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CREATED BY
MADE BY:-
INDERJEET SINGH
Apopulartermofthecontinuousmaintenanceoflow
temperature requiredforbiologicalsfromthe timeof
manufacture toshipping,warehousing, andstoring
beforeadministration.
OR
Themaintenanceofrefrigerationofitemsfromthepointof
theiroriginatthemanufacturer,throughtheir
transportation,unloading,distribution,andcold
storageatthesitewheretheywillbeused.
WHYIMMUNIZATION?
Key strategy to child survival.
Protecting infants from diseases.
Lower morbidity and mortality ratesin
children.
Indicator of a strong primary health
care system.
IMMUNIZATION: COMMONTERMS
IMMUNIZATION
Process Of inducing immunity by stimulating
immune system through antigens.
OR
The fact or process of becoming, as against a
disease.
IMMUNITY
Resistance of a host to a specific agent
OR
Immunity means exemption or resistance
CONTI…
VACCINE
Any preparation of a weakened or killed
bacteria or viruses introduced into the body
to prevent a disease by stimulating
antibodies against it.
VACCINATION
Administration of antigenic material(the
vaccine) to produce immunity to a disease.
CONTI…
• FULL IMMUNIZATION:
• Beneficiary child(12-23 months) -3 doses of
DPT and OPV each, 1 dose of BCG & measles
each.
• Mother- two dose or 1 booster dose of
tetanus toxoid during her pregnancy.
• PARTIAL IMMUNIZATION
• Child-missed any vaccine or one or more dose
Mother- received just one dose of primary
tetanus
• toxoid during last pregnancy
CONTI…
NON-IMMUNIZATION
Child and/or mother –not received a single dose of
vaccine.
RING-IMMUNIZATION
Vaccination of people in close contact with an
isolated infected patient
MOP-UP ROUNDS
When the final pockets of polio virus transmission
have been identified standard surveillance, door
to door immunization in high-risk districts.
CONTI….
CATCH UP ROUND
Additional effort besides routine immunization
to cover left outs.
HERD IMMUNITY
Resistance to spread of infectious disease in a
group because of few susceptible members,
making transmission unlikely.
The immunological status of a population,
determined by the ratio of resistant to
susceptible members and their distribution.
MILESTONES IN IMMUNIZATION ININDIA
1978: EPI
1985: UIP, measles vaccine added
1986: Technologymission
1990: VitaminA
1992: CSSM
1995: Polio National Immunization
days
1997: RCH-I
2005: RCH-II andNRHM
V A C C I N A T I O N C H A R T
S r . N o . T i m e V a c c i n e D o s e R o u t e
1 A t B i r t h B C G , s i n g l e d o s e ( m )
H e p - B 1 s t
d o s e ( m )
O P V , 0 d o s e ( m )
H P V , s i n g l e d o s e ( o ) ( O n l y f o r g i r l s )
0 . 5 m l
0 . 5 m l
2 d r o p s
0 . 5 m l
I / D
I/M
P O
I / M
2 6 w e e k
( 1 . 5 m o n t h s )
H e p - B 2 n d
d o s e ( m )
O P V 1 s t
d o s e ( m )
D P T 1 s t
d o s e ( m )
H I B 1 s t
d o s e ( o )
P n e u m o c o c c a l 1 s t
d o s e ( o )
0 . 5 m l
2 d r o p s
0 . 5 m l
0 . 5 m l
0 . 5 m l
I/M
P O
I / M
I/M
I/M
