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IPPI 2024 INDIA TRAINING MATERIAL FOR HEALTH CARE PROVIDER

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Mousam Manna
Mousam Manna

The document outlines plans for vaccinator and supervisor trainings for a National Immunization Day (NID), including developing a training plan, identifying virtual or in-person sessions, ensuring COVID-appropriate behavior is emphasized, and monitoring attendance. Key elements of the trainings are role plays, exercises on vaccine administration and documentation, and separate sessions for supervisors and mobile teams. Common issues from prior trainings like incomplete dosing are also addressed.

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Vaccinator & Supervisor trainings for NID
2 Planning Vaccinator & Supervisor Trainings • Develop a training plan in the workshop • Identify if training will be virtual or face to face • Face to face trainings in well ventilated room/area • Decentralize training venues - additional PHCs/Community centres, etc • Explore WhatsApp videos in local language for appropriate communication with Vaccinators / Supervisors • Complete all trainings/ catch up sessions 4-5 days before start of polio SNID • Batch size should not exceed 40-50 participants • District level Officers (Dy CMOs) to attend training sessions for supervision & quality • Catch up sessions if attendance is poor S. No Date of session Type of session (Face to face/Online) Venue (for face-to- face session) Expected no. of participants Name of trainer
Training methodology • Decision on virtual or classroom trainings • All required training material should be available – OPV vials, Marker pen, tally sheet, NB booklet, black board/writing board etc • Sessions should be interactive & participatory • Make sure that newly inducted vaccinators actively participate in the training • They should be encouraged to seek clarifications and actively participate
4 Use training module – plan innovations, participative trainings  Role plays: How to initiate dialogue & FAQs  Exercises on vaccine administration, Tally sheet filling, house marking  Demonstration of VVM, Finger marking • Give emphasis on COVID appropriate behaviour in areas with recent transmission • Train transit and mobile teams separately • Supervisors should be trained separately on specific responsibilities • Monitor and track training attendance; give feedback in DTF/BLTF Quality Trainings for Vaccinators & Supervisors
• How many families with separate kitchens living in the house? • In each household first ask if there is a newborn? • If there is no newborn, then enquire about the youngest child in the house; then keep enquiring about the next older child unless you have reached upto five years age • Are all the children at home ? Any children away from the house for reasons like school, fields, marketplaces or visiting friends or relatives or accompanying parents to work? • Any young child sleeping inside the house? • Any child under five visiting the house? • Have they all been immunized at booth? • Any cases of vaccine preventable diseases under surveillance – Recent onset Paralysis/ muscle weakness in children under 15 year of age in the house or neighbourhood? – Any case of recent onset fever with rash Key questions to be asked in each house
• OPV administration • VVM, open vial policy and Cold Chain management • Finger & house marking • Newborn tracking • Tally sheet filling • Responding to FAQs from parents • Key messages to parents • B Team activity House to house activities
• Vaccinate child and mark left little finger of the child with indelible ink marker pen • Mark houses as P or X after vaccination as per existing guidelines, complete tally sheet and record X houses as needed • Check for any suspected cases of acute flaccid paralysis, fever with rash which need to be reported to medical officer for further investigation • All ‘X’ marked houses should be revisited at the time when children are most likely to be available at their homes. House to house activities
Common issues related to training • Only one drop administered – Inadvertently in crowded booths – Deliberately in refusal families • Dropper near the mouth without squeezing in refusal families • Dropper touching the mouth while vaccinating • Drops given to sleeping / crying children- running out of the mouth • Vomiting /coughing out polio drops-finger marking done & child considered immunized • Finger marking without OPV administration
Booth activity • Pre-booth preparations including identification and interaction with local influencers • Split booths with high coverage (more than 200 children) • Booth to be set up in well ventilated room • Mobilize children in small batches to avoid overcrowding • Encourage only one caregiver with a beneficiary • Follow COVID appropriate behaviors
Transit teams and clinic booths • Each Transit team having 1 to 4 members • Visible and Pro-active • Be polite to parents • Individual member to have vaccine vial, marker pen and tally sheet • At transit booths set up at popular clinics/ pvt hospitals, take cooperation from the doctor for vaccinating all children walking in including those attending OPD • Check the finger mark, immunize those who have not yet got the vaccine • Finger marking of all those vaccinated • Tally Sheet marking
Mobile team Separate training session for mobile team members • Operational components – VVM; Finger marking; House marking; Filling tally sheets • Timing of visits • Importance of generating X houses • Plan for multiple visits in view of frequent migration / shift timings to coincide with timing of population movement • Key messages – Immunize your children wherever you go ; Importance of RI • Verify age of the children
Supervisors’ training • A separate training for supervisors combined with microplan review • A copy of the supervisor’s instructions should be distributed • The instructions should be read aloud and discussed with them • Ensure that the Supervisors are clear on their roles: • Before and during the activity • Support teams with replenishment of vaccine/ logistics as required • Supervisor to cross check completeness of vaccination in ‘P’ marked houses (in P sweep tally sheet activity) • Supervisor’s reporting format to be discussed in detail
Training issues • Batch size and mode (virtual/ classroom) • Trainer selection • New vaccinators not given extra focus • No uniform/clear understanding on – Newborn tracking – Proper X categorization & poor biphasic – Faulty finger marking at booths / transit sites – Faulty house markings where multiple families live • Lack of IPC skills resulting in: – Spending inadequate time in houses – Not identifying newborns, younger/ sick / visiting children – Inability of teams to clarify FAQs from parents
Summary • Trainings essential for improving quality of SIA activities • Identify training issues from monitoring, tally sheet analysis and focus on weak teams and supervisors • Trainings – opportunity for motivation & appreciating the good performers • Reiterate maintaining covid appropriate behavior in areas with recent COVID-19 transmission

