Expanded Program on

Immunization
RAQUEL ESTABILLO-PONELAS,RN,MAN, MS PSYCH (c)
ESTABILLO-PONELAS Learning, Training and Review Center
EPI
Was launched in July 1976 by the DOH in
cooperation with WHO and UNICEF.
The original objective was to reduce the
morbidity and mortality among infants and
children caused by the six childhood immunizable
disease.


Elements of EPI
Target setting

Cold chain logistics and management

Information, Education and Communication

Assessment and evaluation of the programs over-all performance

Surveillance, studies and research
Immunization Schedule
Vaccine Minimum Age
at 1st dose
Number of
doses
Minimum
interval
between
doses
Reasons
BCG At birth or
anytime after
birth
1 Given at
earliest
possible age as
protection
against
possibility of
infection from
other family
members.
DPT 6 weeks 3 4 weeks
OPV 6 weeks 3 4 weeks
Hepatitis B 6 weeks 3 4 weeks
AMV 9 months 1
Tetanus Toxoid Schedule for Women
Vaccine Minimum Age
Interval
Percent Protected Duration of
Protection
TT1 As early as
possible during
pregnancy
80%
TT2 Atleast 4 weeks
later
80% Infant- protected
against neonatal
tetanus
Mother- 3 years
TT3 Atleast 6 months
after TT2
95% 5 years
TT4 1 year after TT3 99% 10 years
TT5 1 year after TT4 99% Lifetime
Freezing does not damage
Important notes...
Freezing does not damage but ampules may break. A diluent should also be
kept cold before using.

OP vaccine is easily damaged by heat but is not harmed by freezing.

DT component is damaged by freezing and P component is damaged by heat.

Hepa-B vaccine is damaged by both heat and freezing.


Paul will cater immunization to children in
his assigned community. The total population
of Brgy. Kambal na Krus is 15,750.
Take note and MEMORIZE these factors:
Target Population:
AMV- 3%
BCG- 3%
Hepa B- 3%
DPT- 3%
OPV- 3%
TT- 3.5%

Standard dose:
AMV- 1
BCG- 1
HepaB- 3
DPT- 3
OPV- 3
OPV-3
TT- 2
Wastage Factor
AMV- 2
BCG- 2.5
HepaB- 1.1
DPT- 1.67
OPV- 1.67
TT- 1.67
Syringe- 1.1
Memorize!
Eligible population= Population x Target
Population
Annual dose= Eligible population x standard
dose
Actual annual dose= Annual dose x wastage
factor
Monthly dose= Actual Annual dose/ 12
Compute the following:
1. Paul is required to have monthly doses for TT. Compute
for the monthly doses for TT.
2. What will be the eligible population for Hepa B vaccine?
3. Compute for the monthly doses of AMV.
4. Compute for the monthly doses of OPV
5. Compute for the monthly doses required for Hepa-B.

6. If community B has a total population of 2,000, and you
are required to compute for the Annual Auto-disable
syringe requirement. What is the annual syringe
requirement for BCG?