3 1 0 w e e k
( 2 . 5 m o n t h s )
H e p - B 3 r d
d o s e ( m )
O P V 2 n d
d o s e ( m )
D P T 2 n d
d o s e ( ) m
H I B 2 n d
d o s e ( o )
P n e u m o c o c c a l 2 n d
d o s e ( o )
I P V 1 s t
d o s e ( o )
0 . 5 m l
2 d r o p s
0 . 5 m l
0 . 5 m l
0 . 5 m l
0 . 5 m l
I / M
P O
I/M
I/M
I/M
I/M
4 1 4 w e e k O P V 3 r d
d o s e ( m )
D P T 3 r d
d o s e ( m )
H I B 3 r d
d o s e ( o )
P n e u m o c o c c a l 3 r d
d o s e ( o )
I P V 2 n d
d o s e ( o )
2 d r o p s
0.5ml
0.5ml
0.5ml
0.5ml
P O
I/M
I/M
I/M
I/M
5 6 m o n t h s H e p - B b o o s t e r ( m )
R o t a v i r u s s i n g l e d o s e ( o )
I n f l u e n z a ( o )
0 . 5 m l
0.5ml
0.5ml
I / M
I/M
I/M
6 9 m o n t h s M e a s l e s ( m ) 0 . 5 m l S / C
7 1 2 m o n t h ( o n e y e a r ) V a r i c e l l a ( m ) 0 . 5 m l I / M
8 1 5 m o n t h s
( 1 y e a r 3 m o n t h s )
M M R ( m )
P n e u n o c o c c a l b o o s t e r ( o )
I P V 3 r d
d o s e ( o
0 . 5 m l
0.5ml
0.5ml
I / M
I/M
I/M
9 1 6 - 2 4 m o n t h s V i t a m i n - A ( m ) 1 s p o o n P O
1 0 1 8 m o n t h s ( 1 r e a r 6 m o n t h s ) O P V b o o s t e r 1 s t
d o s e ( m )
D P T b o o s t e r ( m )
H i b b o o s t e r ( o )
2 d r o p s
0.5ml
0.5ml
P O
I/M
I/M
1 1 2 y e a r T y p h o i d ( m )
H e p - A , s i n g l e d o s e
0 . 5 m l
0 . 5 m l
I / M
I / M
1 2 2 4 - 3 0 m o n t h s V i t a m i n - A 1 s p o o n P O
1 3 3 0 - 3 6 m o n t h s V i t a m i n - A 1 s p o o n P O
1 4 4 8 m o n t h s ( 4 y e a r ) M M R ( m ) 0 . 5 m l I / M
1 5 6 0 m o n t h s ( 5 y e a r ) O P V b o o s t e r 2 n d
d o s e
D P T
2 d r o p s
0 . 5 m l
P O
I / M
1 6 a d u l t v a c c i n e s
I n f l u v a c o n c e e v e r y y e a r f o r
a d u l t o f a n y a g e
I n f l u e n z a / f l u V a c c i n e 0 . 5 m l I / M
1 7 o n e b o o t e r d o s e e v e r y 1 0
y e a r
D P T 0 . 5 m l I / M
H P V V A C C I N E f o r w o m e n a g e d 1 9 t o 2 6 w h o d i d n o t g e t v a c c i n a t e d w i t h H P V d u r i n g c h i l d h o o d .
I M P O R T A N C E
H P V a l s o p r e v e n t t h r o a t c a n c e r o f t e n c a u s e d b y o r a l s e x .
BARRIERS TOIMMUNIZATION
PHYSICAL BARRIERS
-Waiting time
-Distance
-Discomfort
PSYCHOLOGICAL BARRIERS
-Discourtesy
-Endangered privacy
REASONS FOR LOW
IMMUNIZATIONCOVERAGE
FAILURE TO PROVIDE IMMUNIZATION
DROOUTS
UN-REACHED POPULATION:
Unawareness
Socio-economic barriers
Geographic area
Resistant population
Missed opportunities
Improper logistics management
WHATSHOULD NOTHOLD
ROUTINE IMMUNIZATION
 Minor illnesses such as upper respiratory
infections or diarrhoea, mild fever(>38.5 c)
 Allergy, asthma
 Prematurity, underweight newborn child
 Malnutrition
 Child being breastfed
 Family history of convulsions
 Treatment with antibiotics
 Chronic disease of heart, lung, kidney and liver
 History of jaundice after birth
COLDCHAIN
• A system of transporting andstoring vaccines at recommended
temperature from the point of manufacture to the point of
use.
