Vial Preparation:

● 1 vial: 40 drops
● 2 drops: 1 child
● 20 doses 20 children

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Target
● ALL children aged 0-59 months regardless of
immunization status shall be vaccinated with
mOPV2, two (2) drops, directly into the mouth
without touching the skin or mucosa of the oral
cavity
■ Repeat if vomited/spitted-out
■ If vomited for the 3rd time?

Department of Health, Philippines

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Monovalent OPV 2

✤ mOPV2 is supplied to
countries by the UNICEF
only upon the authorization
from the WHO director-
general through the
Advisory group in mOPV2
provision
✤ Keeping target population
and cold chain equipment
inventory are key
components of preparation
mOPV2 use is unique

● Not registered in countries

● Not available for purchasing directly from manufacturers

● No BUFFER STOCK

● May be received with very short shelf life (2-6months)

● Disposal is required after all the immunization response

rounds are completed as per Outbreak Response
Assessment (OBRA) Recommendation
Department of Health, Philippines
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Department of Health, Philippines
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mOPV2
● Administered orally, 1 dose = 2 drops
● mOPV2 is heat sensitive and shall be stored at
+2⁰C-+8⁰C at RHU/BHS
● Transported and stored using the recommended
vaccine carriers with ice packs
● All mOPV2 vaccines come with an attached
Vaccine Vial Monitor, do not use beyond discard
point

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✤ All mOPV2 vaccines come with an
attached Vaccine Vial Monitor, do
not use beyond discard point
✤ The vaccine may present a colour varying from light
yellow to light red due to slight variation in pH,
however this does not affect the quality of the
vaccine.
Multi dose vial policy in
mOPV2 campaign
✤ Vaccine is prequalified by WHO
✤ Approved for use up to 28 days after opening the
vial
✤ Expiry date has not passed
✤ Vaccine vial stored appropriately
✤ VVM is attached and label visible
✤ Date the vial was opened is clearly indicated,
not past its discard point
Co-administration with other
vaccines and contraindication
✤ mOPV2 can be concurrently given with other routine
vaccines, update the record in RI register and health
card

✤ Defer giving OPV in those with

✤ Primary immune deficiency diseases, Suppressed

immune response from medication, leukemia,
lymphoma, generalised malignancy
Handling of mOPV2

✤ Droppers shall not be placed inside the vaccine

carriers

✤ Strictly: 1 dropper per vial

PROTOCOL

✤ In coordination with UNICEF/WHO and the

Central Office:
✤ The vaccines are already at the Regional level.
✤ After regional orientation and the facility is ready
to receive the vaccines, the region will deliver it
the PHO/CHO.
✤ The vaccines will be accounted and packaged
based on the target allocation per
municipality/district.
Delivery & Distribution of
vaccines
✤ Big sheet
HOW TO FILL THE FORM
At the level of the
municipality/district MASTERLIST # 1

November 15, 2019

Tugbok 11,136 819 23/4 819

✤ mOPV issued (Quantity in vials) - total number of vials

received at the start of the campaign
✤ Additional mOPV issued - applicable only if the
municipality has been re-distributed with the vaccine
from other municipalities
At the level of the
municipality/district MASTERLIST # 1

✤ Since this is the masterlist, do not fill this part yet

At the level of the Barangay

● Same as at the municipal level, the barangay should have a master list of
received vials

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 At the level of the Barangay
START OF THE CAMPAIGN

November 25 2019

Purok 1 - VT 1 118 75 5 23/4 5 1

Fixed site-BHS- VT 2 90 4 23/4 1 5 1

1 3 1 5 Jane So, RN 09171231234

5 5 May Ta, RN 0932125678
 At the level of the municipality/district
MASTERLIST # 2- ALLOCATION per BARANGAY

November 19 2019

Brgy Angalan 283 17

Brgy Bago Oshiro 1365 81

Department of Health, Philippines

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 At the level of the Barangay
START OF THE CAMPAIGN

November 25 2019

Purok 1 - VT 1 118 75 5 23/4 5 1

Fixed site-BHS- VT 2 90 4 23/4 1 5 1

1 3 1 5 Jane So, RN 09171231234

5 5 May Ta, RN 0932125678
How do we assure the vials
are accounted for?
1. Assign a Vaccine Accountability
Monitors (VAM)
✤ The VAM are new member fo the VT during this
campaign
✤ 1 VAM is recommended for every 2-5 VT working in
the municipality
✤ teachers, higher education students or graduates
residing in the same district are potential VAM
candidates
Vaccine Accountability
Monitors (VAM)
✤ The VAM records details of all vials given to each
team (number of vials, batch number of each vial,
team number, and the name and phone number of
the team supervisor) in the vaccine accountability
monitoring forms. Both VAM and store manager
keep a copy of the vaccine accountability form.

✤ Duringthe day each VAM visits at least 2-3 of the

assigned teams and fills in the supervisory check
list.
Vaccine Accountability
Monitors (VAM)
✤At the end of the day, team supervisors return all
used and unused vials to the store manager
✤The VAM together with the store manager checks
and compares all vials returned with the recorded
details. If details match, team supervisor signs off
for the day and the VAM reconciles the data with
the store manager.
✤The summary is then returned to the district and
presented during the evening review meeting
Vaccine Accountability
Monitors (VAM)
✤ The store manager and VAM must also
reconcile children immunized with the
number of doses/vials used before
transmitting data to the district.

✤ Ifthere are missing vials, vaccinator

and the team supervisor search for the
missing vials together
Storage of mOPV2
✤ ALL mOPV2 vials should be kept together in the same
cold chain equipment, separated from other vaccines
✤ mOPV2 separated from other vaccines in the
refrigerator and labeled:

mOPV2 vaccine
FOR OUTBREAK USE ONLY
To avoid torn label
Retrieval of vials from the field

✤ Vaccinators would return

ALL EMPTY mOPV2 vials
in resealable plastics bag

✤ Maximum of 10vials/bag
Retrieval of vials from the field
At the end of the day, when the vials are well accounted,
these will be placed in a yellow sack with a yellow tie.

Label: Municipality

Do not use the safety collector box for disposal.

At the end of ROUND 1
● The immunization officer responsible at the
district/regional level should retrieve all mOPV2

vials (opened and unopened) within 5 days

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Retrieval of vials from the field
✤ At the end of each round (UNOPENED/UNUSED):
✤ All unopened vials should be safely stored until
the next planned round separately in a regional
cold store
✤ Please do not forget to include the unused
DROPPERS in the retrieval
✤ Number of vials returned shall be the same as
the number of droppers
Retrieval of vials from the field

✤ At the end of each round (OPEN VIALS):

✤ All open vials (fully or partially used) should be well

accounted for, including the droppers.

✤ These will be promptly inactivated and safely

destroyed at a Regional level
 Form A -
Retrieval
1. Barangay level

2. Municipal/District
level

3. Provincial/City

4. Regional Level
Retrieval of vials from the field
Empty mOPV2 vial collection
Retrieval Flow

Barangay Accounting at
level the
District/Munic
ipality

Final
Accounting at Regional office
PHO/CHO
level

Note: retrieval of vaccines will be done

together with Region, PHO/CHO
 Thank You 

Department of Health, Philippines

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