noe Serenata HL Bator et aga: 250 easoes ened) Soe* Sdn ine, eas, seu sana re ite Stora 3 CxS moe, | Pevensie nea soy I “ ‘ or oe jen SUWASIRIPAYA = | ems EBoatoan RENSTT AOI Ministry of Health Provincial Directors of Health Services Regional Directors of Health Services Heads of institutions Vaccination of pregnant women against COVID 19 Recommendations were made at a special meeting of the Advisory Committee on Communicable Diseases held on 13° August 2024, on vaccinating pregnant women, ‘The final decisions of the Ministryof Health on vaccination of pregnant women are as flows: ‘© Prognant women can be vaccinat ‘the trimester. at any time during the pregnancy, irrespective of + Vaccines that canbe considared in vaccinating pregnant women a © Sinopharm (SARS-CV-2Veccne (Vero Call, Inactivated (BIBP-CorV), © Astrazeneca/Coviield ((ChAGOxInCOV-19 Corona Virus Vaccine Recombinant) © COMIRNATY (Pizer-Covid 38 mRNA Vaccine (Nucleoside modified) © Moderna mRNA-1273 COVID-19 Vaccine (nucleoside modified) «Advise to vaccinate with 2 doses ofthe same vaccine keeping the recommended gap tetween 2 doves as per the istructons/ guidelines given by the Epidemiology Unit «Once the initial vactine doses given by one vaccine type the follow up vaccine dove also needs to be even rom the same vaccine ora per any updated instructions ven by the Epidemiology Unit. Should not mix and metch any of the avatable vaccines unless instructed. 5B Bo} DeaconDiwo«‘© Ifanother routine vaccine to protect from a different disease Isto be given during the pregnancy (eg. tetanus toxoid) the prionty should be given to the COVID 19 vaccine and advised to keep a gap of wo woeks with the.cther vaccinetor a different disease/s. © However, f the Tetanus toxoid is already given by the time the COVID 19 Vaccine ts made available, administer the COVID 49 vaccine in the fist ‘opportunity without considering the time gap since the date of administration ‘ofthe tetanus toxoid, givan the importance of protecting against COVIO 29. ‘You are hereby instructed to bring the contents of this letter to the attention of al retavent officers In your province/districtinstitution and to facilitate the vaccination of pregnant women, Becer Gael urs epee Gunawardana mem site ere Te oe, Birector Genera of Health Services Sax btm rams CC: 1, Deputy Director General (Public Health Services I) 2. Chie Epidemiologtst/ Epidemiology Unit 3, Direetor/ Maternal and Chid Heaith/Family Health Bureau 4, Provinclal/Distriet Consultant Community Physicians 5, Regional Epidemiologists 6. MO/MCH