SCHOOL-BASED

IMMUNIZATION
PROGRAM

CHRISTELLE KAY G. ASIS, R.M., R.N.

Nurse II
Objectives

• To immunize school children

enrolled in Grade 7 with the DOH
recommended
appropriate vaccines.
• To provide life-long immunity
against tetanus and diphtheria
and to help reduce sickness and
death due to measles and rubella.
Measles is one of the leading causes of death among
young children even though a safe and cost-
effective vaccine is available. In 2015, there were
134 200 measles deaths globally – about 367 deaths
every day or 15 deaths every hour. Measles is caused
by a virus and it is normally passed through direct
contact and through the air. The virus infects the
respiratory tract , then spreads throughout the body.
Tetanus, also called lockjaw, is a serious infection
caused by Clostridium tetani; this bacterium produces a
toxin that affects the brain and nervous system, leading
to stiffness in the muscles.

The infection can cause severe muscle spasms, serious

breathing difficulties, and can ultimately be fatal.
Although tetanus treatment exists, it is not uniformly
effective. The best way to protect against tetanus is to
take the vaccine.

Muscle spasm and rigidity Lockjaw

Diphtheria is a serious bacterial infection that
affects the mucous membranes of the
throat and nose. Although it spreads easily
from one person to another, diphtheria can
be prevented through the use of vaccines.

Swollen glands in the neck Loud, barking cough

Rubella is a contagious, generally
mild viral infection that occurs
most often in children and young
adults.

The rubella virus is transmitted by

airborne droplets when infected
people sneeze or cough.
Bakit nga ba dapat
magpabakuna?
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Dahilan para mag-
Bakuna:
 Pinakamabisang paraan upang
maiwasan ang mga sakit na kayang
labanan sa pamamagitan ng bakuna.
 Proteksyon hindi lamang sa isang tao
kung hindi sa pamilya at
comunidad.
 Kapag mataas ang sakop (coverage)
ng pagbabakuna sa mga dapat
makatanggap (herd immunity).

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Ang nagaganap kapag
nagbakuna:

Pinahinang uri Ang katawan Kapag may

ng mikrobyo ay gagawa dumating nang
ng sakit o di ng mga tunay na mikrobyo
kaya ay sundalo ng sakit, handa
ginayang (antibodies) na ang mas
mukha ng para labanan pinalakas at higit
mikrobyo ng ang pumasok na madaming
sakit na mikrobyo antibodies para
puksain ang sakit
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General
Guidelines
All male and female students enrolled in Grade 7
shall be vaccinated with 1 dose each of Measles-
Rubella (MR) and Td vaccines on the same
immunization session.

School-based vaccination shall be a FREE routine

service to be administered by the health center
catchment and the schools.

Follow up of Missed Students for MR vaccines: Teacher

in-charge shall follow-up the missed students for
vaccination but willing to be vaccinated and refer
to RHU/MHC for the MCV dose.
Karaniwang reaksyon sa
bakuna:
 Lagnat
 Pamumula sa parte ng tinusukan
 Sakit sa parte ng tinusukan
 Rash
Management For pain, For fever -
swelling - Give extra
Cold cloth at fluids, wear
injection site cool clothing,
and Paracetamol
Paracetamol
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Soil-transmitted helminthiasis (STH)
can cause poor physical growth,
poor intellectual development in
children and can result to anemia
and malnutrition not only in
children but also among women
of child bearing age.
SIGNS AND SYMPTOMS
1. Abdominal pain
2.Rash/itching around the rectum
3.Poor appetite
4. Weight loss
5.Passing a worm in the stool
6.Difficulty sleeping
ALBENDAZOLE 400 mg.
(5 years old and
above)
All medicines given by DOH to
the public were recommended
by WHO and inspected by Food
and Drug Administration (FDA).
CONTRAINDICATIONS

1.Seriously ill child

2.Abdominal pain
3.Diarrhea
4.Hypersensitivity
to the drug
 Management of Adverse Events

Common Adverse Effects How to Manage*

Local sensitivity or allergy Give antihistamine - Diphenhydramine

Mild abdominal pain Give antispasmodic - Dicycloverine

Diarrhea Give oral rehydration solution plus

Zinc

Pull out the worms from

Erratic worm migration
mouth/nose and dispose worm
properly
PREVENTION IS BETTER THAN
CURE!

1. Proper hygiene
2. Environmental sanitation
SCHEDULE

SBI – August
Deworming – 1st round
–
July, 2nd round -
January
ROLES OF A TEACHER in Health
Promotion and Disease
Prevention
• Teachers play a critical role of being
a source of accurate information
and a person with whom young
people can raise sensitive and
complicated issues about health
and uphold community standards
as a role model.
Through your commitment to
the program, you ensure that
these interventions are correctly
practiced by the students and
become lifelong, healthy habits.
Education and health
go hand in hand.
Children need to be
healthy to be fit for
school.
THANK YOU!