module 4 hpv vaccine administration cervarix tm
DESCRIPTION
Essential Training Package for HPV Vaccine Introduction. Module 4 HPV vaccine administration Cervarix TM. Learning Objectives. At the end of this module , you will have learned to: Describe activities carried out before, during and after an immunization session. - PowerPoint PPT PresentationTRANSCRIPT
Module 4
HPV vaccine administration
CervarixTM
Essential Training Package for HPV Vaccine Introduction
HPV Vaccine administration, Module 4 | 19 April 20232 |
Learning Objectives
At the end of this module, you will have learned to:– Describe activities carried out before, during and after an
immunization session.– Describe how to ensure that vaccine is of good quality
– Describe the technique to administer the vaccine – Describe considerations for conducting immunization
session in school setting
Duration – 45 ’
HPV Vaccine administration, Module 4 | 19 April 20233 |
How to ensure that the vaccine is of good quality ?
1
How to prepare for vaccination?2
Key issues
How to administer the vaccine ?3
What to do after completing the immunization session ?
5
How to handle 2-dose vial of CervarixTM vaccine ?
4
HPV Vaccine administration, Module 4 | 19 April 20234 |
Immunization sessions: phases & critical activities
Phase 1Before girls come for immunization
Phase 2When girls come for
immunization
Phase 3After all girls leave
immunization AREA
HPV Vaccine administration, Module 4 | 19 April 20235 |
Phase 1: Before girls come for immunization
1. Take vaccines and vials out of the refrigerator
2. Check expiry date and VVM status for each vial
3. Collect & arrange supplies and monitoring tools for immunization session
4. Prepare an AEFI Kit
HPV Vaccine administration, Module 4 | 19 April 20236 |
How to ensure that vaccine is of good quality?
Check the temperature inside the refrigerator, if vaccine freezing is suspected perform the Shake test to confirm
Check VVM status
Check the expiry date on the vials
HPV Vaccine administration, Module 4 | 19 April 20237 |
How to check VVM status?
Before administering the vaccine, you need to check the Vaccine Vial Monitor (VVM) on the vaccine vial
HPV Vaccine administration, Module 4 | 19 April 20238 |
What should you do in this scenario?
The vaccine vial monitor shows that the inner square is lighter than the outer circle?
What should you do?
HPV Vaccine administration, Module 4 | 19 April 20239 |
Checklist of supplies and monitoring toolsneeded for HPV vaccination
Supplies Vaccine and syringes IEC materials (e.g. flyers, pamphlets,
posters) Chair and table Water and soap for cleaning hands Trays Safety box Containers for used vials Drugs to manage allergic reactions- 'AEFI
kit' Chairs to rest after vaccination (15 mins) Pen, pencil
Monitoring tools Vaccination register Tally sheets Vaccination cards Calendar
HPV Vaccine administration, Module 4 | 19 April 202310 |
Phase 2: When girls come for immunization
1. Check eligibility of girls
3. Administer vaccine according to the recommended techniques and injection site
5. Complete immunization card and tally sheet
6. Give key messages to girl/caregiver/parent: inform about vaccines given, side effects, and date of return
4. Dispose used syringes immediately into the safety box after each injection
2. Prepare injection using aseptic techniques
HPV Vaccine administration, Module 4 | 19 April 202311 |
What to do when girls come for immunization ?
1.Greet the girl
2.Verify, register, explain HPV
vaccine benefits
3.Prepare for vaccine
4.Inject in the upper
arm
5.Determine date for next vaccine
dose 6.Return the
updated card
7.Observe the girl for
15’
HPV Vaccine administration, Module 4 | 19 April 202312 |
How to prepare for vaccination ? (1/3)
Shake the vial well
Open AD syringe package and remove the syringe and needle from plastic wrapping
Ensure that you do not touch any part of the needle
HPV Vaccine administration, Module 4 | 19 April 202313 |
How to prepare for vaccination ? (2/3)
Take off the needle cap when you are ready to give the vaccine
Insert the needle into the vaccine vial
Draw vaccine from the vial into the 0.5mL syringe
HPV Vaccine administration, Module 4 | 19 April 202314 |
Route and site of administration
Injection route: Intramuscular
Injection site: the upper arm, check national policy on which arm (left or right)
The injection angle- 90 degree angle
HPV Vaccine administration, Module 4 | 19 April 202315 |
Proper handling of 2-dose vial of CervarixTM?
After opening, handle the vaccine in the same manner as:
– A reconstituted BCG vaccine vial– Or measles vaccine vial
Discard any opened vial with unused doses:
– At the end of immunization session– Or 6 hours after opening
During the session:– Put open vials in the vaccine carrier– DO NOT return them in the refrigerator
HPV Vaccine administration, Module 4 | 19 April 202316 |
Phase 3: After all girls leave immunization site
1. Complete Immunization tally sheet by counting the number of doses given
2. Return unopened vaccine vials to the refrigerator
3. Put safety box in a safe location
4. Inform community of the next session and activities planned to reach unvaccinated girls
HPV Vaccine administration, Module 4 | 19 April 202317 |
Key messages
HPV vaccine session requires planning of activities before girls come, when girls arrive and after all girls leave
The quality of vaccine should be checked before giving the vaccine
The HPV vaccine is given as an intramuscular injection in the deltoid muscle of the upper arm
Discard any opened vials with unused doses at the end of the immunization session or 6 hours after opening
HPV Vaccine administration, Module 4 | 19 April 202318 |
End of module
Thank youfor your attention !
HPV Vaccine administration, Module 4 | 19 April 202319 |
References
Comprehensive Cervical Cancer Control. A guide to essential practice (C4 GEP). WHO 2013
HPV vaccine introduction into national immunization programmes: Information for programme managers and health workers. WHO 2013
Global update on HPV vaccine introduction