THANKING YOU

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  • 2. Apopulartermofthecontinuousmaintenanceoflow temperature requiredforbiologicalsfromthe timeof manufacture toshipping,warehousing, andstoring beforeadministration. OR Themaintenanceofrefrigerationofitemsfromthepointof theiroriginatthemanufacturer,throughtheir transportation,unloading,distribution,andcold storageatthesitewheretheywillbeused.
  • 3. WHYIMMUNIZATION? Key strategy to child survival. Protecting infants from diseases. Lower morbidity and mortality ratesin children. Indicator of a strong primary health care system.
  • 4. IMMUNIZATION: COMMONTERMS IMMUNIZATION Process Of inducing immunity by stimulating immune system through antigens. OR The fact or process of becoming, as against a disease. IMMUNITY Resistance of a host to a specific agent OR Immunity means exemption or resistance
  • 5. CONTI… VACCINE Any preparation of a weakened or killed bacteria or viruses introduced into the body to prevent a disease by stimulating antibodies against it. VACCINATION Administration of antigenic material(the vaccine) to produce immunity to a disease.
  • 6. CONTI… • FULL IMMUNIZATION: • Beneficiary child(12-23 months) -3 doses of DPT and OPV each, 1 dose of BCG & measles each. • Mother- two dose or 1 booster dose of tetanus toxoid during her pregnancy. • PARTIAL IMMUNIZATION • Child-missed any vaccine or one or more dose Mother- received just one dose of primary tetanus • toxoid during last pregnancy
  • 7. CONTI… NON-IMMUNIZATION Child and/or mother –not received a single dose of vaccine. RING-IMMUNIZATION Vaccination of people in close contact with an isolated infected patient MOP-UP ROUNDS When the final pockets of polio virus transmission have been identified standard surveillance, door to door immunization in high-risk districts.
  • 8. CONTI…. CATCH UP ROUND Additional effort besides routine immunization to cover left outs. HERD IMMUNITY Resistance to spread of infectious disease in a group because of few susceptible members, making transmission unlikely. The immunological status of a population, determined by the ratio of resistant to susceptible members and their distribution.
  • 9. MILESTONES IN IMMUNIZATION ININDIA 1978: EPI 1985: UIP, measles vaccine added 1986: Technologymission 1990: VitaminA 1992: CSSM 1995: Polio National Immunization days 1997: RCH-I 2005: RCH-II andNRHM
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  • 12. V A C C I N A T I O N C H A R T S r . N o . T i m e V a c c i n e D o s e R o u t e 1 A t B i r t h B C G , s i n g l e d o s e ( m ) H e p - B 1 s t d o s e ( m ) O P V , 0 d o s e ( m ) H P V , s i n g l e d o s e ( o ) ( O n l y f o r g i r l s ) 0 . 5 m l 0 . 5 m l 2 d r o p s 0 . 5 m l I / D I/M P O I / M 2 6 w e e k ( 1 . 5 m o n t h s ) H e p - B 2 n d d o s e ( m ) O P V 1 s t d o s e ( m ) D P T 1 s t d o s e ( m ) H I B 1 s t d o s e ( o ) P n e u m o c o c c a l 1 s t d o s e ( o ) 0 . 5 m l 2 d r o p s 0 . 5 m l 0 . 5 m l 0 . 