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 May 1974  EPI-Pak, 1976  Establishment of vaccination schedule -1984  GAVI- Global Alliance for Vaccine & Immunization is a public-private global.

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Presentation on theme: " May 1974  EPI-Pak, 1976  Establishment of vaccination schedule -1984  GAVI- Global Alliance for Vaccine & Immunization is a public-private global."— Presentation transcript:

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2  May 1974  EPI-Pak, 1976  Establishment of vaccination schedule  GAVI- Global Alliance for Vaccine & Immunization is a public-private global health partnership committed to saving children’s lives and protecting people’s health by increasing access to immunization in poor countries. launched in 2000

3 Since health is a provincial subject, the DG, Health Services and EDOs Health are ultimately responsible for programme implementation and administration. The main provincial responsibilities are:  Planning, finance, implementation and administration at provincial level  Collection of vaccines/syringes/needles from the Federal EPI Cell for further distribution to the districts  Repair and maintenance of cold chain equipment  Monitoring, evaluation and reporting  Supervision at all EPI service delivery level  Training of all EPI workers except Mid-level Managers  Repair and maintenance of vehicles

4  The Programme is being supervised by the National, Provincial and district staff at every level in the country.  The focal point for the EPI is the District Officer Health Preventative (DOH) or district EPI Coordinator (DEC).

5  Full immunization of children under one year of age in every district  Global eradication of poliomyelitis  Reduction in maternal and neonatal tetanus  Cut half number of measles-related deaths

6  80% coverage in every district by  Interruption of polio virus transmission by  Elimination of Neo-natal tetanus by  Reduction of measles mortality by 90% by 2010 as compared to 2000 level.  Reduction of diphtheria, pertussis and childhood tuberculosis to a minimum level.  Control of other diseases by introducing new vaccines in EPI

7  Exclusive Immunization provider  Private sector- 3%  6000 fixed centres  > million outreach and mobile vaccination sessions/year  > vaccinators  6000 LHV’s  100,000 LHWs

8  5.8 Million children  5.9 Million pregnant women

9 Source: WHO Bacille Calmette- Guérin vaccine birth; DPT HibHep (Pentavalent 2009) Diphtheria and tetanus toxoid with whole cell pertussis, Hib and HepB vaccine 6, 10, 14 weeks; OPVOral Polio VaccineBirth, 6, 10, 14 weeks MeaslesMeasles vaccine9, months; TTTetanus toxoid 1st contact pregnancy; +1, +6 months; +1, +1 year;

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11 Disease Causative agent MOTVaccineDOSERoute TBM.Tuberculosis Droplet infection and droplet nuclei BCG0.05mlI/D Diphtheria Corynebacterium diphtheriae Droplet infection & droplet nuclei DPT0.5mlI/M Pertussis Bordetella pertussis Droplet infection & droplet nuclei DPT0.5mlI/M PolioPoliovirus Fecal-oral route/ water borne OPV 2 drops Oral Measles Paramyxo Virus Direct contact Resp droplet Measles0.5mlSubcutaneous Hep B Hepatitis B virus Blood or body fluids Hep B 10mcgI/M meningitis Haemophilus influenzae type B (HiB) Resp. route Pentavalen t 0.5mlI/M

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16  Problems in achieving EPI targets in Pakistan

17  Inadequate service delivery  long distance to EPI centres  Lack of awareness of immunization benefits  unaffordable cost to reach the centres  unavailability of vaccinators  EPI centre- 1 in 10 UC in Punjab and 2 vaccinator in, in each UC  Political commitment

18  Canadian International development Agency (CIDA)  Department for International Development [DFID]  GAVI  Japan International Cooperation Agency (JICA)  Rotary International  UNICEF  United States Agency for International Development (USAID)  WHO  World Bank

19  Cold chain

20  What is cold chain?  The term cold chain is the name given to the system of transporting and storing vaccines within the safe temperature range of 2ºC - 8ºC.  The cold chain involves all the people, equipment and procedures which ensure that an effective vaccine reaches the people who need it - usually children.

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22  The cold chain system comprises three major elements:  · Personnel, who use and maintain the equipment and provide the health service;  · Equipment for safe storage and transportation of vaccines; and  · Procedures to manage the Programme and control distribution and use of the vaccines.  Competent personnel and efficient procedures are a vitally important part of the cold chain system:

23 Technical features that impact on vaccine storage and temperature monitoring

24 Vaccine carriers

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26  Vaccines can become less effective or even lose their effectiveness altogether if they:  Get too hot  Freeze  exposed to light

27 DO NOT FREEZE THESE VACCINES –DTP (Diphtheria-tetanus- pertussis vaccine "Triple antigen") –CDT (Combined diphtheria-tetanus vaccine) –ADT (Adult diphtheria-tetanus vaccine) –TT (Tetanus toxoid) · –Hib vaccines – Hepatitis B Vaccine · –Hepatitis A Vaccine – Monovalent pertussis vaccine –Influenza vaccine DO NOT EXPOSE THESE VACCINES TO LIGHT: –BCG Vaccine –MMR (measles/mumps/rubella) vaccine –Oral poliomyelitis vaccine (OPV)

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