. We can confirm however, that if you don’t register, you won’t be able to participate. TechNetfully yours. Patrick

Dear Technet Community, This is just a gentle reminder for those that have not registered to the 15th TechNet Conference to do so as soon as possible.  Registration will remain open for another 2 weeks until 31 July 2017.  After this date, those that have not registered will not be considered to attend. Additionally, the Miragem hotel is now fully booked.  If you have not booked your accomodation yet, other hotel options and other important details are listed within Administrative Notes on the website: http://www.technet-21.org/en/home/technet-conference/2017 Looking forward to your attendance at the 15th TechNet Conference! Warmest Regards, Carmen