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

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3. How do you keep the following vaccines cold during an immunization session? a) Opened vials that you are using Put them in the foam pad that rests on top of the ice packs inside the vaccine carrier. b) Unopened vials Whether you are on outreach or in the health center, put them inside the vaccine carrier under the foam pad and leave them there until you need them. Exercise 4 (found on Page 37 of the Module) “Berhane is a most careful nurse” Buzz Group Exercise Ato Berhane is a very careful nurse. He understands that unsafe injections can be dangerous. He never re-caps used syringes. He uses one sterile syringe and one sterile needle for each injection. He uses safety box for used syringes, if available. But he hasn’t had a supply of safety boxes for 6 months. So he carefully drops the used and uncapped syringes into a cardboard box. He knows the cleaning lady will take care of the rubbish at the end of the day. When he comes to work in the morning, he expects to see a clean and tidy room. What problems may be occurring? What can be done to improve the situation? The cardboard box being used in place of the safety box may not be strong enough. If the walls are thin, needles may penetrate. The box should have strong sides, top and bottom. If necessary, Ato Berhane should strengthen the box by placing one box inside another. The box should be closed at all times, with a small hole in the top just big enough for a syringe and needle to enter. He should not re-use the same box after filling it once. He should destroy the container when it is three-quarters full and find a new container for his next session. Ato Berhane should inform his supervisor that he has not received safety boxes for six months. This may be a problem that is occurring elsewhere, and the supervisor needs to learn of the lack of supplies. It is generally preferable for the syringes and needles to be collected over a period of time rather than being disposed each day. Ato Berhane should determine what actions are being taken by the cleaning lady. Are the syringes and needles being properly burned and buried? Does the cleaning lady understand how to protect herself and the community from any exposure to used syringes and needles? Does she need to receive some instructions? 49
Session 5 Module 4: Communication with caretakers and communities for Improved Routine Immunization Coverage Course Syllabus Sessions/Objectives • Identify factors that influence whether caretakers bring their children for immunization • Describe effective communication techniques • Identify 6 key messages caretakers need to know • Explain how to mobilize the community Contents • Mothers and health worker concerns and assumptions about immunization • Effective communication techniques • 6 key messages caretakers need to know • How to work with and mobilize the community Learning Methods and Activities • Small group work • Role plays • Plenary discussion • Story Materials/Resource • Module 4 • Pre-prepared flipcharts • Situation & question cards • Story Time • 2 hours 50
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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 and 30: 5. What is the immunization schedul
Page 31 and 32: Exercise 5 (found on Page 32 of the
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 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
Page 80 and 81: Training held during the month No.
Page 82 and 83: TT Vaccination Monthly Health Facil
Page 84 and 85: Example of data used to calculate a
Page 86 and 87: Understand the Problem — Never-Re
Page 88 and 89: Diagnosis/Planning Action Supply qu
Page 90 and 91: 5.3 Additional Hand-outs Immunizati
Page 92 and 93: Note for the reader: please use fil
Page 94: Annex 1 Immunization Coverage and D
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