Measles - Polio SIA, Pakistan 2013

Union Council Vaccination Session Microplan

Name of UC MO: Mobile no. of UC MO: Vaccine and Logistics distribution center: EPI Fixed center 1: Skilled person: Team Assistant: EPI Fixed center 2: Skilled person: Team Assistant: Name and Designation of UC Supervisor: Mobile no. of UC Supervisor:

Name and mobile number Name and designation

Name and mobile number Name and designation

Days

Skilled person: Team Assistant: Social Mobilizer 1 Social Mobilizer 2

Outreach Team 1 Name and mobile number Name and designation Name and designation Name and designation

Skilled person: Team Assistant: Social Mobilizer 1 Social Mobilizer 2

Outreach Team 2 Name and mobile number Name and designation Name and designation Name and designation

Skilled person: Team Assistant: Social Mobilizer 1 Social Mobilizer 2

Outreach Team 3 Name and mobile number Name and designation Name and designation Name and designation

Day 1

Areas with tentative target: area name (M:target, P:target) Social Mobilizer 1 Social Mobilizer 2 Name and designation Name and designation

Areas with tentative target: area name (M:target, P:target) Social Mobilizer 1 Social Mobilizer 2 Areas with tentative target: area name (M:target, P:target) Name and designation Name and designation Social Mobilizer 1 Social Mobilizer 2 Areas with tentative target: area name (M:target, P:target) Name and designation Name and designation Social Mobilizer 1 Social Mobilizer 2 Areas with tentative target: area name (M:target, P:target) Name and designation Name and designation Social Mobilizer 1 Social Mobilizer 2 Areas with tentative target: area name (M:target, P:target) Name and designation Name and designation Social Mobilizer 1 Social Mobilizer 2 Areas with tentative target: area name (M:target, P:target) Name and designation Name and designation Name and designation Name and designation Name and designation Name and designation Name and designation Name and designation Name and designation Name and designation

Areas with tentative target: area name (M:target, P:target) Social Mobilizer 1 Social Mobilizer 2 Areas with tentative target: area name (M:target, P:target) Social Mobilizer 1 Social Mobilizer 2 Areas with tentative target: area name (M:target, P:target) Social Mobilizer 1 Social Mobilizer 2 Areas with tentative target: area name (M:target, P:target) Social Mobilizer 1 Social Mobilizer 2 Areas with tentative target: area name (M:target, P:target) Social Mobilizer 1 Social Mobilizer 2 Areas with tentative target: area name (M:target, P:target) Name and designation Name and designation Name and designation Name and designation Name and designation Name and designation Name and designation Name and designation Name and designation Name and designation

Day 2

Areas with tentative target: area name (M:target, P:target) Social Mobilizer 1 Social Mobilizer 2

Day 3

Areas with tentative target: area name (M:target, P:target) Social Mobilizer 1 Social Mobilizer 2

Day 4

Areas with tentative target: area name (M:target, P:target) Social Mobilizer 1 Social Mobilizer 2

Day 5

Areas with tentative target: area name (M:target, P:target) Social Mobilizer 1 Social Mobilizer 2

Day 6

Areas with tentative target: area name (M:target, P:target)

Day 7

School(s) with tentative target school name (M:target, P:target)

School(s) with tentative target school name (M:target, P:target)

School(s) with tentative target school name (M:target, P:target)

Day 8

School(s) with tentative target school name (M:target, P:target)

School(s) with tentative target school name (M:target, P:target)

School(s) with tentative target school name (M:target, P:target)

Day 9

School(s) with tentative target school name (M:target, P:target)

School(s) with tentative target school name (M:target, P:target)

School(s) with tentative target school name (M:target, P:target)

Day 10

School(s) with tentative target school name (M:target, P:target)

School(s) with tentative target school name (M:target, P:target)

School(s) with tentative target school name (M:target, P:target)

Measles - Polio SIA, Pakistan 2013 Tally Sheet

(To be used on Fixed vaccination centers, Outreach vaccination centers and Schools) Date: ___________________ Name of Skilled person: _______________________________________ Name of social mobilizers: Name of team assistant 1 _____________________________________ _______________________________________ 2 _____________________________________ UC: ____________________ Tehsil: __________________________ District: __________________ Site/Location: _________________________________________________________________________ OPV (0 to below 5 years) Measles (06 months to below 10 years) Total: Total: Summery daily report Vaccine Place of vaccination Total children vaccinated Vial received Vial used Vial returned Home OPV Outreach/Fixed site Measles Outreach/Fixed site Pentavalent Fixed site PCV10 Fixed site BCG Fixed site TT Fixed site Full Name and signature of the UC MO: Full Name and signature of the UC Supervisor:

ls)

__________

w 10 years)

