Module 5 Recording and monitoring of HPV vaccine
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Module 5 Recording and monitoring of HPV vaccine

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Module 5 Recording and monitoring of HPV vaccine




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Presentation on theme: "Module 5 Recording and monitoring of HPV vaccine"— Presentation transcript:

Slide1

Module 5Recording and monitoring of HPV vaccineGardasilTM

Essential Training Package for HPV Vaccine Introduction

Slide2

Learning objectives

At

the end of the module,

you

will have learned to:Define process of monitoring HPV vaccine coverage dataDescribe the 4 main monitoring tools at service delivery levelDescribe the procedure to monitor AEFIsDuration 25’

Slide3

Key issues

What

is

the process for AEFI monitoring and reporting?3

2

How

to use the

monitoring tools?

1

What is the

process for

HPV vaccine

coverage monitoring?

Slide4

Flowchart of HPV vaccine coverage monitoring process and tools

1 - Service delivery/site level

(i.e. point of vaccine delivery)

Record each vaccinated girl

by year of age and by dose number

(fill out one tally sheet/vaccination day)

Sum up tally sheets

Report numbers of doses given by year of age and by dose number to district

Data collection & reporting tools

1-

I

mmunization cards

2-

Immunization register

3-Tally sheet

4- Monthly report

2 - District level

3 - Country level

Slide5

HPV vaccine coverage data collection procedure1

2

3

4

Register each eligible girlComplete the girl’s immunization card

Tally the number of dose given, by dose number & by year of age

(per vaccination)

Calculate

sub-totals of HPV doses given, by dose number & by year of age (at the end of each vaccination session)

Immunization register

Immunization card

Tally Sheet

Monthly record sheet

Key steps

Tools

5

Report the sub-totals to service delivery site

Slide6

Monitoring tool 1: Immunization card

HPV vaccination should always be recorded in the appropriate immunization card

Girls and Health Workers need to understand the importance of the card and how

to handle it

Slide7

What

should

you do in this scenario? The girl does not bring her HPV immunization card How should you record the vaccination given?

Slide8

Monitoring tool 2: Immunization registerRecord the details of each girl in the register

When

a girl returns for HPV2 or

HPV3

use her card to locate her entry in the registerUse register to follow up with girls that did not return for 2nd or 3rd dose of HPV vaccine

Use one register per service delivery site

Slide9

Monitoring tool 3: Tally sheetRecord the number (No.) of HPV doses given on a single vaccination day

Date of vaccination (DD/MM/YYYY):

01/01/2010

District

: _____________________________________________________________________Town/Village: _________________________________________________________________Service delivery site: __________________________________________________________  

 

Age (years)

No. of HPV1 doses given

No. of HPV2 doses given

No. of HPV3 doses given

OPTIONAL CHECK COLUMN

(sum up rows)

9

00000

000

00

00000 00000

00000 00000

00000 00000

9yrHPV1

=

8

00000

00000

00000 00000

00000 00000

00000 00000

9yrHPV2=

 

10

000

00 00000

00000 00000

00000 00000

00000 00000

9yrHPV3

=

3

 

 

=

10

00000 00000

00000 00000

00000 00000

00000 00000

10yrHPV1

=

0

00000

00000

00000

00000

00000 00000

00000 00000

10yrHPV2=

 

15

0000

0 00000

00000 00000

00000 00000

00000 0000010yrHPV3= 4   =1100000 0000000000 0000000000 0000000000 0000011yrHPV1=00000 0000000000 0000000000 0000000000 0000011yrHPV2=00000 0000000000 0000000000 0000000000 0000011yrHPV3=   =1200000 0000000000 0000000000 0000000000 0000012yrHPV1=00000 0000000000 0000000000 00000 00000 0000012yrHPV2=00000 0000000000 0000000000 0000000000 0000012yrHPV3=   =1300000 0000000000 0000000000 0000000000 0000013yrHPV1=00000 0000000000 0000000000 0000000000 0000013yrHPV2=00000 0000000000 0000000000 0000000000 0000013yrHPV3=   =14 00000 0000000000 0000000000 0000000000 0000014yrHPV1=00000 0000000000 0000000000 0000000000 0000014yrHPV2=00000 0000000000 0000000000 0000000000 0000014yrHPV3=   =≥1500000 0000000000 0000000000 0000000000 0000015yrHPV1=  00000 0000000000 0000000000 0000000000 0000015yrHPV2=00000 0000000000 0000000000 0000000000 0000015yrHPV3=   =Unknown  00000 0000000000 0000000000 0000000000 00000UknHPV1=00000 0000000000 0000000000 0000000000 00000UknHPV2=00000 0000000000 0000000000 0000000000 00000UknHPV3=   =OPTIONAL CHECK ROW(sum up columns)  =  = = Grand total =

Slide10

Monitoring tool 4: Monthly Record Sheet

Month/Year of report:

01/2010

District:

________________________________Town/Village:____________________________Service delivery site: _____________________ 

Age (years)

No. of HPV1 doses given

No. of HPV2 doses given

No. of HPV3 doses given

 

9

year old

9yrHPV1:

9yrHPV2:

9yrHPV3:

1.

