Component Task: Giving Rotarix Vaccine at Child Welfare Clinic (CWC)

This is an activity carried out by the Public/Community health nurse at CWC where the nurse gives oral vaccines to the baby to produce immunity. Rotarix is a life activated vaccine which is given to a child against diarrhoea. It is given in 3 dose schedules to babies at 6, 10 and 14 weeks of age.

Aims

·         Prevent children under five (5) or 0-59 months from vaccine preventable diseases

·         Decrease the risk of death among young children against diarrhoea

·         Achieve herd immunity amongst children under five (5)

·         Educate mothers and caregivers on high level of proper personal and environmental hygiene

Types

·         Oral

Requirements

a.      Furniture which includes chairs, tables, bulletin board

b.      Tablecloth

c.      Two (2) registers, one for registration of children under one (1) year and the other for children above one year

d.      Attendance book

e.      Immunization tally sheets

f.        Maternal and child health record book

g.      Immunization tray containing gallipots, kidney dish, dissecting forceps, artery forceps, scissors

h.      Sterile cotton wool swabs in a closed drum

i.         Safety box for sharps

j.         Vaccine carrier containing vaccines/cold box

k.       A flask containing ice cubes

l.         Hand washing facilities- veronica bucket, plastic bowls, soap in a dish, hand towels

m.   Medication for treatment of minor ailments such as paracetamol syrup

n.      Electronic/manual visual aids for education

o.      Blue and red pens, pencils, eraser and rule

Steps

1.        Establish rapport and ask about general health or the health of the baby

2.      Find out from mother/caregiver the type of immunization the child has had previously

3.      Check the maternal and child health record book and find out which vaccine to give

4.      Explain the procedure to the mother/caregiver and ask for feedback

5.      Show mother/caregiver how to hold the child and wash hands with appropriate technique

6.      Pick vaccine with right hand, check vaccine vial monitor (VVM), expiry date and open it

7.       Use left hand to open the mouth by pressing the lower jaw gently

8.      Squeeze 5 drops of the vaccine at the back of the tongue of child

9.      Compliment the mother for bringing her child for immunization and schedule for next visit

10.    Wash hands/alcohol hand rub with appropriate technique

11.      Record and report findings manually/electronically