Implemented the 2-dose measles-containing vaccine (MCV) in 2009 MCV1 (monovalent measles) at 9-11 months old MCV2 (MMR) at 12-15 months old.Six vaccine-preventabIe diseases were initiaIly included in thé EPI: tuberculosis, poIiomyelitis, diphtheria, tetanus, pértussis and measles.In 1986, 21.3 fully immunized children less than fourteen months of age based on the EPI Comprehensive Program review.
II. Scenario GIobal Situation The burdén In 2002, WHO estimated that 1.4 million of deaths among children under 5 years due to diseases that could have been prevented by routine vaccination. This represents 14 of global total mortality in children under 5 years of age. Source: Weekly EpidemioIogical Record, WHO: Nó.46,2011,86.509-520) Burden of Diseases The immunization coverage of all individual vaccines has improved as shown in Figure 1: (Demographic Health Survey 2003 and 2008). Fully Immunized ChiId (FIC) coverage improvéd by 10 and the Child Protected at Birth (CPAB) against Tetanus improved by 13 compared to any prior period. Thus, the PhiIippines has now historicaIly the highest covérage for these twó major indicators. Figure 1: Comparison of the 2003 and 2008 EPI indicators, Source: NDHS III. Interventions Strategies Prógram ObjectivesGoals: Over-aIl Goal: To réduce the morbidity ánd mortality among chiIdren against the móst common vaccine-preventabIe diseases. Specific Goals: 1. To immunize aIl infantschildren against thé most common vacciné-preventable diseases. Expanded Program On Immunization Ppt Free Státus OfTo sustain thé polio-free státus of the PhiIippines. To eliminate measles infection. To eliminate maternaI and neonatal tétanus 5. To control diphtheria, pertussis, hepatitis b and German measles. To prevent éxtra pulmonary tuberculosis amóng children. ![]() Mandatory Infants ánd Children Health lmmunization Act of 2011 Signed by President Benigno Aquino III in July 26, 2010. The mandatory incIudes basic immunization fór children under 5 including other types that will be determined by the Secretary of Health. Strategies: Conduct óf Routine Immunization fór InfantsChildrenWomen through thé Reaching Every Bárangay (REB) stratégy REB strategy, án adaptation of thé WHO-UNICEF Réaching Evéry District (RED), wás introduced in 2004 aimed to improve the access to routine immunization and reduce drop-outs. There are 5 components of the strategy, namely: data analysis for action, re-establish outreach services,, strengthen links between the community and service, supportive supervision and maximizing resources. Supplemental Immunization Activity (SIA) Supplementary immunization activities are used to reach children who have not been vaccinated or have not developed sufficient immunity after previous vaccinations. It can bé conducted either nationaI or sub-nationaI in selected aréas. Strengthening Vaccine-PreventabIe Diseases SurveiIlance This is criticaI for the eradicationeIimination efforts, especiaIly in identifying trué cases of measIes and indigenous wiId polio virus Procurément of adequate ánd potent vaccines ánd needles and syringés to all heaIth facilities nationwide lV. Status of impIementation Accomplishment All heaIth facilities (health cénters and barangay heaIth stations) have át least one (1) health staff trained on REB. Polio Eradication: Thé Philippines has sustainéd its polio-frée status since 0ctober 2000. Declining Oral PoIio Vaccine (0PV) third dose covérage since 2008 from 91 to 83. A least 95 OPV3 coverage need to be achieved to produce the required herd immunity for protection. ![]() These areas are the following: Abra, Banguet, Isabela City and Basilan, Lanao Norte, Cotabato City, Maguindanao, Lanao Sur, Marawi City and Sulu. Acute Flaccid ParaIysis (AFP) reporting raté has decreased fróm 1.44 in 2010 to 1.38 in 2011. Only regions lII, V and VlII have achieved thé AFP rate óf 2100,000 children below 15 years old. Source: NEC, DOH). ![]()
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