Vial returned

Measles - Polio SIA, Pakistan 2013

Union Council Vaccine and Logistics Microplan
Days A Team B Tentative target (Polio) C Sum of tentative Polio targets of all areas and schools by day from UC microplanning sheet OPV required (doses) D OPV required (20 doses vial) E Tentative target (Measles) F Sum of tentative measles targets of all areas and schools by day from UC microplanning sheet Vaccine required (doses) G Column F x 1.11

Column C x 1.167

Round up Column D/20

Day 1

Day 2

Day 3

Day 4

Day 5

Day 6

Day 7

Day 8

Outreach Team 1 Outreach Team 2 Outreach Team 3 Outreach Team 1 Outreach Team 2 Outreach Team 3 Outreach Team 1 Outreach Team 2 Outreach Team 3 Outreach Team 1 Outreach Team 2 Outreach Team 3 Outreach Team 1 Outreach Team 2 Outreach Team 3 Outreach Team 1 Outreach Team 2 Outreach Team 3 Outreach Team 1 Outreach Team 2 Outreach Team 3 Outreach Team 1 Outreach Team 2 Outreach Team 3 Outreach Team 1

Day 9

Day 9

Day 10

Outreach Team 2 Outreach Team 3 Outreach Team 1 Outreach Team 2 Outreach Team 3 Tentative total target in the catchment area

Fixed center TOTAL

13
Vaccine required (10 dose vial) H Round up Column G/10 Diluent required (ampoule) I Equal to Column H

oplan
AD Syringe (0.5 ml) J Equal to Column H x 10 Reconsitution Syringe (5 ml) K Equal to Column H Safety Box L Roundup((Col umn J + Column K)/100)

Measles - Polio SIA, Pakistan 2013

Monitoring Preparation of the Measles SIA
Sl no.
1

Indicator Proportion of districts with operational fund available at least 2 weeks before the campaign. Proportion of districts with required quantity of vaccines and injection equipments available at least 1 week before the campaign. Proportion of district campaign preparation committee headed by DCO held preparatory meeting at least 10 days before the campaign. Proportion of district campaign preparation committee meeting minutes shared with the provincial steering committee within 2 days of the meeting. Proportion of district campaign preparation committee meeting issues clear action plan with timeline and responsibility for pre-campaign monitoring. Proportion of UC microplan submitted to the district at least one week before the campaign of which at least 30% plan are reviewed and validated by the district level staff.

Target 100% 100%

Observation

100%

100%

100%

100%

n 2013
Information source EDO (Health)/DHO EDO (Health)/DHO

sles SIA

DCO

Provincial Program Manager EPI

DCO

EDO (Health)/DHO/Dist EPI Coordinator

Measles - Polio SIA, Pakistan 2013

Observer's Checklist Name of Observer:___________________________ District: ____________ Designation:______________________________ Province: ___________ Office:_________________________ Date:______/______/2013

Type of site
Outreach (O) Fixed (F) School (S)

Site name: 1 2 3 4

Union Council

Tehsil

This is an Observation checklist for monitoring the quality and implementation of the campaign at the vaccination center. Every supervisor and monitor from all levels is expected to use this checklist at each visit to any center. As much as possible, application of these checklist should not interrupt services at the center. If any wrong doing is observed, please gently assist the vaccinator team to act in right way. A. SITE ORGANIZATION 1 2 3 At least 1 skilled person is present with the team who can give SC injection At least 1 team assistants are present with the team Crowd is well controlled in the session

Site 1

Site 2

Site 3

Site 4

Mark: YES (Y) or NO (N) or Don't know (DK)

B. SESSION CONDUCTION & INJECTION PRACTICE Both OPV and measles vaccines are given at the center 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Only one vial of measles vaccine is reconstituted at a time Whole amount of diluent in an ampoule is added to reconstitute a vial of measles vaccine Syringes are not pre-filled with vaccine Vaccinators administering measles vaccine through subcutaneous route Vaccinators administering measles vaccine to the left upper arm of the child Vaccinators following 'non-touch technique' during reconstitution, drawing and administering vaccine 2 drops of OPV is given to each <5 years child after giving measles vaccine Separate tally mark is made on the tally sheet for Measles and OPV after vaccinating each child Other routine antigens (Penta and PCV10) are given in this center Time of reconsitution of measles vaccine is written on the vial lebel Vaccinators are not recapping syringes Vaccinators put syringes in the safety box immediately after use

C. INJECTION SAFETY

Safety boxes are not overfilled (Overfilled = filled more than three-fourth of the volume) Other wastes (blister pack, empty diluent ampoule, used vial) are kept in a separate 18 bin/bag/container D. AEFI MANAGEMENT 19 20 Team members know what to do in case of an AEFI (assurance, referral and reporting) Team has contact number of the AEFI focal person in the UC and district

