Beruflich Dokumente
Kultur Dokumente
IMMUNIZATION
SIMPLE GUIDE FOR REACHING EVERY
PUROK
High Risk
Low Risk
Adjacent Area
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*An immunity gap occurs when some individuals in a community are not fully
protected by vaccination
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of
the
barangays
immunization
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Barangay Name
Purok Name
Result of
previous
card Date of
checks master
(HR/LR/ listing
ND*)
Jan
Feb
Date of Results
next of latest
Date of
door to card
master
door
check
listing
Mar
card
(HR,LR,
check
ND)
Datesof follow up
immunization
QUARTER1
Apr
May
Jun
Datesof follow up
immunization
QUARTER2
FORM 1: MAKING A HEALTH CENTER WORK PLAN FOR REACHING EVERYPUROK EVERYQUARTER
Date of Results
next of latest
Date of
door to card
master
door
check
listing
card
(HR,LR,
check
ND)
Jul
Aug
Date of Results
next of latest
Date of
door to card
master
door
check
listing
Sep
card
(HR,LR,
check
ND)
QUARTER3
Datesof follow up
immunization
Oct
Nov
Date of Results
next of latest
door to card
door
check
Dec
card
(HR,LR,
check
ND)
QUARTER4
Datesof follow up
immunization
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Form 3A and Form 3B are used for listing children and women
requiring follow up vaccination based on the TCL and master list.
These can be used for all puroks regardless of their risk status.
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Use the TCL and other lists, including master lists, to write the
names of children and women who are due for their next scheduled
dose.
The table below is an example of Form 3A used to list children
requiring follow up immunization. Put names of children who need to
be followed up to complete all doses.
The next table is Form 3B used to list women who had <3
doses of tetanus toxoid (TT) to follow up for the next TT dose.
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Using form 4, the quarterly card check measures the risk status
in one purok with door-to-door visits for children aged 12 to 23
months.
The quarterly card check is a means of monitoring progress
in high risk puroks. It does not need to be as detailed as the
master list, because its purpose it to monitor high or low risk
status of a purok. It is easier to use from door-to-door because
the target is children aged 12 to 23 months who should all be
completely immunized already.
Try to check a minimum of 20 houses with eligible children
aged 12 to 23 months in each high risk purok every quarter. If
the purok has less than 20 houses, check every house.
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Name of HighRiskPurok
Date of Card
Check
No. of
Children
Checked
No. of
No. withzero no. withNo
Partially
dose
Card
Immunized
Resultsof CardChecks
No. MCV
Given
Result of FollowUP
Immunization
Date: ______________
DateFollopUp
Decisionon
Immunization No. Penta
Highor Low
Done for High Dose Given
Risk
RiskPurok
No. of
Completely
Immunized
I.
WHAT TO
CHECK
SERVICE DELIVERY
Check TCL
Map
Lists of
population
MONITORING
Session Plan
Monitoring
Chart
Card
Checking in
ENT
ER
Y/N
COMMENT
HR puroks
Suspected cases
reported and
investigated on time
Case investigation forms
available in health
center
Refrigerators
functioning; if not has
report been made and
follow up
Temperature record
twice per day
Reports of
suspected
VPDs
Case
Investigation
Check
vaccine
supply
AEFI
Low
performing
Barangays
Immunizatio
n Safety
Poster with
national
schedule
Mothers
Immunization Schedule
Poster displayed
Check
Refrigerator
Temperature
monitoring
Mothers correctly
knowledge
Names and
phone
numbers of
BHWs
Session plan
displayed
Microplan
available
Supervisory
plan
Supervisory
log book
BCG
(EP x 1 dose x 2.5/20/12 )
HEP B
(EP x 1 dose x 1.1/12 )
PENTA
(EP x 3 doses x 1.1/12 )
PCV
(EP x 3 doses x 1.1/1/12 )
OPV
(EP x 3 doses x 1.67 /20/12)
IPV
(EP x 1 dose x 1.25/1/10/12 )
ROTAVIRUS
(EP x 2 doses x 1.1/1/12 )
MMR
(EP x 2 doses x 2.0/5/12 )
TT
(EP x 2 doses x 1.67 /20/12)
20 dose/ vial
5 dose/ vial
1 dose/ vial
10 dose/ vial
20 dose/ vial
1 dose/ vial
1 dose/ vial
1 dose/ vial
20 dose/ vial
Total vials
Recordthe following
Item
usingthe Vaccine Stock
Card
Eligible Pop(EP): Total Population
If expirydate isnot
Monthly
x2.7%
available inthe stock
Preparationper
Needs register, thenwrite NA
vaccine
(Vials)
inthe relevant column
The REP Cycle: from high risk purok to low risk purok.
NOTE
S:
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