S witch A training module for I ndependent M onitors for the switch from trivalent OPV to bivalent OPV Version 2 February 2016 For adaptation and use by regions and countries What is covered in this Presentation ID: 776566
Download Presentation The PPT/PDF document " Independent Monitoring of the " is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Independent Monitoring of the Switch
A training module for Independent Monitors forthe switch from trivalent OPV to bivalent OPV
Version:
2
February
2016
For adaptation and use by regions and countries
Slide2What is covered in this Presentation?
2
How do I complete monitoring tools?
What do monitors do?
3
4
What is the switch?
1
At the end of
this
presentation, switch monitors will understand:
What is the purpose of monitoring?
2
Slide3What is the switch?
Polio eradication and the switch from trivalent OPV to bivalent OPV
3
Slide4Immunization efforts have reduced the number of polio cases globally by more than 99% over the last two decades.
There are three types of polio viruses: 1, 2, and 3.
Type 2 wild poliovirus has been eradicated. The last type 2 wild poliovirus was detected in 1999.
We
are close to the eradication of polio
4
Together, we can finish the job of eradicating
all types of polio
.
Slide5Oral Polio Vaccine (OPV) and Inactivated Polio vaccine (IPV)
Both
oral
(OPV) and
injectable
(IPV) vaccines are used to fight against polio today.
Trivalent
OPV (
tOPV
) provides protection against types 1,2, and 3 poliovirus while
bivalent
OPV (
bOPV
) protects against types 1 and 3 poliovirus.
bOPV
provides
stronger protection
against types 1 and 3 poliovirus than
tOPV
and is
safer
.
Because
type 2 poliovirus has been eradicated
, the world can now stop
tOPV
use and begin
bOPV
use (i.e.,
Switch
)
Slide6Switch in April 2016
The switch from
tOPV
to
bOPV
must
occur
at the
same
time across the country and the world
6
Switching from
tOPV
to
bOPV
at the same time across the country and the world is the
safest strategy
Slide7[INSERT COUNTRY] Information
Switch day: [INSERT SWITCH DAY(S)]IPV introduced: [INSERT PAST OR FUTURE DATE]bOPV distribution: [EXAMPLE: TO DISTRICT LEVEL STORES]*Adapt this slide to provide country context
7
Slide8What is the purpose of monitoring?
Independent Monitoring Overview
8
Slide9Monitoring should prevent ongoing use of tOPV after the switch
Objectives of Switch MonitoringEnsure withdrawal of tOPV (Primary)Assess introduction of bOPV and IPV (Secondary)Provide national authorities with data to Validate the SwitchSwitch monitoring ideally should prevent:Storage of large stocks of tOPV at district level and subsequent distribution to service points after switchOngoing use of tOPV at service delivery levelUse of scavenged tOPV after the switch
9
Slide10Independent monitors contribute to the first of three Steps to National Validation
10
1
2
3
Slide11Strive to complete monitoring within the first week of the Switch Date
11
Typically within 3-5 days
Typically within 7-10 days
Within
14 days
Government takes immediate corrective action if tOPV is identified
Slide12Monitors are an important part of the switch!
Independent monitors are responsible for key activities reduce risk of polio. These activities include: Providing an unbiased, credible assessment of how well the switch has been performedEnsuring that no tOPV is being administered after switch dayCorrecting problems that may arise during implementation of the switch
12
Slide13What do monitors do
?
