EPI program in EPI program in MLU/MRML campMLU/MRML camp

MS. Wiphan KaloyMS. Wiphan Kaloy

RCH Coordinator.RCH Coordinator.

Target populationTarget population

New born babiesNew born babies

Children under 5 yearChildren under 5 year

Children who are 6 year.Children who are 6 year.

Children who are 12 yearChildren who are 12 year

Pregnant women.Pregnant women.

New arrival children who are New arrival children who are under 12 years.under 12 years.

Main ActivitiesMain ActivitiesProviding monthly vaccine service Providing monthly vaccine service for the target population and f/u for the target population and f/u the drop out.the drop out.

Maintain high vaccine coverage Maintain high vaccine coverage >90%>90%

Vaccine status screening for new Vaccine status screening for new arrival who are 0-12 year.arrival who are 0-12 year.

Cold chain managementCold chain management

Provide training for new medical Provide training for new medical staffs on vaccine management.staffs on vaccine management.

Vaccine request and distribution system

Midwifes in each health clinic collect no. of Midwifes in each health clinic collect no. of children by sub target population for the children by sub target population for the purpose of reporting and requesting purpose of reporting and requesting vaccine - submitted to the RCH vaccine - submitted to the RCH CoordinatorCoordinator

RCH Co. completes RCH Co. completes วว3-1 form and submits 3-1 form and submits to pharmacy department of MSR hospital.to pharmacy department of MSR hospital.

Vaccine is received from MSR hospital and Vaccine is received from MSR hospital and stored in MI office.stored in MI office.

Monthly delivery vaccine to camp.Monthly delivery vaccine to camp.Monthly vaccine serviceMonthly vaccine service. .

Current MI Immunization Current MI Immunization ScheduleSchedule

AgeAge VaccineVaccine

At birthAt birth BCG, Hep B (NB)BCG, Hep B (NB)

2 month2 month DTP-HB1,OPV1,DTP-HB1,OPV1,

4 month4 month DTP-HB2 , OPV2DTP-HB2 , OPV2

6 month6 month DTP-HB 3, OPV3, DTP-HB 3, OPV3,

9 month9 month MMRMMR

18 month18 month DTP4,OPV4,JE1, JE2* (one month DTP4,OPV4,JE1, JE2* (one month apart from JE1)apart from JE1)

2.6 year2.6 year JE3JE3

4 year4 year DTP5 ,OPV5 , DTP5 ,OPV5 ,

6 year6 year dT (if not completed DTP5) MMRdT (if not completed DTP5) MMR

12 year12 year dTdT

Immunization schedule Immunization schedule for new arrival 6-12 yearfor new arrival 6-12 yearTimeTime MonthMonth VaccineVaccine

11 00 dT1, OPV, dT1, OPV, MMRMMR

22 22 dT2,OPV2dT2,OPV2

33 -612-612 dT3,OPV3dT3,OPV3

Vaccine coverage(Jan-Vaccine coverage(Jan-August 2012) in MLU campAugust 2012) in MLU camp

BCGBCG

%%

OPV 3OPV 3

%%

DTP –DTP –HB3HB3

%%

MMRMMR

%%

DTP-DTP-OPV4OPV4

%%

DTP-DTP-OPV5OPV5

%%

Children Children completedcompleted

1 year1 year

100100 96.796.7 96.796.7 99.399.3

Children Children completed completed

2 year2 year

100100 100100 97.397.3

Children Children completedcompleted

5 year5 year

100100 100100 95.895.8

Vaccine coverage(Jan-August Vaccine coverage(Jan-August 2012) in MRML camp2012) in MRML camp

BCGBCG

%%

OPV 3OPV 3

%%

DTP –DTP –HB3HB3

%%

MMRMMR

%%

DTP-DTP-OPV4OPV4

%%

DTP-DTP-OPV5OPV5

%%

Children Children completed completed

1 year1 year

100100 9999 9999 100100

Children Children completedcompleted

2 year2 year

100100 100100 9898

Children Children completed completed

5 year5 year

100100 99.699.6 96.496.4

ChallengesChallengesWorking with new health staffs in Working with new health staffs in refugee camp.refugee camp.

Still have new arrivals and visitors Still have new arrivals and visitors who have never been vaccinated.who have never been vaccinated.

Cold chain management in the Cold chain management in the past MI has to be improved.past MI has to be improved.

Thai school children are vaccinated Thai school children are vaccinated once a year but in refugee camp once a year but in refugee camp vaccination is done every month.vaccination is done every month.

Questions ?Questions ?If sterile water for dilution of If sterile water for dilution of vaccine is not available, can we use vaccine is not available, can we use the sterile water which we use for the sterile water which we use for diluting antibiotics ?diluting antibiotics ?

Can we use HB vaccine vial that has Can we use HB vaccine vial that has been opened within 8-24 hours?been opened within 8-24 hours?

How to calculated vaccine coverage How to calculated vaccine coverage for children under five year.for children under five year.

Thank youThank you