The Expanded Program on Immunization (EPI) aims to reduce morbidity and mortality from vaccine-preventable diseases among children and mothers. It was established in 1976 and initially targeted six diseases: tuberculosis, polio, diphtheria, tetanus, pertussis, and measles. In 2002, WHO estimated that immunization could prevent 1.4 million child deaths annually. The EPI's goals are to immunize all infants against common vaccine-preventable diseases and sustain polio elimination. It employs strategies like routine immunization, supplemental campaigns, and disease surveillance. Accomplishments include measles elimination through mass campaigns and strengthened surveillance as well as maternal and neonatal tetanus elimination efforts. Future plans include
The Expanded Program on Immunization (EPI) aims to reduce morbidity and mortality from vaccine-preventable diseases among children and mothers. It was established in 1976 and initially targeted six diseases: tuberculosis, polio, diphtheria, tetanus, pertussis, and measles. In 2002, WHO estimated that immunization could prevent 1.4 million child deaths annually. The EPI's goals are to immunize all infants against common vaccine-preventable diseases and sustain polio elimination. It employs strategies like routine immunization, supplemental campaigns, and disease surveillance. Accomplishments include measles elimination through mass campaigns and strengthened surveillance as well as maternal and neonatal tetanus elimination efforts. Future plans include
The Expanded Program on Immunization (EPI) aims to reduce morbidity and mortality from vaccine-preventable diseases among children and mothers. It was established in 1976 and initially targeted six diseases: tuberculosis, polio, diphtheria, tetanus, pertussis, and measles. In 2002, WHO estimated that immunization could prevent 1.4 million child deaths annually. The EPI's goals are to immunize all infants against common vaccine-preventable diseases and sustain polio elimination. It employs strategies like routine immunization, supplemental campaigns, and disease surveillance. Accomplishments include measles elimination through mass campaigns and strengthened surveillance as well as maternal and neonatal tetanus elimination efforts. Future plans include
The Expanded Program on Immunization (EPI) aims to reduce morbidity and mortality from vaccine-preventable diseases among children and mothers. It was established in 1976 and initially targeted six diseases: tuberculosis, polio, diphtheria, tetanus, pertussis, and measles. In 2002, WHO estimated that immunization could prevent 1.4 million child deaths annually. The EPI's goals are to immunize all infants against common vaccine-preventable diseases and sustain polio elimination. It employs strategies like routine immunization, supplemental campaigns, and disease surveillance. Accomplishments include measles elimination through mass campaigns and strengthened surveillance as well as maternal and neonatal tetanus elimination efforts. Future plans include
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Dranlie P.
Lagdamen BSN 2A January 24, 2020
Ward Class (Lesson Plan) Topic: Expanded Program on Immunization (EPI)
OBJECTIVES CONTENT AND TIME ALLOTMENT TEACHING REFERENCE
STRATEGIES AND MATERIALS
After 20 minutes of - Active Reference:
Ward Class, I should be able to : Discussion Webpages:
1.Discuss the I. 3 minutes - Reading DOH, (2019).
Rationale and the Expanded Global Burden of the Rationale: The Expanded Program on Immunization (EPI) was established in 1976 to - Question program on program. ensure that infants/children and mothers have access to routinely recommended Immunization infant/childhood vaccines. Six vaccine-preventable diseases were initially included in the and Answer .Retrieved EPI: tuberculosis, poliomyelitis, diphtheria, tetanus, pertussis and measles. In 1986, 21.3% January 24 “fully immunized” children less than fourteen months of age based on the EPI - 2020.https:// Comprehensive Program review. www.doh.gov .ph/expanded Global Burden: In 2002, WHO estimated that 1.4 million of deaths among children under -program-on- 5 years due to diseases that could have been prevented by routine vaccination. This immunization represents 14% of global total mortality in children under 5 years of age.
