Scribd Logo
Upload

Welcome to Scribd!

  • 204 views

    EPI Schedule Malawi COM 2017

    Uploaded by

    INNOCENT KHULIWA
    The document outlines Malawi's immunization schedule which includes vaccines given at birth, 6 weeks, 10 weeks, 14 weeks, 9 months, and 15 months. It notes key vaccines like BCG, OPV, DPT-HepB-Hib, PCV, and measles. The schedule will be updated in 2017 with the replacement of measles vaccine with the MR vaccine and the delayed introduction of the IPV and HPV vaccines. It defines what is considered fully vaccinated in Malawi according to the WHO and Malawi's program. It provides general points about immunization and important considerations when taking a history and examination related to immunizations. It lists contraindications to immunization and considerations for immunization in HIV

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    EPI Schedule Malawi COM 2017

    Uploaded by

    INNOCENT KHULIWA
    204 views2 pages
    The document outlines Malawi's immunization schedule which includes vaccines given at birth, 6 weeks, 10 weeks, 14 weeks, 9 months, and 15 months. It notes key vaccines like BCG, OPV, DPT-HepB-Hib, PCV, and measles. The schedule will be updated in 2017 with the replacement of measles vaccine with the MR vaccine and the delayed introduction of the IPV and HPV vaccines. It defines what is considered fully vaccinated in Malawi according to the WHO and Malawi's program. It provides general points about immunization and important considerations when taking a history and examination related to immunizations. It lists contraindications to immunization and considerations for immunization in HIV

    Original Description:

    epi

    Original Title

    EPI schedule Malawi COM 2017 (1)

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document outlines Malawi's immunization schedule which includes vaccines given at birth, 6 weeks, 10 weeks, 14 weeks, 9 months, and 15 months. It notes key vaccines like BCG, OPV, DPT-HepB-Hib, PCV, and measles. The schedule will be updated in 2017 with the replacement of measles vaccine with the MR vaccine and the delayed introduction of the IPV and HPV vaccines. It defines what is considered fully vaccinated in Malawi according to the WHO and Malawi's program. It provides general points about immunization and important considerations when taking a history and examination related to immunizations. It lists contraindications to immunization and considerations for immunization in HIV

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    204 views2 pages

    EPI Schedule Malawi COM 2017

    Uploaded by

    INNOCENT KHULIWA
    The document outlines Malawi's immunization schedule which includes vaccines given at birth, 6 weeks, 10 weeks, 14 weeks, 9 months, and 15 months. It notes key vaccines like BCG, OPV, DPT-HepB-Hib, PCV, and measles. The schedule will be updated in 2017 with the replacement of measles vaccine with the MR vaccine and the delayed introduction of the IPV and HPV vaccines. It defines what is considered fully vaccinated in Malawi according to the WHO and Malawi's program. It provides general points about immunization and important considerations when taking a history and examination related to immunizations. It lists contraindications to immunization and considerations for immunization in HIV

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Immunisation in Malawi = revised February 2017

    Immunizations in Malawi
    Schedule for immunization

    Time Vaccine
    Birth BCG and OPV (polio 0)
    6 weeks OPV 1 and DPT-HepB-Hib1 and PCV 1 and
    Rotavirus vaccine 1
    10 weeks OPV 2 and DPT-HepB-Hib2 and PCV 2 and
    Rotavirus vaccine 2
    14 weeks OPV 3 and DPT-HepB-Hib3 and PCV 3
    9 months Measles 1
    15 months Measles 2
    First contact (15-45 yrs and pregnant women) TT 1
    4 weeks after TT 1 TT 2
    6 months after TT 2 TT 3
    1 year after TT 3 TT 4
    1 year after TT 4 TT 5
    At 6 months and after every 6 months up to 59 Vitamin A (children)
    months
    Within 2 weeks of delivery Vitamin A (postnatal mothers)

     From June 2017, Measles will be replaced by MR (measles and rubella)


     Introduction of Inactivated Polio Vaccine (IPV) in Malawi has been delayed to possibly Q4
    of 2017
     Introduction of Human Papillomavirus vaccine (HPV) in Malawi will be in 2018

    BCG: Bacille Calmette - Guérin vaccine


    OPV: Oral polio vaccine
    DPT-HepB-Hib: Diphtheria and Tetanus and Pertussis and Hepatitis B and H. influenzae type b
    PCV: Pneumococcal conjugate vaccine
    TT: Tetanus toxoid

    World Health Organization, children are considered to have received all basic vaccinations when
    they have received a vaccination against tuberculosis (also known as BCG), three doses each of
    the DPT-HepB-Hib (also called pentavalent) and polio vaccines, and a vaccination against
    measles.

    The Malawi immunisation programme considers a child to be fully vaccinated if the child has
    received all basic vaccinations, three doses of the PCV vaccine (also given at age 6, 10, and 14
    weeks), and two doses of the rotavirus vaccine (given at age 6 and 10 weeks).
    Immunisation in Malawi = revised February 2017

    General Points to Remember

     Always enquire about immunization in any child that comes to hospital


     Immunization should be given with informed parental/guardian consent
     There are very few contraindications to immunization, if in doubt, consult seniors
     Immunisations are given at all health centres and under 5’s clinics

    Important Points in the History

     Enquire about vaccinations (verbally or documented in the health passport)


     Previous severe reaction and anaphylaxis after vaccination
     Prolonged use of immunosuppressive therapy
     Current illness (i.e. diarrhoea in oral polio vaccines)

    Important Points in the Examination

     Fever
     Evidence of vaccinations (BCG scar on deltoid)

    Contraindications to Immunisation

     Severe local or generalised reaction


     Acute febrile illness (delay immunisation), acute diarrhoea with OPV
     When in doubt consult the seniors

    Immunisation in HIV

     BCG is contraindicated in symptomatic HIV infection (NOT neonatal BCG)


     Measles, polio, rotavirus, PCV, pentavalent vaccine are ALL INDICATED

    Immunisation Reactions

     Mild reaction with symptoms of mild fever, local tenderness, irritability, malaise and
     crying are common
     These are not contraindications to further immunization.

    You might also like