Independent Monitoring Strategy and Implementation
13
Slide14Overview of sites with tOPV storage or use
Primary
(National) stores:
Sub-national
(Regional
or Provincial) stores:
Lowest
distribution level
(District) stores:
Service points
(health facilities)
14
Slide15Overview of Recommended Monitoring Strategy
The strategy is to rapidly identify facilities with large stocks of tOPV post-switch and implement immediate corrective action National stores down to District level:Verify tOPV is removed from cold chain in ALL vaccine cold chain stores down to the district levelService delivery points:Due to large number of service points, higher risk facilities will be selected for independent monitoring by the Monitoring Coordinator/Supervisor
15
Slide16Summary of the Monitoring Process
Primary
(National) stores:
Sub-national (Regional
or Provincial) stores:
Lowest
distribution level (District) stores:
Service points
(health facilities):
Visit
100%
of the vaccine stores
Independent monitors
Monitor
only
delivery points
selected by the Supervising Official
16
Slide17Preparation
Prior to facility visits, independent monitors will…Receive list of cold chain stores and service points from coordinator/supervisorReview and finalize micro-plan for visit schedule to sitesInstructions, transportation, cell phone, data collection instrumentsReceive and review protocols for:Follow-up of sites that cannot be visited on scheduleCorrective action if tOPV is foundRetrieve Independent Monitoring Data Collection Tool (Form 1) to record each site visited
17
Slide18[INSERT COUNTRY] Protocols
Protocol for follow up of sites that cannot be visited on schedule: [INSERT INFORMATION ON PROTOCOL]Protocol for corrective action if tOPV is found :[INSERT INFORMATION ON PROTOCOL]*Adapt this slide(s) to reflect country protocols
18
Slide19Visit Places that Store Vaccines
Complete separate form for each administrative level assigned to you by the Official (national, subnational, district or service delivery points with fixed vaccination services)Fill out date of monitoring, name of monitor, select level of cold chain, name of administrative level List store name or location Ask staff at site to show you the vaccine storage equipmentExamine contents and complete line listing for facilityDon’t forget to check for bOPV and IPVObtain information on number of vials disposed (stock ledger or other record), disposal method and corrective actionsDetermine if a follow-up visit is needed for the siteTally the totals for columns B-F
19
Slide20Report Findings
Send SMS or call Monitoring Coordinator/Supervisor on a daily basis or more frequently if concerns are identifiedSubmit forms daily to monitoring coordinator/supervisorComplete any follow-up visits as requested
20
Slide21Visit and monitor all cold chain stores down to the district level
Visit and monitor the selected 10% of Service Points
tOPV vial (opened or unopened)
Stop and Report to Supervisor
Dispose of tOPV according to instructions and report to Supervisor for follow-up activities
No
Yes
Site Visits and Corrective Action by
Independent Monitor
21
Slide22Practical Session
22
How do I compete forms?
Slide231 form: Independent Monitoring Data Collection Tool
Completed by: Independent MonitorReported to: Monitoring coordinator/supervisor Reporting frequency: Daily during monitoringNumber of forms: Separate table for each administrative level being monitored (primary, subnational, district and service delivery points with fixed vaccination services)
23
Slide24Store Location or NametOPV in cold chain (Yes = 1No = 0)tOPV out of cold chain without label “Do not use” (Yes = 1No = 0)bOPV in cold chain (Yes = 1No = 0)IPV in cold chain (Yes = 1No = 0)# vials disposed or pending disposal at time of monitoring# vials destroyed at service point by report dateDisposal method (Multiple codes okay)*Corrective actions** (Multiple codes okay)Status (ongoing or completedDue date, if ongoing ABCDEFFGHIJ1 2 3 4 5 6 7 8 9 10 TOTAL # stores
Date of Monitoring: ____________________ Name of Monitor: _____________________________Level of cold chain: Primary: _____ Sub-National (Regional/Provincial): _______ Lowest distribution level (District): ______ Service Delivery Point (Fixed site): ________Name of administrative level: ____________________________
*Codes for disposal method: (1): Autoclave (2): Boiling (3): Incineration (4): Encapsulation (5): Burial (6): Burning (7): Other **Codes for corrective action: (1): tOPV withdrawn (2): Onsite re-training (3): Officials at higher administrative level notified (4): Other (please specify)
Independent Monitoring Data Collection Tool
24
Slide25Contact Details for Daily Feedback
Monitoring coordinator: [INSERT CONTACT NUMBER]
25
Slide26The End
26
Thank you
!