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

a. What immunizations, if any, does Sara need today? She needs DPT 3 and
OPV do not record OPV 3
b. What immunization will she receive at her next visit? Give OPV 3 after the
diarrhea stops since more than 4 weeks have elapsed
c. After the next visit when should Sara return for next immunization
3. Halima is 20 years old, and 20 weeks pregnant:
Immunization history: TT 1 taken 2 years ago.
a. What immunizations, if any, does Halima need today? TT 2
b. When should she return for her next immunization? After 6 months
c. What immunization will she receive at her next visit? TT 3
4. Petros is 10 months old. He is classified as having dysentery, no dehydration
Immunization history: BCG, measles, Vitamin A, DPT 1, OPV 1 taken 4
weeks back and Petros had convulsions immediately following the
immunization
a. What immunizations, if any, does Petros need today?
OPV do not record OPV 2 and do not give DPT 2
b. What immunization will he receive at his next visit? OPV 2
c. After the next visit, when should Petros return for immunizations? After 4
weeks for OPV 3
Exercise 3 (found on Page 33 of the Module)
“Giving immunizations”
Small group discussion
1. Why is it important for an adult to hold a child securely and in the right position for
an injection?
An adult must hold a child securely and in the right position so that the service
provider can concentrate on giving the immunization properly. If a child is
kicking and trying to push the service provider away the needle may touch
something and become contaminated or the injection may be given in the
wrong place or at the wrong depth. Sometimes, if a child moves too much, the
needle breaks off in her or his arm or leg.
2. Why must the bevel of an intradermal needle face upwards?
Intradermal injections with BCG are given into the skin, not under it. Holding
the syringe so that the bevel faces upwards makes it easier to do this.
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