E. COLD CHAIN VVM on both OPV, Measles and other vaccine vials are at stage 1 or 2 21 22 23 24 25 26 27 28 29 30 31 32 33 Vaccines are stored in standard vaccine carrier with four ice packs Diluents are kept in vaccine carrier Measures taken for diluents and vaccines not to come in direct contact with ice packs Reconstituted measles vaccine vial is kept in the slit of the foam pad at the mouth of the vaccine carrier Reconstituted measles vaccine vial and vaccine carrier is not exposed to direct sunlight Adequate measles vaccine vial supplied. Adequate = (target x 1.11)/10 Adequate AD syringe (0.5 ml) supplied. Adequate = # of vaccine doses supplied Adequate Reconstitution syringe supplied. Adequate = # of Measles vaccine vial supplied Adequate diluent supplied. Adequate = # of Measles vaccine vial supplied Adequate safety box supplied Adequate = next completed number of (total AD syringe+Reconstitution syringe)/100 Measles vaccine, diluents and syringes are all within expiry date Measles vaccine and diluents are made by same manufacturer

F. LOGISTICS

G. Social mobilization At least 2 social mobilizers are present with the team 34 35 36 37 38 39 40 Social mobilizers are visiting house to house to mobilize children Mosque announcement done Measles, OPV and other vaccines are kept at correct temperature (between +2 to +8 C) Life saving drugs for AEFI management are available in the health facility
(inj. Adrenaline, inj. Hydrocortisone etc.)

H. Visit local health facilities and review the followings

Doctors/paramedics are alert and aware of managing AEFI and use of drugs Standard waste burning pit/incinerator is prepared/functioning

Officials of the partner agencies and federal and provincial govt deparments will submit copy of this Checklist to WHO Islamabad office within 3 days marking "attention: MO-EPI" over the envelope. All others will submit to the respective EDO(Health)/DHO office.

Measles - Polio SIA, Pakistan 2013

Rapid Convenience Assessment (RCA) Name of the Observer:_______________________ Village/Mahalla:________________________ District:______________________________ Area type: Urban/Rural
(circle as appropriate)

Designation:____________________

Office:_________________

Union Council/valley:__________________ Tehsil:________________ Province/Area:__________ Hard to Reach/High-risk population: Yes/No

(circle as appropriate)

Date:_____/______/2013

All supervisors and independent observers should conduct at least one RCA daily in areas where the campaign has already taken place. Take cluster in an area where vaccination is already completed. Purposively select area which is suspected to be missed. Do not take cluster in an area adjacent to an outreach or fixed vaccination center. Start in a central location, and pick a direction at random. Begin with the first house facing you. Select and record vaccination status for measles of all target-age children in 10 households. If a household has more than one eligible child, collect data from all. Send unvaccinated children to the nearest outreach or fixed site. If more than 2 children are found unvaccinated, inform the supervisor or local authority and request to plan a mop-up in that area. If any AEFI is found, direct the guardian to take the child to a health facility.
HH Number Specific Address HH number or Elder's name Total number of children aged <5 years Total number of children received OPV Total number of children aged 06 months to <10 years Total number of children received measles vaccine

H1 H2 H3 H4 H5 H6 H7 H8 H9 H10 Total

Note: 1.Please write down name and full address of the missed children/women on the back of the page and share those with local authority. 2. If any serious AEFI is found, immediately notify local authority. 3. Officials of the partner agencies and federal and provincial govt deparments will submit copy of this RCA to the WHO Islamabad office within 3 days marking "attention: MO-EPI". All others would submit it to the respective DHO office.

Measles - Polio SIA, Pakistan 2013 Tally Sheet for home (only for OPV for < 6 months children)
Name of the social mobilizer: __________________________________________________________ UC: _____________________Tehsil: __________________________ District: ____________________ Site/Location: ___________________________________ OPV (below 6 months) Date: _______________________

Total:

Children aged below 10 years who are not at home or refusal Sl No. Child's Name Age Father's name and village/mahalla Remarks (Absent - A, Refusal - R)

OPV vials received: ________________ Used: ___________________

Returned: ____________________

Full Name and signature of the UC MO:

Full Name and signature of the UC Supervisor:

OPV vials received: ________________ Used: ___________________ Full Name and signature of the UC MO:

Returned: ____________________

Full Name and signature of the UC Supervisor:

Measles - Polio SIA, Pakistan 2013 Tally Sheet

(To be used on Fixed vaccination centers, Outreach vaccination centers and Schools) Date: ___________________ Name of Skilled person: _______________________________________ Name of team assistant _______________________________________ Site/Location: Name of social mobilizers: 1 _____________________________________ 2 _____________________________________ District: __________________

UC: ____________________ Tehsil: __________________________

_________________________________________________________________________ Measles (06 months to below 10 years) Total:

Total:

OPV (0 to below 5 years)

Summery daily report Vaccine OPV Measles Pentavalent PCV10 BCG TT Place of vaccination Home Outreach/Fixed site Outreach/Fixed site Fixed site Fixed site Fixed site Fixed site Total children vaccinated Vial received Vial used Vial returned

Full Name and signature of the UC MO: Full Name and signature of the UC Supervisor: