Technical Guidelines for Integrated Disease Surveillance ... - PHRplus

Annex 29Planning an Emergency Immunization Activity1. Specify the target population for the immunization activity.2. Estimate the necessary amounts of vaccine, diluent and immunization supplies such as sterile syringes,sterile needles and safety boxes. (See the worksheet in Annex 30.)3. Choose the immunization sites and inform the community. Coordinate with the EPI or disease control programme in the district to identify sites forconducting the immunization activity.Identify the facilities that can participate in the activity.Identify a mobile vaccination team, if needed.Determine if there are any hard-to-reach areas, e.g. a transient workers’ camp. Identify amobile vaccination team to reach these areas.Contact the facilities and schedule the immunization sites.Contact the national level for vaccine. If a national reserve stock is not available, the nationalEPI programme manager will request an emergency supply from WHO.Make sure there is enough capacity to store extra amounts of the vaccine during storageand transportation to the immunization site.4. Select vaccinator teams. For every 100 to 150 people expected at the immunization site, the followingstaff is required: 1–2 vaccinators to give immunizations 1 recorder to record on immunization cards Volunteers to verify age and vaccination status5. Work with the EPI representative to conduct refresher training for vaccinators on recommended immunizationpractices. (See Annex 31 for recommended immunization practices.)6. Mobilize the community. Inform the public about the emergency immunization activity.7. Arrange transportation to the immunization site. Plan workers’ transportation to and from the site. Schedule vehicles and plan for fuel and other costs. Estimate per diem costs and make necessary arrangements for lodging if the site is away fromthe health worker’s usual station.8. Monitor the number of immunizations given.Annex 29: Planning an Emergency Immunization Activity205