DR.I.SELVARAJ I.R.M.SB.Sc.,M.B.B.S.,D.P.H.,D.I.H.,PGH&FW/NIHFW/NEW

DELHI/Trained Epidemiologist/C.M.C,VELLORE,S.INDIA

•Senior Divisional Medical Officer, Railway Hospital, Chennai Division, Southern Railway, India

VISION

HEALTH FOR ALL

GOAL

ERADICATION OF POLIO BY 2000AD

OBJECTIVE

REPLACEMENT OF HARMFUL WILD POLIO

VIRUS IN THE COMMUNITY

STRATEGY

INTENSIFIED PULSE POLIO IMMUNIZATION PROGRAMME

PROGRAMME

THE INTENSIFIED PULSE POLIO IMMUNIZATION

PULSE POLIO IMMUNIZATION

1. SIMULTANEOUS

2. MASS IMMUNIZATION

3. SUDDEN

4. TO ALL CHILDREN OF 0-59 MONTHS OF AGE

5. ON FIXED DATE

6. THROUGHT THE COUNTRY

Strategic Planning

Developing a plan of action Publicity and mass awareness Management of vaccination day Managing the immunization post

The action plan Training and orientation of various

categories of workers/volunteers Motivation of volunteers and masses Publicity and mass awareness Identification of vaccination centres Management of vaccination centres and

control room Program finances Transportation and communication

The function of control room

Storage of vaccine Preparation of frozen ice packs Preparing vaccine carrier with frozen ice

packs Vaccine supply Delivery of vaccine by vehicles to various

centres Replacement of manpower from reserve list Collection of statistics

Management of vaccination day

Identification of a place as vaccination centre

Deployment of manpower in centres Supply of vaccines Maintenance of cold chain

equipment by end of the day Collection of records at the end of

the day

Management of Vaccination centre-1

Number of children should be restricted to 250 to each centre

Each centre has to be managed by 4 categories of people

1) team leader 2) paramedical worker to administer

vaccines 3) paramedical worker for record keeping 4) paramedical worker/volunteers for

mobilization of people to bring children

Management of vaccination centre-2

To ensure that the centre is open in time To guide the volunteers to make house-to-house

visit for finding eligible infants and children A mid day assessment To monitor the paramedical workers while

immunizing the children The vaccines are administered by vaccinator

only Only one vial to be used at a time from the

vaccine carrier Simply maintain record of total vaccines given

rather than writing unnecessary details To remind the parents about the next date of PPI

Vaccine carrier1. Place some packing material between

DPT vaccine and the ice to prevent them from touching the ice packs

2. Close the lid tightly

3. Clean and dry after every use

4. Clean and dry inner side of carrier after use

5. Keep the carrier away from direct sunlight

6. The carriers with four ice packs can keep the vaccine cold for 2 days

7. Do not sit or place anything heavy on a vaccine carrier

Vaccine carrier-21. A carrier for small quantities of vaccines

(16-20 vials)

2. The ice packs for lining the sides of the carrier should be fully frozen

3. The lid of carrier should be closed tightly

4. The vials of DPT, DT, and TT vaccines should not be in direct contact with the frozen packs

5. Place fully frozen ice packs in the carrier and wait for few minutes for temperature to fall to less than 8 degree Celsius

6. Put vaccine vials and ampoules in a polythene bag and close it

Guidelines for optimal storing of vaccines at HU/SDH/DH-1

1. BCG and MEASLES vaccine to be stored in either the freezer or the shelf nearest to the freezer

2. Check the temperature twice a day and maintain a record

3. Follow First- in –First – out Rule

4. Do not keep vaccines which are expired

5. Keep the vaccines neatly with space between the stacks for circulation of air

Guideline-2 Minimum stock(not more than 1 month

requirement)of vaccines should be kept in the fridge at a time

Do not keep any vaccine in door panel You should never keep DPT,DT,Typhoid

vaccine in the freezer chamber of the refrigerator

These should be kept in lower compartments To keep the OPV which is in current use in

central compartment of the refrigerator to avoid repeated freezing and thawing

Common problems associated with PPI

Preparations begin too late Vaccines ordered too late Inadequate awareness about PPI in

masses Inadequate distribution of vaccines and

manpower to the centres Inadequate transport facility to supply

vaccines Long lines at vaccination centres Recording too much information for each

child Posts open late or not open during lunch

hours for working parents Inadequate feed back

Publicity and mass awareness

Opinion makers Extensive use of media Organizing various events A)rally of school children B)sports events C)human chain formation D)and run for polio

Conclusion

Basic concept of PPI Value of cold chain maintenance 100% mass media coverage