Cervarix TM Essential Training Package for HPV Vaccine Introduction Learning objectives At the end of the module you will have learned to Define process of monitoring HPV vaccine coverage data ID: 739226
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Slide1
Module 5Recording and monitoring of HPV vaccineCervarixTM
Essential Training Package for HPV Vaccine IntroductionSlide2
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 levelSlide5
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 siteSlide6
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 siteSlide9
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 defaultersSlide12
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 proceduresSlide13
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
3Slide14
AEFI reporting form
AEFI report should contain
Details of
PatientDetails of the event
Details of
Vaccine
Reporter detailsSlide15
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 siteSlide16
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 vaccine should be reported immediately to reporting authoritiesThe AEFI reporting form should contain details of patient, event, vaccine and reporter detailsMonitoring AEFI related to HPV vaccineSlide17
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