1. Recording and monitoring uptake of fractional IPV (fIPV)
Training for the introduction of Inactivated Poliovirus Vaccine, Fractional Dose (fIPV)
Module 5
Recording and monitoring uptake of fractional IPV (fIPV)

2. Learning objectives
At the end of the module, the participant will be able to:
Record vaccination data on the child’s immunization card
Record and register immunizations in the tally sheet and monthly report
Use monitoring chart to track IPV uptake
Follow up with eligible infants
Duration
15 minutes

3. Key issues
How to record doses given on the child’s immunization card 1
How to record and register vaccination on the tally sheet and monthly report 2
How to monitor uptake of IPV 3
To the facilitator:
Explain to the participants the key issues raised in this module.
Once the child was vaccinated, what should you do? We will provide you with answers to the following questions:
How to record immunization on the card?
How to record and register immunization in the tally sheet and monthly report?
How to monitor uptake of IPV vaccine?
How to follow up with eligible infants?
How to follow up with eligible infants 4

4. What are the main uses of the immunization card?
Provides the child’s date of birth (DOB)
Informs health worker and caretaker of:
Vaccines already received
Vaccines needed in the future
Next appointment for vaccination
Can help identify infants who do not return for vaccination on time
Documentation of vaccination is important in conducting vaccination coverage surveys
To the facilitator:
Explain to the participants the main uses of the immunization card.
The immunization card:
Provides the date of birth of the child
Informs the health worker and caretaker of:
The vaccines already received and those needed in the future
The next appointment for vaccination
Can help with tracking infants who do return for vaccination on time
Is useful to conduct coverage surveys

5. How to use the immunization card
To the facilitator:
Explain to the participants how to use the immunization card.
Parents should keep the immunization card in a safe place at home.
Then they need to remember to bring the immunization card back to the health center for each visit.
The health worker must check the card to determine eligibility and fill it out after the child’s vaccination, providing details of vaccines given and the date for the next visit.
Then, the parents should take the immunization card back home and keep in a safe place.

6. How to record vaccination on the card
Immunization cards are being updated to include a space to record the IPV dose
The notation “fIPV” is used to indicate that a fractional dose of IPV was administered
Until these are available, record the IPV dose by hand (along with OPV dose) on the immunization card
Include the date the vaccine was given, and write “fIPV1” and “fIPV2” (not “polio”)
f IPV
To the facilitator:
Explain to the participants how to record the vaccination.
Each time a vaccine is administered, health workers should complete the vaccination card outlining which vaccines have been given.
Fill in the immunization card with the date of vaccination after the vaccines have been administered
Health workers should also note the date of the next appointment on the vaccination card and remind the caretaker to return on that date with the card.
Caretakers should be reminded to bring the immunization card at each visit.
Note that the immunization card is being updated to include the IPV vaccine doses, and the acronym for the Inactivated Polio Vaccine is “IPV". The notation “fIPV” is used to indicate that a fractional dose of IPV was administered
Health workers should use this abbreviation when recording the vaccine they administered.

7. Remember to record both OPV and IPV separately
Both IPV and OPV will be administered simultaneously
Therefore, both IPV and OPV should be recorded and monitored separately, not as “polio vaccines”
Vaccine
Date Given
Penta3
May 15, 2015
OPV3
fIPV2
Record separately as “OPV3” and “fIPV2”, not “polio”
To the facilitator:
Explain to the participants record both IPV and OPV…not just “polio vaccine”
Both IPV and OPV will be administered simultaneously
Therefore, both IPV and OPV should be recorded and monitored separately.

