Expanded Programme on Immunization
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Questions and Answers

What is the recommended temperature for storing vaccines?

  • +10C to +20OC
  • +25C to +5OC
  • +15C to +10OC
  • +20C to +8OC (correct)
  • When should critically ill and hospitalized children be immunized?

  • During their hospitalization
  • Before hospitalization
  • After being hospitalized for 24 hours
  • On discharge after recovery (correct)
  • What should be done before administering any vaccine?

  • Consult with the manufacturer
  • Check the expiry date
  • Read the manufacturer's instructions on the container (correct)
  • Contact the District Health Education Officer
  • When should Measles vaccine be discarded after reconstitution?

    <p>6 hours</p> Signup and view all the answers

    Who is responsible for creating awareness about immunization at the District level?

    <p>District Health Education Officer (DHEO)</p> Signup and view all the answers

    What should be done with vaccines after the expiry date printed on the label?

    <p>Immediately dispose of them</p> Signup and view all the answers

    What is the main aim of the Expanded Programme on Immunization (EPI)?

    <p>Reducing illness, disability, and mortality from childhood diseases preventable by immunization</p> Signup and view all the answers

    Which of the following is NOT one of the EPI target diseases?

    <p>Malaria</p> Signup and view all the answers

    How have industrialized countries improved child health since the 1950s?

    <p>By reducing childhood vaccine-preventable diseases</p> Signup and view all the answers

    Which disease is NOT mentioned as one of the EPI target diseases?

    <p>Mumps</p> Signup and view all the answers

    What impact have vaccine-preventable diseases had on child survival and development in developing countries?

    <p>Negative impact on child survival and development</p> Signup and view all the answers

    What is the primary focus of the Expanded Programme on Immunization (EPI) in terms of disease prevention?

    <p>Preventing childhood diseases through vaccination</p> Signup and view all the answers

    What was the aim of the 'The childhood immunization statement Policy' for Kenya?

    <p>To immunize all Kenyan children aged 0-5 years and all pregnant women free of charge</p> Signup and view all the answers

    Which of the following vaccines were included in the 'The childhood immunization statement Policy'?

    <p>Tuberculosis, poliomyelitis, tetanus, whooping cough, measles, and diphtheria</p> Signup and view all the answers

    What was the proposed immunization coverage target for single-dose antigens (BCG and measles) during the first 3 years of the policy's operation?

    <p>75</p> Signup and view all the answers

    What was the proposed immunization coverage target for multiple-dose antigens (DPT, Polio, and tetanus toxoid) during the first 3 years of the policy's operation?

    <p>60</p> Signup and view all the answers

    What was the ultimate aim for immunization coverage for all antigens after the first 3 years of the policy's operation?

    <p>80</p> Signup and view all the answers

    How was the uptake of immunization services intended to be based?

    <p>Through individual motivation rather than coercion</p> Signup and view all the answers

    What is the main purpose of the KEPI activities in the MCH/FP programme?

    <p>To strengthen and improve immunization activities</p> Signup and view all the answers

    Who are the target participants of the high level training course in the MCH/FP programme?

    <p>Epi managers</p> Signup and view all the answers

    What is the focus of the operational level training course in the MCH/FP programme?

    <p>Immunization activities in hospitals</p> Signup and view all the answers

    Which group of staff undergoes the cold chain training course in the MCH/FP programme?

    <p>Mission and private health facilities staff</p> Signup and view all the answers

    What is the most important activity of the MCH/FP programme according to the text?

    <p>Health education to increase public participation</p> Signup and view all the answers

    Why is health education considered crucial in achieving targeted immunization coverage?

    <p>To convince families to utilize services</p> Signup and view all the answers

    What was the primary motivation behind the World Health Organization's review of existing immunization services?

    <p>To address the high mortality and disability rates caused by vaccine-preventable diseases</p> Signup and view all the answers

    Which of the following was NOT identified as a weakness of existing immunization services?

    <p>Inadequate funding for immunization activities</p> Signup and view all the answers

    According to the passage, which of the following statements is NOT true about immunization services in developing countries during the 1950s and 1960s?

    <p>There was a lack of trained health workers to administer vaccines</p> Signup and view all the answers

    What is the primary benefit of immunization mentioned in the passage?

    <p>It breaks the cycle of infection, diarrhea, and malnutrition</p> Signup and view all the answers

    According to the passage, which of the following disabilities could result from vaccine-preventable diseases?

    <p>All of the above</p> Signup and view all the answers

    Based on the information provided, what can be inferred about the impact of immunization services in developing countries prior to 1977?

    <p>They had limited impact due to various weaknesses in their implementation</p> Signup and view all the answers

    Study Notes

    Childhood Immunization Statement Policy for Kenya

    • The policy aimed to immunize all Kenyan children aged 0-5 years (revised in 1985 to focus on 0-11 months) and all pregnant women with available recommended EPi vaccines.
    • The goal was to reduce morbidity, mortality, and disability from 6 common childhood infectious diseases: tuberculosis, poliomyelitis, tetanus, whooping cough, measles, and diphtheria.

    Objectives of KEPi's Plan of Operation

    • Immunization coverage of 75% for single-dose antigens (BCG and measles) and 60% for multiple-dose ones (DPT, polio, and tetanus toxoid) during the first 3 years of operation in a given district.
    • Attain a minimum of 80% for all antigens after the first 3 years.

    Integration with MCH/FP Programme

    • The programme aimed to strengthen health services, particularly MCH/FP, by integrating KEPI activities to improve immunization services.

    Training Courses

    • Four types of training courses:
      • High-level training for top EPI managers
      • Mid-level training for Provincial and District health management teams
      • Operational-level training for staff in hospitals, health centers, and dispensaries
      • Cold chain training course for maintenance and repair

    Health Education

    • The most important activity of the programme to increase public participation and achieve targeted immunization coverage.
    • Key person: District Health Education Officer (DHEO) to create awareness and organize social mobilization activities.

    Principles of KEPI

    • Immunization services should be offered in government and non-government health facilities.
    • Uptake of immunization services based on individual motivation rather than coercion.
    • Correct record-keeping of vaccine administration and storage.
    • Vaccines should be administered in a sterile procedure and stored at recommended temperatures.

    Origins and Aims of EPI

    • EPI aims to reduce illness, disability, and mortality from childhood diseases preventable by immunization.
    • EPI target diseases include poliomyelitis, measles, diphtheria, pertussis, hepatitis B, tuberculosis, diarrheal diseases, Hib disease, and neonatal tetanus.
    • Immunization breaks the cycle of infection-diarrhea-malnutrition-infection, extending its impact beyond disease prevention and control.

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    Description

    This quiz covers the origins and aims of vaccination, the concept of the Expanded Programme on Immunization (EPI), objectives of EPI programmes, and a historical background of the Kenya EPI Programme. Test your knowledge on disease control and prevention through immunization.

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