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Expanded Program On
Immunization
EXPANDED PROGRAM ON
IMMUNIZATION
-established in 1976
-ensure that infants/children and
mothers have access to routinely
recommended infant/childhood
vaccines.
Six vaccine-preventable diseases
1. Tuberculosis
2. Poliomyelitis
3. Diphtheria
4. Tetanus
5. Pertussis
6. Measles
Over-all Goal
To reduce the morbidity and
mortality among children
against the most common
vaccine-preventable diseases.
Specific Goals
1. To immunize all infants/children against
the most common vaccine-preventable
diseases.
2. To sustain the polio-free status of the
Philippines.
3. To eliminate measles infection.
4. To eliminate maternal and neonatal
tetanus
5. To control diphtheria, pertussis,
hepatitis b and German measles.
6. To prevent extra pulmonary
tuberculosis among children.
Republic Act No. 10152
-“Mandatory Infants and Children Health
Immunization Act of 2011”
-President Benigno Aquino III
-July 26, 2010
-Basic immunization for children under 5
including other types that will be determined
by the Secretary of Health.
STRATEGIES
1. Conduct of Routine Immunization for
Infants/Children/Women through the Reaching
Every Barangay (REB) strategy
2. Supplemental Immunization Activity (SIA)
3. Strengthening Vaccine-Preventable Diseases
Surveillance
4. Procurement of adequate and potent vaccines
and needles and syringes to all health facilities
nationwide
Polio
-poliomyelitis
-caused by poliovirus
-crippling and potentially
infectious
-infects the person’s brain and
spinal cord causing paralysis
Diptheria
-bacterial infection
-affects the nose and throat
-cause breathing problems
and swallowing
Measles
-caused by a virus
-airborne
-infects the respiratory tract
Neonatal Tetanus
-infection occurs at unhealed
umbilical stump (non-sterile
equipment)
Pertusis
-whooping cough
- “100 day cough”
- Highly contagious respiratory
disease
Tuberculosis
-affects the lungs
-airborne
Hepatitis B
-viral infection
-attacks the liver
-transmitted through blood or
other body fluids
Poliomyelitis
-OPV (Oral Polio Vaccination)
-6 weeks old
-3 doses (2-3 drops)
-4 weeks
- Oral
- The extent of protection against
polio is increased the earlier the OPV
is given
Measles
-MCV
-Measles-Containing Vaccine
-9 months old
-2 dose (0.5 mL)
- Subcutaneous
- Upper outer portion of the arms
- At least 85% of measles can be
prevented by immunization at this
age
Hepatitis B
-HEPATITIS
- At birth
-3 doses (3 doses)
-4 weeks interval
- Intramuscular
- Upper outer portion of the thigh
- Prevents liver cirrhosis and liver
cancer
Diphtheria-Pertusis-Tetanus
-DPT
-6 weeks old
-3 doses (0.5 mL)
-6 weeks(DPT 1), 10 weeks (DPT 2),
14 weeks (DPT 3)
- Intramuscular
- Upper outer portion of the thigh
- An early start with DPT reduces the
chance of severe pertussis
Tuberculosis
-BCG (Bacillus Calmette-Guérin)
-at birth
-1 dose (0.05 mL)
- none
- Intradermal
- Right deltoid region of the arm
- BCG given at earliest possible age
protects the possibility of TB
meningitis and other TB infections in
which infants are prone
Vaccine
Minimum
Age/Interval
Percent
Protected
Duration of Protection
TT1 At 20th weeks AOG 0%
 protection for the mother for
the first delivery
TT2 At least 4 weeks later 80%
 infants born to the mother
will be protected from
neonatal tetanus
 gives 3 years protection for
the mother
TT3 At least 6 months later 95%
 infants born to the mother
will be protected from
neonatal tetanus
 gives 5 years protection for
the mother
TT4 At least 1 year later 99%
 infants born to the mother
will be protected from
neonatal tetanus
 gives 10 years protection for
the mother
TT5 At least 1 year later 99%
 gives lifetime protection for
the mother
 all infants born to that mother
will be protected

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Expanded program on immunization