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AOA; MDCE 2022

 HEALTH INFORMATION SYSTEM

NAME: DUGENIO, KATHLEEN DIMAANO DATE: 10/15/2022

YEAR AND SECTION: 1- BSMT-MED224

STUDENT ID NUMBER: 2022-181791

Assessment task
Instruction: INDIVIDUAL ACTIVITY
1. Create a narrative report, based on your researched data about the
immunization program in the community.
What should be included?
A. Immunization program (name of the program, target population, implementation,
the relevance)
- If you can ask on the health facility near your vicinity much better BUT not
required.
- You can research online.
- Make sure to list down the references.

2. Save your answer in PDF and name

it with this format (SURNAME, Given
name_MLSHIS1C_Task 5)
3. Submit your Assessment task on or before 11:59PM October 16, 2022
4. Stay safe and God bless●

Rubrics
 NATIONAL UNIVERSITY
BACHELOR OF SCIENCE IN MEDICAL TECHNOLOGY

Narrative Report

Expanded Program on Immunization

To guarantee that mothers and babies have access to the often advised infant/childhood
immunizations, the Expanded Program on Immunization (EPI) was set up in 1976. The EPI
initially included six vaccine-preventable illnesses: measles, diphtheria, tetanus, pertussis,
poliomyelitis, and tuberculosis. The following vaccinations are covered by the EPI: Tetanus
Toxoid, Oral Poliovirus Vaccine, Pentavalent Vaccine, Measles Containing Vaccines (Anti-
measles Vaccine, Measles, Mumps, Rubella), BCG birth dose, Hepatitis B birth dose, and
Hepatitis B birth dose. Pneumococcal Conjugate Vaccine 13 was added to the EPI vaccination
schedule in 2014. The National Immunization Program replaced the Expanded Program on
Immunization as of 2016. It includes vaccinations for different populations, such as vaccinations
for senior citizens, children, and adolescents.

This program's overall objective is to lower childhood morbidity and mortality rates
from the most prevalent diseases that can be prevented by vaccination. The following is a list of
the program's specific objectives:

 to immunize all newborns and kids against the most prevalent diseases that can be
prevented with vaccines;
 in order to keep the Philippines polio-free;
 to eradicate the measles virus;
 to end tetanus in pregnant women and newborns;
 to eradicate German measles, diphtheria, pertussis, hepatitis B, and
 to protect kids from developing extra pulmonary TB.

The program target is to get 95% of children fully immunized. There are a number of
potential tactics that could be used to attain this goal, including:

1. Administering routine vaccinations to newborns, kids, and mothers via the Reaching
Every Purok Strategy
 An innovation of the Reaching Every Barangay Strategy is the Reaching Every
Purok Strategy.
2. Additional vaccination Activities (SIA)
  To reach children who have not had a vaccination or whose immunity has not
sufficiently grown following a prior vaccination, supplemental immunization
operations are carried out.
3. Surveillance for Vaccine-Preventable Disease
 All vaccine-preventable diseases are under surveillance, but measles cases and
native wild poliovirus are of particular concern.

The proportion of fully immunized children in the CAR for the first semester is 35%,
with Kalinga being the only province to reach the 50% mark. 17 of the 35 cases include women
and 18 involve men. Records review reveals that 15 of these cases received vaccinations. The
number of Measles Containing Vaccines (MCV) that the person received is not disclosed in the
records. MCV requires a minimum of two (2) doses to completely protect against the measles.
Six of the confirmed cases are unsure if they have ever been immunized, and 14 of them are
unvaccinated. The range of ages is six months to eighty-eight. The Immunization Program
consists of 4 training sessions. One is the Immunization in Practice program, which educates
healthcare professionals on the fundamentals of immunization. Following that, health
professionals receive training in cold chain and logistics management as well as efficient vaccine
storage. The Reaching Every Barangay Strategy is another training program that teaches health
professionals how to use their data and fill in immunization program gaps. The Epidemiology
and Surveillance Unit's Adverse Events Following Immunization Training is the last. Health
professionals are trained in both the accurate reporting of AEFIs and the management of these
instances. But still there are issues and concern while implementing this program. Some
healthcare professionals lack basic training in logistics management, cold chain, and EPI. Health
professionals need these two types of training in order to provide services efficiently. The
majority of the problems found during on-site monitoring have to do with logistics and the cold
chain. Additionally lacking in cold chain management and basic EPI skills training are regional
medical and nurse coordinators. In BHSs, immunizations are often administered once per month.
Health facilities have timed their immunization day to prevent needless vaccine waste.
Additionally, the majority of BHSs lack cold chain storage facilities for the vaccines. BCG and
Hepatitis B birth doses are not always administered in birthing facilities. Due to the high cost of
WHO pre-qualified refrigerators, requests for vaccination refrigerators were not granted.
REFERENCES

Caro.doh.gov.ph. 2022. Expanded Program on Immunization (EPI) | DOH CAR. [online]

Available at: <https://caro.doh.gov.ph/expanded-program-on-immunization/>

https://doh.gov.ph/health-programs/immunization-program