MEASLES RUBELLA – ORAL POLIO VACCINE

SUPPLEMENTAL IMMUNIZATION ACTIVITY

(MR-OPV SIA)
DM
DM 2022-0585
2022-0585
Interim Guidelines in the
Implementation of MR bOPV SIA
General Guidelines

● All children aged 9-59 months old shall be vaccinated with Measles
Rubella (MR) vaccine regardless of their immunization status
● All children aged 0-59 months old shall be vaccinated with (bivalent
Oral Polio Vaccine) bOPV regardless of immunization status
● The activity shall be synchronized and completed within (4) weeks
including rapid convenience monitoring (RCM), mop ups for missed
children, follow-ups of deferred children and for refusals.
 MARILAO TARGET

BARANGAYS
MR target 9-59 months bOPV target 0-59months
Male Female Total Male Female Total
MARILAO 9,772 9,147 18,919 11,444 10,703 22,147
ABANGAN NORTE 415 388 803 486 454 940
ABANGAN SUR 424 397 821 496 464 960
May 2 -31 2023 IBAYO 445 416 861 521 487 1,008
LAMBAKIN 1,885 1,765 3,650 2,208 2,065 4,273
LIAS 568 532 1,100 665 622 1,287
LOMA DE GATO 2,535 2,372 4,907 2,968 2,776 5,744
NAGBALON 177 165 342 207 194 401
PATUBIG 330 309 639 387 362 749
POBLACION I 80 75 155 94 88 182
POBLACION II 241 226 467 282 264 546
At least 95% of targeted children PRENZA I 311 291 602 364 341 705
shall be vaccinated for each vaccine to PRENZA II 494 463 957 579 541 1,120
achieve herd immunity and to avert SANTA ROSA I 475 445 920 557 520 1,077
measles and poliovirus transmission in SANTA ROSA II 425 398 823 497 465 962
communities in the country SAOG 658 616 1,274 771 721 1,492
TABING ILOG 309 289 598 362 339 701
*Based on projected target of 257,758
Specific Guidelines

Preparatory Activities
PLANNING AND COORDINATION:

● Regional Level: Centers for Health Development shall present to the Local Health Committee/Board the rationale for the
implementation of the MR-bOPV SIA. Organize an MR-bOPV Operation Center at the regional level.

● Local Government Unit Level: Activate the MR-OPV Operation Center. Identify the members of the
coordination committee (technical, vaccines, cold chain and logistics, advocacy and social
mobilization, risk management of AEFI and COVID-19). The SIA Operation Center shall be activated
at all levels and shall conduct meetings and consultations with the Local Chief Executives (LCEs)
and other partners.

● Health Center Level: Do inventory of health human resources specifically, those

involved in the COVID-19 response or those with COVID-19, and those who are not.
Calculate the needed human resource based on the target population. Develop a
contingency plan for vaccinators shortage.
Campaign Schedule and Strategies

Fixed Post:
- Health Centers, Rural Health Units, Barangay Health
Stations, Private Clinics or OPD of hospitals

Temporary Post:
- Community centers, basketball courts, adjacent to
Strategies school or church grounds, if possible
• House-to-House - Strategic location at a purok which is moved together
• Fixed Post (Facility-based) the vaccinators to the next purok
• Temporary Post
- Clubhouse subdivision, Drive-through vaccination posts
(e.g., police check points), transportation hubs (bus
stations, seaports and airports), cemeteries, under the
bridge, parks or open spaces where some families with
eligible children are living, and areas with highly mobile
groups like street children, indigenous people
Organizing the Vaccination Teams

● Vaccination teams shall be organized based on the target number of children to be

vaccinated per day and the vaccination strategy to be employed, i.e., 80-100 children
per day in urban areas and 50-80 children per day in rural areas.
● The vaccination team should ensure that every child targeted is vaccinated based on
the strategies/activities stipulated in the microplans
● The vaccination team shall be composed of at least:
- One (1) vaccinator (trained and licensed health professional – midwife, nurse or
physician) from the health center or from a volunteer organization;
- One (1) encoder (trained volunteer, BHW or a community health worker);
- One (1) guide familiar to the area or a social mobilizer which can also act as health
educator or safety officer
MR-OPV SIA Upcoming Activities
ACTIVITY DATE PARTICIPANTS
Orientation of MR OPV SIA for Doctors, Nurses, Midwives,
March 14 2023
Healthcare Providers Encoders

Creation of Microplan per Brgy March 15 – 17 2023 Nurses and Midwives

Orientation of ODK encoding for

March 22 2023 Nurses and encoders
encoders

MR OPV SIA orientation for LCE March 28 2023 Local Health Board Members

Coordination to PIO regarding PIO

Last week of March
IEC materials (Tarpaulins)

Orientation of MR OPV SIA for Last week of March to Brgy captains, Kagawad on health
Brgy Level 1st week of April and BHW coordinators
Orientation of MR OPV SIA for
Healthcare Providers
 ACTIVITY
Conduct of advocacy and
community awareness (partners
meeting and mobilization)
Distribution and posting of IEC
materials
Actual Vaccination
Rapid Convenience
Monitoring / Catch up
Immunization
Post Campaign Meetings and
Evaluation
DATE PARTICIPANTS
Partners : St. Michael Hospital,
1st week of April
Private Lying ins, Private pedia,
2nd week of April NIP coordinators, midwives
MHO, RHPs, Nurses, Midwives,
May 2 – 15 (Intensive Phase ) encoders.
MHO, RHPs, Nurses, Midwives,
May 16 - 31
encoders.
MHO, RHPs, Nurses, Midwives,
1 week of June 2023
st
encoders.
MR-OPV SIA Schedule
● Total # of target population (0-59 mos) = 22,147
● Total Number of Vaccinators = 29
● Total Number of Encoders = 29
● Total Number of BHW (guides) = 29 x 2 =58
● Total Number of Days: Intensive Phase 10 days (May 2 – 15)
■ Rapid Convenience Monitoring 12 days (May 16 – 31)
Certification Cycle (4 Parts)

SELF-ASSESSMENT Registration &

CYCLE Application Certification issuance cycle
Cycle cycle
I. SELF-ASSESSMENT CYCLE

This is the cycle in which the facility head shall accomplish

the Self-Assessment Form (SAF). It is the preliminary step of
the certification process that provides an initial assessment
of the quality of PEP services rendered by the ABTC/ABC.

Provides opportunity to demonstrate compliance with

the certification standards
I. SELF-ASSESSMENT CYCLE
But more importantly….

• comprehensive and critical examination of important aspects of

service
• identify areas of strengths and weaknesses

🡺 institute corrective action and improve performance

🡺 improves chances of certification

I. SELF-ASSESSMENT CYCLE
Important Points:

❖Self-Assessment Phase (Self-Assessment Form)

❖Technical Assistance Phase (phase for provision of technical
assistance to the ABTC/ABC by a TA Team (Provincial/City NRPCP
Coordinators and DOH Representatives ensuring the standards
of certification are fulfilled and proper filling-up of SAF Form is
secured.
 Once Certified:
>Need to always adhere with the DOH standards
>Submit reports
>Vaccine allocation

SELF-ASSESSMENT Registration &

CYCLE Application Certification issuance cycle
Cycle cycle
Incoordination with PIO

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Incoordination with PIO

ABTC/ABC DOH
 Waiting Area
ABTC Room
Rabies Registry and Logbook

Vaccine storage
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R.A. 7883