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IPPI 2024 INDIA TRAINING MATERIAL FOR HEALTH CARE PROVIDER

  • 1. Vaccinator & Supervisor trainings for NID
  • 2. 2 Planning Vaccinator & Supervisor Trainings • Develop a training plan in the workshop • Identify if training will be virtual or face to face • Face to face trainings in well ventilated room/area • Decentralize training venues - additional PHCs/Community centres, etc • Explore WhatsApp videos in local language for appropriate communication with Vaccinators / Supervisors • Complete all trainings/ catch up sessions 4-5 days before start of polio SNID • Batch size should not exceed 40-50 participants • District level Officers (Dy CMOs) to attend training sessions for supervision & quality • Catch up sessions if attendance is poor S. No Date of session Type of session (Face to face/Online) Venue (for face-to- face session) Expected no. of participants Name of trainer
  • 3. Training methodology • Decision on virtual or classroom trainings • All required training material should be available – OPV vials, Marker pen, tally sheet, NB booklet, black board/writing board etc • Sessions should be interactive & participatory • Make sure that newly inducted vaccinators actively participate in the training • They should be encouraged to seek clarifications and actively participate
  • 4. 4 Use training module – plan innovations, participative trainings  Role plays: How to initiate dialogue & FAQs  Exercises on vaccine administration, Tally sheet filling, house marking  Demonstration of VVM, Finger marking • Give emphasis on COVID appropriate behaviour in areas with recent transmission • Train transit and mobile teams separately • Supervisors should be trained separately on specific responsibilities • Monitor and track training attendance; give feedback in DTF/BLTF Quality Trainings for Vaccinators & Supervisors
  • 5. • How many families with separate kitchens living in the house? • In each household first ask if there is a newborn? • If there is no newborn, then enquire about the youngest child in the house; then keep enquiring about the next older child unless you have reached upto five years age • Are all the children at home ? Any children away from the house for reasons like school, fields, marketplaces or visiting friends or relatives or accompanying parents to work? • Any young child sleeping inside the house? • Any child under five visiting the house? • Have they all been immunized at booth? • Any cases of vaccine preventable diseases under surveillance – Recent onset Paralysis/ muscle weakness in children under 15 year of age in the house or neighbourhood? – Any case of recent onset fever with rash Key questions to be asked in each house
  • 6. • OPV administration • VVM, open vial policy and Cold Chain management • Finger & house marking • Newborn tracking • Tally sheet filling • Responding to FAQs from parents • Key messages to parents • B Team activity House to house activities
  • 7. • Vaccinate child and mark left little finger of the child with indelible ink marker pen • Mark houses as P or X after vaccination as per existing guidelines, complete tally sheet and record X houses as needed • Check for any suspected cases of acute flaccid paralysis, fever with rash which need to be reported to medical officer for further investigation • All ‘X’ marked houses should be revisited at the time when children are most likely to be available at their homes. House to house activities
  • 8. Common issues related to training • Only one drop administered – Inadvertently in crowded booths – Deliberately in refusal families • Dropper near the mouth without squeezing in refusal families • Dropper touching the mouth while vaccinating • Drops given to sleeping / crying children- running out of the mouth • Vomiting /coughing out polio drops-finger marking done & child considered immunized • Finger marking without OPV administration
  • 9. Booth activity • Pre-booth preparations including identification and interaction with local influencers • Split booths with high coverage (more than 200 children) • Booth to be set up in well ventilated room • Mobilize children in small batches to avoid overcrowding • Encourage only one caregiver with a beneficiary • Follow COVID appropriate behaviors
  • 10. Transit teams and clinic booths • Each Transit team having 1 to 4 members • Visible and Pro-active • Be polite to parents • Individual member to have vaccine vial, marker pen and tally sheet • At transit booths set up at popular clinics/ pvt hospitals, take cooperation from the doctor for vaccinating all children walking in including those attending OPD • Check the finger mark, immunize those who have not yet got the vaccine • Finger marking of all those vaccinated • Tally Sheet marking
  • 11. Mobile team Separate training session for mobile team members • Operational components – VVM; Finger marking; House marking; Filling tally sheets • Timing of visits • Importance of generating X houses • Plan for multiple visits in view of frequent migration / shift timings to coincide with timing of population movement • Key messages – Immunize your children wherever you go ; Importance of RI • Verify age of the children
  • 12. Supervisors’ training • A separate training for supervisors combined with microplan review • A copy of the supervisor’s instructions should be distributed • The instructions should be read aloud and discussed with them • Ensure that the Supervisors are clear on their roles: • Before and during the activity • Support teams with replenishment of vaccine/ logistics as required • Supervisor to cross check completeness of vaccination in ‘P’ marked houses (in P sweep tally sheet activity) • Supervisor’s reporting format to be discussed in detail
  • 13. Training issues • Batch size and mode (virtual/ classroom) • Trainer selection • New vaccinators not given extra focus • No uniform/clear understanding on – Newborn tracking – Proper X categorization & poor biphasic – Faulty finger marking at booths / transit sites – Faulty house markings where multiple families live • Lack of IPC skills resulting in: – Spending inadequate time in houses – Not identifying newborns, younger/ sick / visiting children – Inability of teams to clarify FAQs from parents
  • 14. Summary • Trainings essential for improving quality of SIA activities • Identify training issues from monitoring, tally sheet analysis and focus on weak teams and supervisors • Trainings – opportunity for motivation & appreciating the good performers • Reiterate maintaining covid appropriate behavior in areas with recent COVID-19 transmission