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New Vaccine Post-Introduction Evaluation - libdoc.who.int - World ...

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Abbreviation<br />

GEN<br />

61. Are follow-up visits conducted at sites with<br />

inadequate performance and continuing problems?<br />

Central/Regional/District Questionnaire<br />

Yes<br />

No<br />

DIST<br />

GEN<br />

62. Have you received a supervisory visit? If yes, when<br />

and by <strong>who</strong>m?<br />

ADVERSE EVENTS FOLLOWING IMMUNIZATION (AEFI)<br />

63. Do you have a system and written protocol for<br />

monitoring and reporting AEFIs for all vaccines?<br />

Please describe the procedure.<br />

Yes No<br />

When _ ______________________________<br />

By <strong>who</strong>m ____________________________<br />

Ask to see a copy of the visit report.<br />

Yes No<br />

If no, why not _ ________________________<br />

Ask for a copy of the AEFI protocol and reporting<br />

form.<br />

.<br />

GEN<br />

GEN<br />

GEN<br />

GEN<br />

GEN<br />

GEN<br />

64. Do you have a crisis plan in place to manage<br />

AEFIs? Please describe.<br />

65. Did you make any changes to the AEFI protocol<br />

specifically for the new vaccine?<br />

66. Have you had any reported AEFIs for the new<br />

vaccine or another vaccine since the new vaccine<br />

was <strong>int</strong>roduced?<br />

Note: Verify using AEFI logbook/registry if available.<br />

ADVOCACY & COMMUNICATION<br />

67. Did you have an official launch ceremony at the time<br />

of the new vaccine <strong>int</strong>roduction?<br />

Note: If yes, what did it involve, was it successful,<br />

did it get much media coverage, how long before the<br />

<strong>int</strong>roduction of the new vaccine did it take place?<br />

68. Did you use any media outlets to promote the new<br />

vaccine and inform/educate the community about<br />

the vaccine?<br />

Note: Please ask for copies of any materials.<br />

69. Did you prepare or distribute any health education<br />

material for the community on the new vaccine?<br />

If yes, what were they? Who were the target<br />

audiences? When and how were they distributed?<br />

Note: Please ask for copies of any materials.<br />

Yes No Don’t know<br />

If yes,<br />

How many for the new vaccine____________<br />

How many for a traditional vaccine (specify) _<br />

____________________________________<br />

What were the AEFIs___________________<br />

How were they handled? _ _______________<br />

Yes No Don’t know<br />

If yes, describe ________________________<br />

If no, why not? _ _______________________<br />

Check all that apply:<br />

Radio<br />

Television<br />

Community groups<br />

Town crier<br />

Celebrity<br />

Government officials<br />

Other (specify)<br />

Main messages _ ______________________<br />

Check all that apply:<br />

<strong>Post</strong>ers<br />

Brochures<br />

Flyers<br />

Clothing (t-shirts, hats etc.)<br />

Other (specify)<br />

Target audiences _ _____________________<br />

Main messages _ ______________________<br />

WHO/IVB/10.03<br />

31

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