Expanded Program on Immunization (EPI)

Established in 1976
Ensure that infants/children and mothers have access to routinely recommended infant/childhood vaccines
Target Clients: infants (0-12 months), children (13-59 months), pregnant mothers

Vaccines given under EPI

– BCG -Measles (MCV)

– Hepatitis B -Measles, Mumps, Rubella (MMR)

– Oral Polio Vaccine (OPV) -Inactivated Polio Vaccine (IPV)

– Tetanus Toxoid (Pregnant mothers)

– Pentavalent (Diphtheria, Pertussis, Tetanus, Hepatitis B, Haemophilus influenzae b)

Fully Immunized Child (FIC)

A. One dose of BCG at birth or any time before reaching 12 months

B. 3 doses each OPV, 3 doses each of Pentavalent vaccines and

C. One dose of Anti-measles Vaccine before reaching 12 months

Strategies

1. Conduct of Routine Immunization for Infants/Children/Women through the Reaching Every Barangay (REB) or Reaching Every Purok (REP) strategy

2. Supplemental Immunization Activity (SIA)

1998- Ligtas Tigdas

2004- Ligtas Tigdas (follow -up of 1998)

2007- Knockout Tigdas (sequel of 1998 and 2004)

2011- Iligtas sa Tigdas and Pinas/Mr Sia)

2014- Measles Rubella- Oral Polio Vaccine (MR OPV)

2015- School-Based Adolescent Imm. Activity (SBAI)

3. Strengthening Vaccine – Preventable Disease Surveillance

Newborn Screening (NBS)

– is a public health program for the Early Identification of disorders that can lead to mental retardation and death if left untreated.

– is ideally done immediately after 24 hours from birth.

– The Golden Period is a critical time or age, beyond which if no appropriate treatment is given, signs and symptoms are irreversible.

TARGET: ALL NEWBORNS

NBS Panel of Disorders NBS 5 Test – January 3, 2000

NBS 6 test (+MSUD) – October 2012 (Inclusion of MSUD to NBS Panel)

Expanded NBS – DEcember 24, 2014

Integrated Management of Childhood Illness (IMCI)

– Piloted in the Philippines in 1996

– is a major strategy for child survival, healthy growth and development and is based on the combined delivery of essential interventions at community, health facility and health systems levels.

TARGET CLIENTS: Sick children birth up to 2 months (Sick Young Infant)

Sick children 2 months up to 5 years old (sick child)

Components of IMCI

– Improving case management skills of health workers

11 days Basic Course for RHMs, PHNs and MHOs

5 – day Facilitators course

5 – day Follow-up course for IMCI Supervisors

– Improving over – all health systems

– Improving family and community health practices

Five (5) preventable and Treatable conditions managed under IMCI are:

1. Pneumonia

2. Diarrhea

3. Malaria

4. Measles

5. Malnutrition