Routine Immunization

CARE India; Bihar

TOPICS TO COVER
What is routine immunization?

Need for routine immunization

Challenges in routine immunization

Due list: its importance, preparation and use

What is routine immunization?

A series of primary vaccines are given to Children Pregnant women to provide immunity against certain diseases.

Source: Immunization handbook (NRHM)

Need for routine immunization

Immunization is a key strategy to child survival. By protecting infants from VPDs, it significantly lowers morbidity and mortality rates in children. 1. 2. 3. 4. 5. 6. Tuberculosis Polio Diphtheria Pertussis Tetanus Measles Hepatitis B---Will be launched on 12th Oct *Japanese Encephalitis * Not included in the schedule of all the districts in Bihar

Full immunization 1 dose of BCG 3 doses of DPT, Hep. B and OPV 1 dose of Measles before one year of age gives a child the best chance for a healthy life. Routine Immunization is one of the safest and most costeffective public health intervention.

Immunization is an indicator of a strong primary health care system.

Challenges in routine immunization

Left outs: Children and women who do not utilize the immunization services for reasons including Lack of awareness Lack of geographic access Lack of trust in immunization services Lack of supportive supervision Dropouts: Children who receive one or more vaccination, but do not return for subsequent doses. No/Incomplete due list Beneficiaries not treated properly/respectfully Sessions not held as planned/lack of vaccines/logistics

Due list: its importance, preparation and use

Due list is a tool that is used by the front line workers to enlist the name of the beneficiaries who are due for any vaccine (DPT I, II, III or Measles etc.) along with the date of vaccination. Due list is used to mobilize the beneficiaries on vaccination day. Ideally a due list should be prepared before the day of vaccination and should have updated information on beneficiaries till a day before vaccination. (e.g if the day of vaccination is 27th Sep. 2011, then the due list should be prepared on 26th Sep. 2011). The due list should ideally be prepared from the up-to-date MCH register.

Due list: Conti..

The due list format used in Bihar is divided into two halves. 1. The upper half asks about Demographic information (Name, place , person and date)

2. The lower half has 6 columns. The first four columns are filled before the next scheduled RI session and the last 2 columns are filled on the day of vaccination itself.

THANKS