Refresher Training for Frontline Health Workers in Expanded ... - RHO

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Exercise 4 (found on Page 26 of the Module) Buzz group discussion Case study The window-ledge On Friday, Tesfaye decides to defrost and clean his refrigerator because a lot of ice has collected around the freezer. He puts ice packs in a vaccine carrier and then places the vaccines from the refrigerator in the middle. There is not enough room in the carrier for everything, so he puts the diluent on the window-ledge out of the way. "The diluent will be safe here until I can put it back in the refrigerator. Diluent doesn't lose its potency as vaccine does." On the following Monday, immunization day at the Clinic, many children come in for measles immunization. Tesfaye takes the measles vaccine out of the refrigerator but at first cannot find the diluent. Eventually he sees it on the window-ledge. Discussion 1. Can the diluent from the window-ledge be used to reconstitute the measles vaccine? Tesfaye must not reconstitute the vaccine with the diluent from the window ledge until it is cold. The warm diluent damages vaccine. 2. What should Tesfaye do before he immunizes the children? Tesfaye may put the diluent back in the refrigerator and use it when it has become cold again. He should explain to the parents that diluent can not be used until it is cold and ask them to wait. 25
Exercise 5 (found on Page 32 of the Module) Small group competition Answer the following by saying TRUE or FALSE. Your facilitator will read the questions for you. 1. Give DPT-2 and OPV-2 to a child who had convulsions immediately after DPT-1 a month before FALSE 2. Immunize a child with local skin infection TRUE 3. Immunize a child with chronic heart problem TRUE 4. Immunize a child who needs urgent referral FALSE 5. Immunize a child who has a brother with recurrent convulsions TRUE 6. Immunize a child who has a history of jaundice at birth TRUE 7. Immunize a child who is underweight TRUE 8. Do NOT immunize a child known to have AIDS FALSE [Only BCG should not be given] 9. Do NOT immunize a child with pneumonia FALSE 10. Do NOT immunize a child with fever following DPT-1 and OPV-1, 4 weeks ago FALSE 26
Page 1 and 2: Refresher Training for Frontline He
Page 3 and 4: EPI Refresher & Training of Trainer
Page 5 and 6: Module 2: The Cold Chain...........
Page 7 and 8: - Facilitators should be well verse
Page 9 and 10: Course Syllabus Session/Objectives
Page 11 and 12: Session/Objectives immunization cum
Page 13 and 14: Session 1 Module 0: Facilitating Ad
Page 15 and 16: facilitator: read and understand Se
Page 17 and 18: Flip Chart 2 A. Difference between
Page 19 and 20: 0.3 Additional Handouts How to impr
Page 21 and 22: 0.4 Exercises (with answers) in Mod
Page 23 and 24: Session 2 Module 1: EPI Target Dise
Page 25 and 26: Step 2: 30 minutes Re-convene into
Page 27 and 28: Exercise 2 (found on Page 25 of the
Page 29: 5. What is the immunization schedul
Page 33 and 34: Module 2: The Cold Chain 2.1 Lesson
Page 35 and 36: ideas, the facilitator can refer to
Page 37 and 38: Sample job aid 1. Vaccine over or u
Page 39: 2.3 Additional Handouts How to main
Page 44 and 45: 3. In the picture below of a refrig
Page 46 and 47: Exercise 3 (found in Section 9, Pag
Page 48 and 49: Course Syllabus Session 4 Module 3:
Page 50 and 51: Step 3: 15 minutes Request the part
Page 52 and 53: 3.4 Exercises (with answers) in Mod
Page 54 and 55: 3. How do you keep the following va
Page 56 and 57: Module 4: Communication with careta
Page 58 and 59: Show the participants the immunizat
Page 60 and 61: Situation Cards #1 Group #1 Selam h
Page 62 and 63: Role play #2 HW: Almaz: HW: Almaz:
Page 64 and 65: Role play #3 The Story of Wubalem a
Page 66 and 67: 4.3 Additional Handouts Communicati
Page 68 and 69: Case Study: Earn the diploma! Four
Page 70 and 71: Module 5: Monitoring Immunization C
Page 72 and 73: Step 7: 15 minutes In plenary, expl
Page 74 and 75: FLIPCHART #1 Immunization Coverage
Page 76 and 77: “Funny Numbers” Exercise (with
Page 78 and 79: Monthly Woreda EPI Vaccination Repo
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Training held during the month No.
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TT Vaccination Monthly Health Facil
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Example of data used to calculate a
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Understand the Problem — Never-Re
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Diagnosis/Planning Action Supply qu
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5.3 Additional Hand-outs Immunizati
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Note for the reader: please use fil
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Annex 1 Immunization Coverage and D
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