Routine Immunization
Routine Immunization
Routine Immunization
Immunization
A birth right of every child
Vaccination schedule after PCV introduction
Age (Completed) Vaccination schedule after PCV introduction
At Birth BCG, OPV (0 dose), Hep-B (birth dose)
1 ½ month (6 weeks) OPV-1, Rota-1, fIPV-1 PCV-1*, Pentavalent-1
2 ½ month (10 weeks) OPV-2, Rota-2*, Pentavalent-2
3 ½ month (14 weeks) OPV-3, Rota-3*, fIPV-2 PCV-2*, Pentavalent-3
9 months Vit A, MR-1, PCV-B*, JE-1
16-24 months OPV (booster dose), MR-2, JE-2*, DPT (1st booster dose)
5-6 years (up to 7 yrs. of age) DPT (2nd booster dose)
10 years Td
16 years Td
*JE / ROTA / PCV in selected states / districts
After Birth
Hepatitis
Within 24 hours in Rt Anterolateral aspect of mid-thigh, Intramuscular (I.M.).
Zero OPV
Within 15 days from birth, Oral
BCG
As early as possible but can be given up to 1 years,
Intradermal
If no scar develops after BCG, it should not be repeated.
BCG & Measles can be given either together or with a gap of 28 days.
6 weeks vaccination
Pentavalent Vaccine
If the child is more than 1 year, PENTA 1st dose Should not be given, DPT should be given.
If 1st dose of PENTA is given before 1st year & child is brought for 2nd dose after 1 year, it can be given.
10 weeks vaccination
OPV 2nd Dose (Oral) RVV 2nd Dose (Oral) Pentavalent 2nd Dose
14 weeks vaccination
JE
PCV
Sites for vaccination in UIP
To keep the
Which Vaccine has Minor side effects &
When to come for Immunization card
been given & what what should be
the next dose? safe & to bring it
diseases it prevents ? done?
during the next dose
Open Vial Policy
TT
IPV PCV
OPV DPT Hep
B
JE
(Jenvac)
Penta
Open Vial Policy is not Applicable to
Measles- Rubella Vaccine BCG Vaccine Rotavirus Vaccine
Open Vial Policy
Mark date &
time on ALL Why write time on all vials ?
vaccine vials
when opened • Easy for ANM to remember
for FIRST use
• Reconstituted vials (MR, RVV and
BCG) to be discarded after 4 hours
• All other partially used vials to be
brought back to vaccine storage point
for use as per open vial policy.
Conditioning of Ice Pack
Sequence of Vaccination
Oral Polio Vaccine
RVV
Pentavalent
IPV or DPT is the
last
MR / MMR
PCV
Good Session
Record
MCP
4 Key Card
Sequences Messages
Injection as of
per Vaccination
Pleasant
Atmosphere Guidelines
List of
Time Beneficiaries
8 am
BCG
BCG Vaccine given to a child with age >1 year
• No need to worry but this is against guidelines
If the mother refuses many injections, give OPV1, Vitamin A, PCV1 & MR / MMR on priority
9 months to 15 years children have been given 1 dose of MR vaccine in this campaign
Vitamin A
Enhances immune response when given along with MR / MMR vaccine
3rd Dose 6 months after 2nd Dose
4th to 9th Dose every 6 months until 5 years of age
Spoon provided must be used.
In case capsules are provided Blue (1ml) below 12 months & Red (2ml)
above 12 months
Over dosage must be avoided
In case capsules are provided Blue (1ml) below 12 months & Red (2ml)
above 12 months
Over dosage must be avoided
JenVac (JE) Vaccine
Old JE
A child > 1 year of age has come to the session site. Not received JE vaccine earlier
• The child should be given JE vaccine 1st dose.
• The 2nd dose should be given 3 months after the 1st dose
JE can be given until 15 years of age
New JE vaccine (JenVac) is given intramuscularly in anterolateral aspect of Right mid-thigh New JE
If 1st dose of old JE vaccine is given, 2nd dose of new JenVac can be given
DPT Vaccine
To be given to a child > 1 year and who had not received any dose
of Pentavalent vaccine
3 doses of DPT should be given with at least 1 month gap
DPT Booster 1 should be given at least 6 months after the 3rd
dose.
If the child is > 16 months the dose of DPT given should not be
counted as DPT Booster 1 unless the child had earlier received 3
doses of DPT
DPT Booster 2 should be given between 5 & 6 years
DPT vaccine can be given until 7 years of age
Inactivated Polio Vaccine
2 doses of IPV are given
1st dose with OPV 1 & 2nd dose with OPV 3 i.e. with a gap of 2 months
It can be given separately provided the child is < 1 year
There should be a gap of 2 months between 2 doses
0.1 ml given intra-dermally
1 vial will contain 25 or 50 doses
It should be given also in outreach sessions
Ignore the label
1st dose should not be given after 1 year of age
Hold position
7mm of needle and
depress plunger with
palm there will be a
feeling of resistance
if needle is placed
correctly
Watch bleb
appearing
Tetanus diphtheria Vaccine (Td)
Pregnant Mothers
• 2 doses are given to pregnant mothers
• 1 after registration of pregnant mother
• 2nd dose after 1 month
If the mother becomes pregnant within 3 years of
2nd dose, only 1 dose is given called as Booster dose
Td 10 Years
Td 16 Years
GMSD / NATIONAL
STATE DISTRICT
SESSIION SITE
Td Td Td Td Td Td
MR MR MR
VVM
Ensure health workers are trained on appropriate handling of unpreserved multi-
dose vials, as per the revised open vial policy guidelines by MoHFW
VVM: Marker to heat exposure to the vaccine
Dropouts
• A child who was given a vaccine
& then not followed further
Gentle Behavior
Systemic
• Fever < 102 F
• Irritability
• Malaise
Minor vaccine reactions are part of the body’s immune system and occur more often than severe, but usually heal.
Serious and severe reactions
Serious Reactions
Can be disabling and, rarely, life
threatening
Most do not lead to long-term problems Severe Reactions
Severe reactions include serious reactions
but also include other severe reactions
Must be reported Results in death.
Examples of severe reactions include Requires inpatient hospitalization.
Non- hospitalized recovered case of Results in persistent or significant
anaphylaxis disability.
High grade fever ( > 102 degree F), AEFI cluster
AFP
Hypotonic Hyporesponsive Episodes
Sepsis
CASES TO BE REPORTED
Minor AEFI
Serious AEFI
Pain
Redness at site of injection
Severe AEFI
Anaphylaxis but
Swelling at site of injection hospitalization was not Death
required
Fever< 102F Hospitalization
AFP
Irritability Resulting in disability Cluster
High grade Fever (>102F) (>1child)
Malaise
HHE
Sepsis
Case
Reporting Form
(CRF)
2 pages
Immunization Field Monitors (IFM)
Training conducted at Pune on 11th Feb & 12th Feb
Weekly summary to be entered in excel sheet & should be sent to SMO office
Facilitating RI Micro-planning
Validation of HRA
Facilitating Micro-planning in campaigns like Pulse Polio, MR campaign, IMI, Covid Vaccination Campaign etc.