1. Influenza Vaccinations 2015 LOGISTICS

2. 2 Outline Cold chain Tools and data management Monitoring Areas of concern Micro-planning

3. 3 Vaccine handling Storage: –Refrigerated conditions at between 2˚C and 8˚C –Provinces to assess logistics including transport and storage (e.g. fridge space) Expired or/and frozen stock must not be used and must be appropriately disposed of

4. Storage Thermostat Ice Packs in freezing compartment Trivalent (seasonal) and H1N1 vaccine – Must not be frozen.

5. Fridge capacity Influenza vaccines are placed in the middle of the fridge to prevent freezing Do not let the vaccines touch the evaporating plate at the back of the fridge or the sides of the fridge as this might cause vaccines to freeze Do not over-pack the fridge, allow for air flow Remember: Vaccines cannot be used if frozen

6. Temperature The temperature of all the fridges must be monitored twice a day in the morning and evening If additional fridges are used, these too must be monitored Place a temperature chart on each additional fridge A dial thermometer is used and placed in the center During transportation vaccines are placed in cooler box with “rattling” ice packs and a thermometer

7. Remember The Cold Chain is only as strong as its weakest link

8. 8 Tools Tally Sheets Monitoring (vaccination checklist for supervisors) Vaccine usage and wastage form (by health facility, sub-dist, district and prov) Adverse Events Following Immunisation (AEFI) investigation form

9. 9 Data Management All vaccination sites must be identified as appearing on the DHIS to ensure capture of data on DHIS. Tally Sheets: data is tallied on daily facility tally sheet - on single sheet. Weekly influenza summary sheet is used for data entering in DHIS

10. 10 Monitoring Social mobilisation and patient service Cold chain and vaccines Health facility organisation Data management Immunisation safety practices Ensure appropriate target groups receive 2 nd dose Adverse events –In case of adverse event: assess event, report event and take appropriate measures to ensure continuing safe use of the vaccine

11. 11 Areas of urgent focus Microplanning and pre-campaign evaluation Training: – must include clinicians at designated health facilities (including ANC, ARV, PHC) –Cascaded to appropriate staff to ensure info dissemination Communication Prioritisation of other preventive measures continues

12. 12 THANK YOU