DR.I.SELVARAJ I.R.M.S
B.Sc.,M.B.B.S.,D.P.H.,D.I.H.,PGH&FW/NIHFW/NEW
DELHI/Trained Epidemiologist/C.M.C,VELLORE,S.INDIA
• Senior Divisional Medical
Officer, Railway Hospital,
Chennai Division, Southern
Railway, India
VISION
HEALTH FOR ALL
GOAL
ERADICATION OF
POLIO BY 2000AD
OBJECTIVE
REPLACEMENT OF
HARMFUL WILD POLIO
VIRUS IN THE COMMUNITY
STRATEGY
INTENSIFIED PULSE POLIO
IMMUNIZATION PROGRAMME
PROGRAMME
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THE INTENSIFIED PULSE
POLIO IMMUNIZATION
PULSE POLIO
IMMUNIZATION
1.
2.
3.
4.
5.
6.
SIMULTANEOUS
MASS IMMUNIZATION
SUDDEN
TO ALL CHILDREN OF 0-59
MONTHS OF AGE
ON FIXED DATE
THROUGHT THE COUNTRY
Strategic Planning
Developing a plan of action
 Publicity and mass awareness
 Management of vaccination day
 Managing the immunization post
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The action plan
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Training and orientation of various
categories of workers/volunteers
Motivation of volunteers and masses
Publicity and mass awareness
Identification of vaccination centres
Management of vaccination centres and
control room
Program finances
Transportation and communication
The function of control
room
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Storage of vaccine
Preparation of frozen ice packs
Preparing vaccine carrier with frozen ice
packs
Vaccine supply
Delivery of vaccine by vehicles to
various centres
Replacement of manpower from reserve
list
Collection of statistics
Management of
vaccination day
Identification of a place as
vaccination centre
 Deployment of manpower in centres
 Supply of vaccines
 Maintenance of cold chain
equipment by end of the day
 Collection of records at the end of
the day
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Management of
Vaccination centre-1
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Number of children should be restricted
to 250 to each centre
Each centre has to be managed by 4
categories of people
1) team leader
2) paramedical worker to administer
vaccines
3) paramedical worker for record keeping
4) paramedical worker/volunteers for
mobilization of people to bring children
Management of vaccination
centre-2
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To ensure that the centre is open in time
To guide the volunteers to make house-to-house
visit for finding eligible infants and children
A mid day assessment
To monitor the paramedical workers while
immunizing the children
The vaccines are administered by vaccinator
only
Only one vial to be used at a time from the
vaccine carrier
Simply maintain record of total vaccines given
rather than writing unnecessary details
To remind the parents about the next date of PPI
Vaccine carrier
1.
2.
3.
4.
5.
6.
7.
Place some packing material between
DPT vaccine and the ice to prevent
them from touching the ice packs
Close the lid tightly
Clean and dry after every use
Clean and dry inner side of carrier
after use
Keep the carrier away from direct
sunlight
The carriers with four ice packs can
keep the vaccine cold for 2 days
Do not sit or place anything heavy on
a vaccine carrier
Vaccine carrier-2
1.
2.
3.
4.
5.
6.
A carrier for small quantities of vaccines
(16-20 vials)
The ice packs for lining the sides of the
carrier should be fully frozen
The lid of carrier should be closed tightly
The vials of DPT, DT, and TT vaccines
should not be in direct contact with the
frozen packs
Place fully frozen ice packs in the carrier
and wait for few minutes for temperature
to fall to less than 8 degree Celsius
Put vaccine vials and ampoules in a
polythene bag and close it
Guidelines for optimal storing of
vaccines at HU/SDH/DH-1
1.
2.
3.
4.
5.
BCG and MEASLES vaccine to be
stored in either the freezer or the
shelf nearest to the freezer
Check the temperature twice a day
and maintain a record
Follow First- in –First – out Rule
Do not keep vaccines which are
expired
Keep the vaccines neatly with space
between the stacks for circulation
of air
Guideline-2
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Minimum stock(not more than 1 month
requirement)of vaccines should be kept
in the fridge at a time
Do not keep any vaccine in door panel
You should never keep DPT,DT,Typhoid
vaccine in the freezer chamber of the
refrigerator
These should be kept in lower
compartments
To keep the OPV which is in current use
in central compartment of the
refrigerator to avoid repeated freezing
and thawing
Common problems
associated with PPI
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Preparations begin too late
Vaccines ordered too late
Inadequate awareness about PPI in
masses
Inadequate distribution of vaccines and
manpower to the centres
Inadequate transport facility to supply
vaccines
Long lines at vaccination centres
Recording too much information for each
child
Posts open late or not open during lunch
hours for working parents
Inadequate feed back
Publicity and mass
awareness
Opinion makers
 Extensive use of media
 Organizing various events
 A)rally of school children
 B)sports events
 C)human chain formation
 D)and run for polio
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Conclusion
Basic concept of PPI
 Value of cold chain maintenance
 100% mass media coverage
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