With the advent of new vaccines, an additional injection may be given at each immunization contact. For example countries using Pentavalent vaccine, when they introduce pneumo vaccine need to give additional injection to the child on the same day.
Giving multiple injections (simultaneous injections)- is that a problem for health staff. Would they hesitate in doing this? How can the health workers be trained on give more than one injection? What are the key messages for parents? Any advice/experiences will be helpful, as we are now preparing materials for Introduction of new vaccines.
Dear Jhilmil,
I found the materials developed by the Michigan Department of Community Health quite useful.
1. www.aimtoolkit.org/children/immun/Giving_All_the_Doses_12_Months_and_Older.pdf
2. www.aimtoolkit.org/children/immun/Giving_All_the_Doses_Under_12_Months.pdf
Based on these materials, we created FAQs and visuals ifor our "Immunization Handbook for Medical Officers" published by the Govt of India (see page 26).
www.whoindia.org/LinkFiles/Routine_Immunization_Immunization_Handbook_for_Medical_Officers_.pdf
Regards,
Tasnim
Thanks Tasnim for these resources. In your supervisory visits have you seen health workers or parents hesitate about giving more than one injection on the same day, like measles and late DTP3 for example?
Dear Jhilmil,
Health workers avoid giving multiple injections simulataneously, citing parental refusal (also perhaps reflecting their own fears). However, this is purely based on observation and anecdote. I looked for supporting literature and found two studies (both from developed countries) that seem to indicate the same thing. In case you haven't come across them, the links to the abstracts are provided below.
http://archpedi.ama-assn.org/cgi/content/abstract/149/8/845
http://www.ncbi.nlm.nih.gov/pubmed/19368778
Regards,
Tasnim
Dear Ann,
Good to hear from you. Thank you for providing the links, I shall certainly look them up. The australian handbook is very concise and well designed. We refer to the it often.
regards
Jhilmil
Dear Dr. Smith,
Thanks for providing the link to General Recommendations on Immunization, it a good resource and will definitely help us in defining key messages for health staff. US is used to giving multiple injections, however this is still new in several developing countries. I shall prepare some communication messages related to multiple injections and share with Technet community for feedback. Please do continue to provide your valuable input to the community.
regards
Jhilmil
- Page :
- 1
There are no replies made for this post yet.