Expanded Program On Immunization
Expanded Program On Immunization
Expanded Program On Immunization
Dalisay RN
OBJECTIVE: To reduce morbidity, mortality among infants caused by childhood immunizable diseases. FULLY IMMUNIZED CHILD: (FIC) A child who received 1 dose of BCG at birth, 1 dose of Hepa B at birth, 3 doses of Penta, 3 doses of OPV, 1 dose of Measles vaccine reaching the age of 9 months up to 12 months.
COMPLETE IMMUNIZED CHILD: (CIC) A child who received all the antigen but not at the target age of 12 months. 5 Rs in EPI Right child Right vaccine Right doses Right site/ route Right interval
Poliomyelitis Measles Diphtheria Pertussis (whooping cough) Tetanus Tuberculosis Hepatitis B Rotavirus Haemophilus Influenzae Type B infection
Intramuscular deep into the muscle, 90 position perpendicular to the site of injection Subcutaneous just below the skin, at a slanting position, 45 to the site of injection Intradermal top layer of the skin, needle almost 15 parallel to the site of injection
At Birth
6 weeks
10 weeks
14 weeks
9 months
12 months
Dose of TT 1 2 3
When to give At first contact or as early as possible in pregnancy At least 4 weeks after TT1 At least 6 months after TT2 or during subsequent pregnancy At least 1 year after TT3 or during subsequent pregnancy At least 1 year after TT4 or during subsequent pregnancy
4 5
At least 10 years For all child bearing years and possibly longer