2 I. INTRODUCTIONVaccination has been proven to be the most effective public health interventionVaccination protects not only the individual but also protects other members of the family and the community.
3 I. INTRODUCTIONThe Philippines Expanded Program on Immunization (EPI) has focused on the provision of free vaccines for infants as their primary series for several years.
4 Routine Vaccination Schedule VaccineMinimum AgeAt 1st doseNo. ofDosesMinimumIntervalBet.DosesReasonBCGBirth orAnytime after birth1BCG is given at the earliest possible age protects against the possibility of infectionfrom other family memberPENTA6 weeks34 weeksAn early start with DPT HIB HepB reduces the chance of severe pertussis, diphtheria and tetanus, HIB meningitis, and hepatitis BOPVThe extent of protection against polio is increased the earlier the OPV is given
5 Routine Vaccination Schedule VaccineMinimum AgeAt 1st doseNo. ofDosesMinimumIntervalBet.DosesReasonHepa BAt birth and 6 weeks (with PENTA34 weeksAn early start of Hepatitis B reduces the chance of being infected and becoming a carrierMeasles9 months1At least 85% of measles can be prevented by immunization at this ageMMR12 monthsRota6 weeks and 12 weeksDose 2 up to 32 weeks24 weeks
7 Why School Based Immunization? Protection produced by some of these vaccines will decline over timeBooster doses may be needed to ensure that high levels of protection are maintainedNew vaccines such as the human papillomavirus (HPV) vaccine are more effective if delivered at a specific age.
8 TARGET POPULATION Human Papillovirus vaccine* Measles-Rubella (MR)VaccineTetanus-diphtheria (Td) Vaccine*20 poorest provincesPangasinan9 y/o, Female studentsGrade*All Grade 7 students will be given regardless of immunization historyGrade7The spcific vaccines to be administered every year in every public school level shall include:*Will undergo screening on past MCV immunization history*All will be vaccinated with TD regardless of immunization historyGrade1
9 General GuidelinesDOH shall provide the necessary vaccines and other immunization logistics following the routine system of the distribution of the immunization logistics.
10 General Guidelines Department of Education (DepEd) –shall: -determine the most appropriate timing of the immunization sessions;-inform teachers/parents/students of the vaccination, provide additional human resource for vaccination; and,-appropriately refer missed students forvaccination.
11 General GuidelinesThe Local Government Units (LGUs) shall lead the vaccination in collaboration with schools, hospitals and other partners within the catchment areas.
12 Specific Guidelines (Grade 1/K1): All teacher in-charge of Grade 1 students shall check the measles immunization of each student. The immunization card of each student shall be requested from the parents/guardians/caretakers and shall be the proof of evidence that student received the measles vaccines.
13 Specific Guidelines (Grade 1/K1): The status of measles vaccination of each student shall be recorded in the Reporting Form 1.The teacher in-charge shall inform the health staff assigned regarding the number of students needing the measles vaccines.No student shall be deprived of education in cases of zero or only one dose received nor vaccine refusals.
14 Specific Guidelines (Grade 1/K1): Vaccination with Measles Rubella:Students with recorded 2 doses of MCV:DO NOT VACCINATE2. Students with 0 or 1 dose of MCV or no immunization card:List the names of the students, number of MCV doses previously received using K1 Masterlist, submit to the catchment health centers for the scheduled vaccination.
15 Specific Guidelines (Grade 1/K1): Vaccination with Measles Rubella:Vaccinate with Measles to complete the 2-doses per student at 1 month interval from the last dose. Vaccination with MCV can be done on the same immunization session for the Td vaccine
16 Specific Guidelines (Grade 1/K1): Vaccination with Measles Rubella:Follow-up of Missed Students for MR vaccines: Teacher-in-charge shall follow-up the missed students for vaccination but willing to be vaccinated and refer to RHU/MHC for the MR dose.
17 Specific Guidelines (Grade 1/K1): Vaccination with Td Vaccine:All males and females shall be vaccinated with 1 dose of Td vaccines in the designated immunization post and record in the K1 Masterlist.
18 Specific Guidelines (Grade 1/K1): Vaccination with Td Vaccine:Students with consent to vaccinated but were missed during the scheduled immunization should be followed-up and referred to the health center catchment for the needed vaccination.
19 Schedule for Grade 1 (K1): VaccinesMeasles-Rubella (MR)Tetanus-diphtheria (Td)Dosage0.5 ml0.5mlRoute & Site of InjectionSubcutaneous, Right deltoid armDeep Intramuscular, Left Deltoid arm# doses required1 doseStudents with Zero dose2 doses, 28 days interval from the last doseStudents with only 1 dose recorded1 dose only:
20 Specific Guidelines (Grade 4/K4-Pangasinan): Vaccination for HPV Vaccine:Vaccination with HPV is one of the preventive interventions for cervical cancer in later life. WHO recommends that primary intervention begins with the HPV vaccination of girls aged 9-13 years old, before they become sexually active.
21 Specific Guidelines (Grade 4/K4-Pangasinan): Vaccination for HPV Vaccine:Only 9 years old female students in Grade 4 shall be vaccinated with 2-doses of the quadrivalent Human Papilloma Virus (HPV) vaccine in the designated immunization posts in all public schoolsMenstrual history shall be ask before giving the vaccine
22 Schedule for HPV Vaccination: Dose 1Dose20.5 mlRoute of InjectionIntramuscular (IM)Site of InjectionLeft, deltoid armIntervalSix (6) months after Dose1
23 Specific Guidelines (Grade 7/K7): All males and females students shall be vaccinated with both MR and Td vaccines regardless of immunization status.
24 Schedule (Grade 7/K7): MR Td Dosage 0.5ml Route and Site of Injection MRTdDosage0.5mlRoute and Site of InjectionRight, deltoid armLeft, deltoid arm