5 m l I/M P O I / M I/M I/M 3 1 0 w e e k ( 2 . 5 m o n t h s ) H e p - B 3 r d d o s e ( m ) O P V 2 n d d o s e ( m ) D P T 2 n d d o s e ( ) m H I B 2 n d d o s e ( o ) P n e u m o c o c c a l 2 n d d o s e ( o ) I P V 1 s t d o s e ( o ) 0 . 5 m l 2 d r o p s 0 . 5 m l 0 . 5 m l 0 . 5 m l 0 . 5 m l I / M P O I/M I/M I/M I/M 4 1 4 w e e k O P V 3 r d d o s e ( m ) D P T 3 r d d o s e ( m ) H I B 3 r d d o s e ( o ) P n e u m o c o c c a l 3 r d d o s e ( o ) I P V 2 n d d o s e ( o ) 2 d r o p s 0.5ml 0.5ml 0.5ml 0.5ml P O I/M I/M I/M I/M 5 6 m o n t h s H e p - B b o o s t e r ( m ) R o t a v i r u s s i n g l e d o s e ( o ) I n f l u e n z a ( o ) 0 . 5 m l 0.5ml 0.5ml I / M I/M I/M 6 9 m o n t h s M e a s l e s ( m ) 0 . 5 m l S / C 7 1 2 m o n t h ( o n e y e a r ) V a r i c e l l a ( m ) 0 . 5 m l I / M 8 1 5 m o n t h s ( 1 y e a r 3 m o n t h s ) M M R ( m ) P n e u n o c o c c a l b o o s t e r ( o ) I P V 3 r d d o s e ( o 0 . 5 m l 0.5ml 0.5ml I / M I/M I/M 9 1 6 - 2 4 m o n t h s V i t a m i n - A ( m ) 1 s p o o n P O 1 0 1 8 m o n t h s ( 1 r e a r 6 m o n t h s ) O P V b o o s t e r 1 s t d o s e ( m ) D P T b o o s t e r ( m ) H i b b o o s t e r ( o ) 2 d r o p s 0.5ml 0.5ml P O I/M I/M 1 1 2 y e a r T y p h o i d ( m ) H e p - A , s i n g l e d o s e 0 . 5 m l 0 . 5 m l I / M I / M 1 2 2 4 - 3 0 m o n t h s V i t a m i n - A 1 s p o o n P O 1 3 3 0 - 3 6 m o n t h s V i t a m i n - A 1 s p o o n P O 1 4 4 8 m o n t h s ( 4 y e a r ) M M R ( m ) 0 . 5 m l I / M 1 5 6 0 m o n t h s ( 5 y e a r ) O P V b o o s t e r 2 n d d o s e D P T 2 d r o p s 0 . 5 m l P O I / M 1 6 a d u l t v a c c i n e s I n f l u v a c o n c e e v e r y y e a r f o r a d u l t o f a n y a g e I n f l u e n z a / f l u V a c c i n e 0 . 5 m l I / M 1 7 o n e b o o t e r d o s e e v e r y 1 0 y e a r D P T 0 . 5 m l I / M H P V V A C C I N E f o r w o m e n a g e d 1 9 t o 2 6 w h o d i d n o t g e t v a c c i n a t e d w i t h H P V d u r i n g c h i l d h o o d . I M P O R T A N C E H P V a l s o p r e v e n t t h r o a t c a n c e r o f t e n c a u s e d b y o r a l s e x .
  • 13. BARRIERS TOIMMUNIZATION PHYSICAL BARRIERS -Waiting time -Distance -Discomfort PSYCHOLOGICAL BARRIERS -Discourtesy -Endangered privacy
  • 14. REASONS FOR LOW IMMUNIZATIONCOVERAGE FAILURE TO PROVIDE IMMUNIZATION DROOUTS UN-REACHED POPULATION: Unawareness Socio-economic barriers Geographic area Resistant population Missed opportunities Improper logistics management
  • 15. WHATSHOULD NOTHOLD ROUTINE IMMUNIZATION  Minor illnesses such as upper respiratory infections or diarrhoea, mild fever(>38.5 c)  Allergy, asthma  Prematurity, underweight newborn child  Malnutrition  Child being breastfed  Family history of convulsions  Treatment with antibiotics  Chronic disease of heart, lung, kidney and liver  History of jaundice after birth
  • 16. COLDCHAIN • A system of transporting andstoring vaccines at recommended temperature from the point of manufacture to the point of use.
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