Giving Oral Polio Vaccine

1. Read the manufacturer's instructions to determine number of drops to be given. Use the dropper
provided for.
2. Let the mother hold the child lying firmly on his back.
3. If necessary open the child's mouth by squeezing the cheeks gently between your fingers to make
his lips point upwards.
4. Put drops of vaccine straight from the dropper onto the child's tongue but do not let the dropper
touch the child's tongue. (to prevent contamination)
5. Make sure that the child swallows the vaccine. If he spits it out, give another dose.

Measles/MMR (SC)

Reconstituting the Freeze Dried Measles Vaccine

1. Using a 10 ml. syringe fitted with a long needle, aspirate 5 ml. of special diluent, from the ampule.
2. Empty the diluent from the syringe into the vial with the vaccine.
3. Thoroughly mix the diluent and vaccine by drawing the mixture back into the syringe and expelling
it slowly into the vial several times. Do not shake the vial. (Shaking can cause the formation of air
bubbles or foam, which can compromise the quality and efficacy of the vaccine.)
4. Protect reconstituted measles vaccine from sunlight. Wrap vial in foil. (To prevent the degradation
of the vaccine's active components, which can lead to a decrease in the vaccine's potency and
effectiveness.)
5. Place the reconstituted vaccine in the slit of the foam provided in the vaccine carrier.

Giving Measles Vaccine

1. Ask the mother to hold the child firmly.

2. Clean the skin with a cotton ball, moistened with water and let the skin dry. (Use water instead of
alcohol since the alcohol can decrease the potency of vaccine. Alcohol is known to be a potent
antiseptic which kills the bacteria from the live attenuated vaccine)
3. With the fingers of one hand, pinch up the skin on the outer side of the upper arm.
4. Without touching the needle, push the needle into the pinched-up skin so that it is not pointing.
5. Slightly pull the plunger back to make sure that the vaccine is not injected into a vein (if using
disposable syringes and needles). (If the vaccine is injected into a vein, it can quickly enter the
bloodstream, leading to a more rapid distribution of the vaccine throughout the body. This can
cause adverse effects or reduce the effectiveness of the vaccine)
6. Press the plunger gently and inject.