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

Step 2: 30 minutes
In plenary, explain that they will answer the question: “What can immunization
coverage and drop-out indicators tell us?” For each indicator, call for a volunteer and
then ask for any other opinions. Using just the column headings of the pre-prepared
flipchart #1 “Immunization Coverage and Drop-out Indicators,” enter the replies
under the columns “what it may indicate” and “limitations”. At the end of this step,
instruct to see the pages at the end of the module on “Immunization Coverage
and Drop-out Indicators.”
Step 3: 30 minutes
In plenary, explain that they will answer the question: “How can an analysis of
coverage data lead to identification of performance problems and solutions?” Using
just the column headings on the pre-prepared flipchart #2 “Examples of Using
Coverage Data to Improve Vaccination Services,” request that participants identify
the issues, possible reasons, and suggested remedies. Record their replies. At the
end of this step, mention that it is at the end of Module 4 on “Examples of Using
Coverage Data to Improve Vaccination Services”
Step 4: 15 minutes
Explain that coverage figures should always be examined. Sometimes there are
“funny numbers” that need to be interpreted. Request that the participants break into
buzz groups to discuss the following examples of “funny numbers.” In plenary, call
for a possible explanation for reported coverage above 100%. Ask for other
opinions. Call for a possible explanation for DPT3 reported to be higher than DPT1.
Ask for other opinions. [Note: facilitator can refer to Section 5.2 Page 71 in the
Facilitator’s Guide for some possible answers.]
Example 1: Coverage over 100%?
Example 2: Higher DPT3 than DPT1 coverage?
Step 5: 15 minutes
In plenary, call for a participant to explain: how tally sheets are to be used in the
health facility to fill the monthly health facility report and how the monthly woreda
report is to be filled. Tell that it is on Page 17 of Module 5 a copy of the tally sheet
and reporting forms. Discuss any questions that arise.
Step 6: 20 minutes
In plenary, explain how immunization coverage is calculated for each vaccine. Using
the “Example of data used to calculate annual vaccination coverage” in Section 5.2
Page 79 of this Facilitators guide provided in the pre-prepared flipchart, request
that the participants divide into small groups and use the provided data to (a)
calculate the number of infants surviving to 12 months of age coverage and (b)
calculate annual vaccination coverage. In plenary, raise any questions and discuss
answers. In plenary, request each participant to silently write on a note card their
answer to the question about “Reporting performance in terms of vaccination
coverage” which appears in Section 5.2. Discuss with them why the correct
answer is 50%.
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