8. What should you do in this scenario?
The parents of a child provide you with an old immunization card.
There is not a designated space for recording IPV in this card.
How should you record the vaccination(s) given?
To the facilitator:
Read the situation and question to the participants.
This question will test if participants understand what to do in the event that the Immunization card is not updated (i.e. IPV rows are not included on the immunization card).
Response:
If the parents of the infant provide you with an old immunization card, the health workers may add the IPV vaccination data by hand to the old card. Write fIPV1 and the date when the dose was given. Or replace card with the new one transferring all the data from the old card. 8

9. Other forms being updated to include the IPV doses
Vaccination tally sheets
Monthly report forms
Stock management forms
IPV
OPV
IPV
IPV

10. How to record IPV vaccination on the tally sheet?
fIPV1
Tally sheets have been updated to include IPV
Health workers should keep a tally of each vaccine dose given
At the end of an immunization session, count all doses on tally sheet
If you need to use old tally sheets, add a line for IPV doses 8 5 5 15 5 15
fIPV2
OPV1 5
OPV2 5
OPV3 15
To the facilitator:
Explain to the participants how to record the immunization on the tally sheet.
Tally sheets have been updated to reflect the inclusion of fIPV vaccine in the national immunization program.
Health workers should keep a tally of each vaccine dose given.
At the end of an immunization session, count the tally sheet. This will provide the total number of immunizations given with each vaccine by dose.
If you have old tally sheets, include new lines for fIPV. 18 5 8 5 3

11. How to record IPV vaccine on the monthly report
Monthly report sheets have also been updated to include fIPV
Use tally sheets to prepare the monthly reports
Report number of vaccine doses given each month, including fIPV
If you need to use old reporting forms, add a space for fIPV doses
fIPV 1 2
To the facilitator:
Explain to the participants how to record the immunization on the monthly report.
Reporting forms have been updated to reflect the inclusion of IPV vaccine in the national immunization program.
Report fIPV doses given each month, along with other vaccine doses.
Use tally sheets to prepare monthly reports to send to supervisors.
If you have the old reporting forms, add lines to report IPV doses given.

12. How to track infants for IPV vaccine
It is critical that all infants get IPV at 6 and 14 weeks of age, typically along with OPV1+Penta1, and OPV3+Penta3
The EPI programme needs to identify all eligible children, and to get them to the vaccination sessions
How to identify newborns?
Review birth registries and other health and civil records
Use volunteers, community leaders, and religious leaders to learn about births
How to get the infants vaccinated?
Inform parents about vaccination sessions
Use volunteers to identify and follow up with parents whose children are due for IPV
To the facilitator:
Explain to the participants how to track infants for IPV vaccine.
If infants did get their OPV1-Penta1-IPV1 vaccinations on time, they can have the opportunity of being vaccinated at a later date.
This should be communicated to parents and the community at large.
Use volunteers to inform and motivate parents of newborns to bring their children for vaccination on time.
Parents of infants who are due for vaccination, but have not yet come to the health center, should be reminded and followed up with.

13. How to track infants who have not received a dose of IPV vaccine
Ensure that all children get at 2 fractional doses of IPV at 6 and 14 weeks of age, along with OPV1+Penta1 and OPV3+Penta3
Follow up with infants who were expected to receive a dose of IPV, but did not (defaulters)
Year: 2015
Keep track of children who are due each month
Use reminder cards, immunization registries, or community volunteers to follow up with defaulters
Use community volunteers to remind families of infants who will soon be eligible for IPV vaccine to get the vaccine
To the facilitator:
Explain to the participants how to track infants who have not received a dose of IPV
A copy of the infant immunization card may be kept in the month the infant is supposed to return for second dose of rotavirus vaccine.
For example, if an infant receives pentavalent vaccine and rotavirus vaccine in January, place a copy of the card in the February section. Every month, review the reminder cards and follow up with those who did not attend when due.
Involve community volunteers to bring children who are eligible for IPV Vaccination.
Also explain to the volunteers why it is important to bring children who have missed their IPV vaccination to come back as soon as possible.

14. Key messages
Fill in the immunization card with the date of vaccination after the vaccines have been administered
The child immunization card, tally sheet, and monthly report are being updated to include fIPV doses
All infants should receive two fractional doses of IPV vaccine along with OPV1+Penta1 and OPV3+Penta3 at 6 and 14 weeks
fIPV doses should be recorded separately from OPV
To the facilitator:
Explain to the participants that this is the main information to keep in mind.

15. End of module for your attention! Thank you To the facilitator:
This is the end of the module.
You have been introduced to “Recording and monitoring uptake of IPV vaccine” module. The following module is untitled “IPV vaccine AEFI monitoring”.
Thank you for your attention!