2. Mention Goals of II. 2 minutes
the Program. Over-all Goal: To reduce the morbidity and mortality among children against the most common vaccine-preventable diseases. Specific Goals: 1. To immunize all infants/children against the most common vaccine-preventable Materials: diseases. 2. To sustain the polio-free status of the Philippines. -Marker 3. To eliminate measles infection. 4. To eliminate maternal and neonatal tetanus -Manila 5. To control diphtheria, pertussis, hepatitis b and German measles. Paper 6. To prevent extra pulmonary tuberculosis among children. -Bond Paper
3. Tackle the III. 5 minutes
Mandates and Strategies of the Mandates: Program Republic Act No. 10152 “Mandatory Infants and Children Health Immunization Act of 2011” Signed by President Benigno Aquino III in July 26, 2010. The mandatory includes basic immunization for children under 5 including other types that will be determined by the Secretary of Health.
Strategies:
Conduct of Routine Immunization for Infants/Children/Women through
the Reaching Every Barangay (REB) strategy
REB strategy, an adaptation of the WHO-UNICEF Reaching Every District (RED),
was introduced in 2004 aimed to improve the access to routine immunization and reduce drop-outs. There are 5 components of the strategy, namely: data analysis for action, re- establish outreach services, strengthen links between the community and service, supportive supervision and maximizing resources.
Supplemental Immunization Activity (SIA)
Supplementary immunization activities are used to reach children who have not been vaccinated or have not developed sufficient immunity after previous vaccinations. It can be conducted either national or sub-national –in selected areas.
This is critical for the eradication/elimination efforts, especially in identifying true cases of measles and indigenous wild polio virus
Procurement of adequate and potent vaccines and needles and syringes to all health facilities nationwide
IV. 7 minutes
Measles Elimination 4. Discuss the Accomplishments of Conducted 4 rounds of mass measles campaign: 1998, 2004, 2007 and 2011. the program. Implemented the 2-dose measles-containing vaccine (MCV) in 2009
MCV1 (monovalent measles) at 9-11 months old
MCV2 (MMR) at 12-15 months old.
Implemented and strengthened the laboratory surveillance for confirmation of
measles. Blood samples are withdrawn from all measles suspect to confirm the case as measles infection. A supplemental immunization campaign for measles and rubella (German measles) was done in 2011. This was dubbed as “Iligtas sa Tigdas ang Pinas” 15.6 million (84%) out of the 18.5 million children ages 9 months to 8 years old were given 1 dose of the measles-rubella (MR) vaccine between April and June 2011. Maternal and Neonatal Tetanus Elimination Three (3) rounds of TT vaccination are currently on-going in the 10 highest risk areas. An estimated 1,010,751 women age 15 - 40 year old women regardless of their TT immunization will receive the vaccine during these rounds. This is funded by the Kiwanis International through UNICEF and World Health Organization.
Polio Eradication:
The Philippines has sustained its polio-free status since October 2000. There is an on-going polio mass immunization to all children ages 6 weeks up to 59 months old in the 10 highest risk areas for neonatal tetanus. These areas are the following: Abra, Banguet, Isabela City and Basilan, Lanao Norte, Cotabato City, Maguindanao, Lanao Sur, Marawi City and Sulu.
Hepatitis B Control
Republic Act No. 10152 has been signed. It is otherwise known as the “Mandatory Infants and Children Health Immunization Act of 2011, which requires that all children under five years old be given basic immunization against vaccine- preventable diseases. Specifically, this bill provides for all infants to be given the birth dose of the Hepatitis-B vaccine within 24 hours of birth.
Vaccines and cold chain management
Upgraded the cold chain equipment in the 80 provinces, 38 cities and 16
regions since 2003. An effective vaccine management assessment was conducted last December 2011 and revealed cold chain capacity gaps from the national up to the implementers level.
Introduction to New Vaccines
For 2012, Rotavirus and Pneumococcal vaccines will be introduced in the
national immunization program. Immunization will be prioritized among the infants of families listed in the National Housing and Targeting System (NHTS) for Poverty Reduction nationwide.
V. 3 minutes
Future Plan/ Action
5.Tackle the Future Plan of the Program. Strengthening the Cold Chain to support the Immunization Program Capacity Building for Health Workers for the Introduction of New Vaccines Advocacy for the financial sustainability for the newly introduced vaccines for expansion. Development of the comprehensive multi-year plan for immunization program.
