1. Training for rotavirus vaccine introduction Module 7 Communicating about rotavirus vaccine with caretakers

2. Communicating about rotavirus vaccine with caretakers, Module 7 | 16 October 2015 2 |2 | Learning objectives At the end of the module, the participant will be able to: –Describe how to communicate with caretakers –Advise caretakers on rotavirus disease and prevention methods particularly on the need for timely vaccination –Alert caretakers of potential side effects and how to respond to them –Provide other messages to caretakers before they leave the session Duration –20’

3. Communicating about rotavirus vaccine with caretakers, Module 7 | 16 October 2015 3 |3 | How to communicate with caretakers? 1 1 How to advise on potential side effects? 3 3 Key issues What other messages to give caretakers before they leave the session? 4 4 How to advise on rotavirus disease and prevention methods? 2 2

4. Communicating about rotavirus vaccine with caretakers, Module 7 | 16 October 2015 4 |4 | How to communicate with caretakers? Be respectful Use simple words and avoid technical terms Listen to caretaker's concerns Make sure the caretaker has understood your key messages

5. Communicating about rotavirus vaccine with caretakers, Module 7 | 16 October 2015 5 |5 | What is “triple A” communication with parents? What is “triple A” communication with parents? A rrange for when to return A lert on side effects and how to respond A dvice on what is given

6. Communicating about rotavirus vaccine with caretakers, Module 7 | 16 October 2015 6 |6 | Advice: How to inform about the disease? Rotavirus causes severe diarrhea, vomiting, and fever leading to rapid dehydration Rotavirus is found everywhere –Almost every child in the world will suffer from at least one infection by the time he or she is three years old Rotavirus is not the only cause of diarrhea, but it is one of the most serious Rotavirus infection spreads very quickly

7. Communicating about rotavirus vaccine with caretakers, Module 7 | 16 October 2015 7 |7 | Vaccination as part of a comprehensive approach to diarrheal disease control offers the best hope for protecting children from rotavirus What can be done to prevent rotavirus diarrhea?

8. Communicating about rotavirus vaccine with caretakers, Module 7 | 16 October 2015 8 |8 | Millions of children have received rotavirus vaccine in the last 8 years and the vaccine is considered very safe and effective This vaccine will be given at the same time as pentavalent vaccine, therefore no extra visit is required for this vaccine Rotavirus vaccine will not prevent diarrhea or vomiting caused by other germs, but it is very good at preventing diarrhea and vomiting caused by rotavirus. Advice: What is the new rotavirus vaccine?

9. Communicating about rotavirus vaccine with caretakers, Module 7 | 16 October 2015 9 |9 | Advice: Rotavirus vaccine schedule? Getting vaccinated on time is important 2 doses of rotavirus vaccine –First dose between 6 weeks and 15 weeks –Second dose between 10 weeks and 32 weeks –Interval of 4 weeks between the 2 doses Rota 1 Rota 2 6 Birth1015 32 weeks

10. Communicating about rotavirus vaccine with caretakers, Module 7 | 16 October 2015 10 | Alert: How to respond to side effects? Infants may be more irritable. Some infants may also experience loss of appetite, fever, fatigue, diarrhea, and vomiting After immunization, if your infant has fever (>39˚C), give paracetamol If your infant shows unusual signs- persistent crying, vomiting, blood in bowel motion take him/her directly to the hospital

11. Communicating about rotavirus vaccine with caretakers, Module 7 | 16 October 2015 11 | Arrange: When to return? Make an appointment for the next dose of rotavirus vaccine and other vaccines according to the immunization schedule Wait at least 4 weeks before next appointment and make sure the child is less than 32 weeks old Ensure that there is a session on the attributed date –i.e., no public holiday, weekend, or other event Write the date of the next visit on the immunization card Remind the caretaker to come on the specified date and to bring the card

12. Communicating about rotavirus vaccine with caretakers, Module 7 | 16 October 2015 12 | Key messages (1/4) Triple A communication - Be respectful - Listen to caretaker's concerns Use simple phrases and avoid technical terms to make sure the caretaker understands your key messages Ongoing dialogue may successfully reassure vaccine- hesitant parents that immunization is the best and safest option for their child

13. Communicating about rotavirus vaccine with caretakers, Module 7 | 16 October 2015 13 | Key messages (2/4) Rotavirus infection is highly contagious Vaccination is the only way to prevent the severe episodes of rotavirus infection A child immunized with rotavirus vaccine can still get diarrhea from other agents –Follow all steps to prevent and control diarrhea

14. Communicating about rotavirus vaccine with caretakers, Module 7 | 16 October 2015 14 | Key messages (3/4) On-time vaccination is very important –If children come late they will get other vaccines but will lose out on getting the important rotavirus vaccine Current rotavirus vaccines are generally well tolerated –Parents have to understand that the risk of side effects after rotavirus vaccination is much lower than the risk of severe rotavirus disease in unvaccinated children –If your child shows any serious symptoms such as blood in the stool, take him/her immediately to the nearest hospital Keep the immunization card safe and remember to bring it next time

15. Communicating about rotavirus vaccine with caretakers, Module 7 | 16 October 2015 15 | Key messages (4/4) A coordinated approach that combines rotavirus vaccines with other prevention and treatment methods should be practiced to reduce death and illness from diarrhea, such as: –Rotavirus and measles vaccination –Promotion of exclusive breastfeeding and Vitamin A supplementation –Promotion of hand washing with soap –Improved water supply including treatment and safe storage of household water –Community-wide sanitation promotion –Fluid replacement (ORT) –Zinc treatment

16. Communicating about rotavirus vaccine with caretakers, Module 7 | 16 October 2015 16 | End of module Thank you for your attention!