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  • 1. Teaching on Immunization in Medical Schools in Kenya Elizabeth Obimbo MMed, MPH Department of Paediatrics University of Nairobi
  • 2. Medical Schools, Kenya
    • University of Nairobi – MBChB, BPharm
    • Moi University - MBChB
    • Medical Training Centres - RCO
  • 3. UON - MBChB students
    • Year 3: Immunology
    • Taught basics of human immunology
    • Natural and acquired immunity
      • Humoral and Cell mediated immunity
    • Mechanisms of human immune response to various antigens.
  • 4. UON - MBChB students
    • Year 4: Vaccines and Immunization
    • Taught during 11 week rotation through Paediatrics and Child health. ~ 40 hours dedicated to child health.
    • Self teaching (study reference material)
    • Didactic teaching (1 hour)
    • Practicals (6-8 hours)
  • 5. UON - MBChB students
    • KEPI Immunization Manual for medical students and physicians which covers:
    • EPI – origin, aims, programs.
    • Vaccine management & cold chain,
    • EPI immunizable diseases – Tb, polio, diphtheria, pertussis, tetanus, measles, hepatitis B
    • EPI vaccine composition, handling, indications, contraindications, age of administration, adverse effects
    • Missed opportunities for immunization
    • Social mobilization
  • 6. UON - MBChB students
    • Practical
    • Visit central store
    • Visit MCH clinic, observe cold chain, administer vaccines, counsel mothers, see recording systems.
  • 7. UON - MBChB students
    • Didactic
    • Minimal time devoted to didactics
    • Review specific vaccines
    • KEPI vaccines
    • Non-KEPI including pneumococcal, meningococcal, yellow fever, typhoid, cholera, varicella, hepatitis A, rabies etc.
  • 8. UON - B Pharm students
    • Taught in final year, 4 hours.
    • Content of vaccinology course:
    • History of vaccinology
    • Basics of human immunology
  • 9. UON - B Pharm students
    • 3. Classification of vaccines
    • Advantages and disadvantages of different vaccine types (live, killed, toxoids, antigens)
    • Specific vaccines – KEPI vaccines
    • EPI
    • Eradication of polio, progress on measles
  • 10. Moi University – MBChB
    • Teaching of immunization is integrated into practical exposures:
    • Community pediatrics, attend MCH clinics, hands-on learning
    • Clinical attachment to district hospital during final year, IMCI practice.
  • 11. Medical Training Centres – Registered clinical officer training
    • RCO – backbone of health care delivery.
    • Immunization taught during basic training, and during pediatric specialization training.
    • Cover KEPI vaccines, theory and practical administration.
    • Cover vaccine handling and cold storage at health facility level.
  • 12. Gaps
    • KEPI manual needs updating to include HiB, Yellow fever, Tetravalent and Pentavalent vaccines.
  • 13. Thank you!