2.

3.

4.

5.

Total

1.

2.

3.

4.

5.

Total

1.

2.

3.

4.

5.

Total

8

 

 

 

 

 

10

 

 

 

 

 

3

 

 

 

 

 

10 year old

10yrHPV1:

10yrHPV2:

10yrHPV3:

1.

2.

3.

4.

5.

Total

1.

2.

3.

4.

5.

Total

1.

2.

3.

4.5.Total0     15     4     11 year old11yrHPV1:11yrHPV2:11yrHPV3:1.2.3.4.5.Total1.2.3.4.5.Total1.2.3.4.5.Total       

 

 

 

 

 

 

 

 

 

 

 

12 year old

12yrHPV1:

12yrHPV2:

12yrHPV3:

1.

2.

3.

4.

5.

Total

1.

2.

3.

4.

5.

Total

1.

2.

3.

4.

5.

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13 year old

13yrHPV1:

13yrHPV2:

13yrHPV3:

1.

2.

3.

4.

5.

Total

1.

2.

3.

4.

5.

Total

1.

2.

3.

4.

5.

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14 year old

14yrHPV1:

14yrHPV2:

14yrHPV3:

1.

2.

3.

4.

5.

Total

1.

2.

3.

4.

5.

Total

1.

2.

3.

4.

5.

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15 year olds

15yrHPV1:

15yrHPV2:

15yrHPV3:

1.

2.

3.

4.

5.

Total

1.

2.

3.

4.

5.

Total

1.

2.

3.

4.

5.

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unknown

UknHPV1:

UknHPV2:

UknHPV3:

1.

2.

3.

4.

5.

Total

1.

2.

3.

4.

5.

Total

1.

2.

3.

4.

5.

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Slide11

Using data to improve HPV vaccine coverageCompare doses given to the target population by year (e.g. no. of 9 year old girls that received HPV1 dose versus no. of 9 year old girls in the catchment area) and consider:

Are there

groups of girls

that are not reached?

Are girls in the right age group being vaccinated?Compare number of HPV1 doses administered with number of HPV2 and HPV3 doses administered and considerAre there problems with communication, vaccine availability, etc. causing drop-outs?Identify and vaccinate defaulters

Slide12

Considerations of AEFI related to HPV vaccineHPV vaccine is a safe vaccine but mild adverse events can occur after administering the vaccineRedness, pain or swelling

at the injection site

Syncope (fainting)

In extremely rare instances it

can cause anaphylaxisOne per 1.7 million dosesGirls should be observed carefully for 15 minutes after administration of vaccineManage and document any adverse reaction accordingly to the national reporting procedures

Slide13

Procedure for AEFI reporting

Report

AEFIs

through existing AEFI reporting systems established by national immunization programs Suspected signs or symptoms1Health worker should

immediately report to a local public

health

authority

2

National

Authorities

will

then

decide

if

futher

investigation

is

required

3

Slide14

AEFI reporting form

AEFI report should contain

Details of

PatientDetails of the event

Details of

Vaccine

Reporter details

Slide15

Key messages (1/2)

Monitoring and reporting HPV vaccine coverage

is crucial for evaluating the performance of the immunization programme and

its impact on the vaccinated girls

HPV vaccine coverage should be monitored by year of age and by dose numberVaccine coverage should be monitored with a set of tools including immunization card, register, tally sheet, and monthly report form.The process for monitoring vaccine coverage data includes 5 stepsMonitoring vaccine coverage1.Registering girls details2. Using

immunization

card

3. registering

given dose

per age

4.

Calculate sub-totals

of HPV dose given

5.

Report

Sub-totals

to

service delivery site

Slide16

Key messages (2/2)

Monitoring and reporting AEFI related to HPV

vaccine is

essential for dispelling rumors and

monitoring continued safety of HPV vaccinesAEFI should be reported using the existing system established by the national immunization programSuspected AEFI related to HPV vaccines should be reported immediately to reporting authoritiesThe AEFI reporting form should contain details of patient, event, vaccine and reporter detailsMonitoring AEFI related to HPV vaccine

Slide17

End of module

Thank you

for your attention!

Slide18

ReferencesComprehensive 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

Draft Human Papillomavirus (HPV) Vaccine Coverage Monitoring Tool. WHO 2012