1. Module 8 CD-JEV immunization campaigns
CD-JEV Japanese Encephalitis Vaccine Introduction Training Modules for Health Care Workers
Module 8
CD-JEV immunization campaigns

2. Learning objectives
At the end of the module, the participant will be able to:
Prepare for an upcoming CD-JEV immunization campaign.
Identify what health care workers do in a CD-JEV immunization campaign.
Know what follow-up activities are important for health care workers to do after a CD-JEV immunization campaign.
Duration:
30 minutes

3. Key issues 1 2 3 How do I prepare for a CD-JEV immunization campaign?
What does a health care worker do in a CD-JEV immunization campaign? 2
What follow-up activities are important for health care workers to do after a CD-JEV immunization campaign? 3
To the facilitator:
Explain to the participants the key issues raised in this module.
We will provide you with answers to the following questions:
How do I prepare for a CD-JEV immunization campaign?
What does a health care worker do in a CD-JEV immunization campaign?
What follow-up activities are important for health care workers to do after a CD-JEV immunization campaign?

4. Why CD-JEV immunization campaigns?
Often when JE vaccine is introduced into the routine childhood immunization program, a one-time preventive or catch-up campaign is conducted along with introduction into the routine program. This will ensure the maximum reduction of disease.
The preventive campaign usually covers the at-risk group who would otherwise not receive vaccine. The at- risk group is normally determined by patterns of disease in the area, but typically includes children 1 to 15 years of age.
To the facilitator:
Explain the purpose of CD-JEV immunization campaigns.
Often when JE vaccine is introduced into the routine childhood immunization program, a one-time preventive or catch-up campaign is conducted along with introduction into the routine program. This will ensure the maximum reduction of disease.
The preventive campaign usually covers the at-risk group who would otherwise not receive vaccine. The at-risk group is normally determined by patterns of disease in the area, but typically includes children 1 to 15 years of age.
Discuss country-specific target populations based on new vaccine introduction plans as well as districts where the campaigns will be conducted. This information will vary country by country.

5. What goes into planning for a CD-JEV immunization campaign?
Microplanning for the health center and district level to identify high-risk populations and develop a strategy to reach these populations.
Strong advocacy and social mobilization through involvement of local government and partnership with local organizations.
Evaluation of coverage and determining what percentage of the target population was reached during the campaign.
Explain to the participants the different elements of planning for a CD-JEV immunization campaign.
Key elements include:
Microplanning
Strong advocacy and social mobilization
Evaluating coverage

6. How do health care workers prepare for the campaign?
In advance of starting campaign activities:
Attend a training that focuses on the schedule of the vaccination campaign, the role and responsibilities of all staff members and immunization safety.
Renew your knowledge of vaccine management, immunization safety including safe waste disposal, immunization techniques, and identification and reporting of adverse events following immunization (AEFI).
To the facilitator:
Explain to the participants the role of health care workers in preparing for the campaign.
Highlight:
Attending training
Renewing knowledge

7. During the campaign…
Coordinate every morning with the team supervisor to review the map of the catchment area and understand the population to be immunized and strategy to accomplish this task, including team roles and responsibilities. If part of a mobile team, confirm the availability and proper functioning of transportation.
Encourage the family of children in the target age group to bring child health cards to the JE immunization campaign session.
Ensure adequate amounts of vaccine, auto-disable and mixing syringes, safety boxes, report/record forms and other supplies are transported to the vaccination site every morning.
Ensure the vaccination post is properly prepared, including set-up for registration and immunization tables for the vaccinators, setting up equipment (such as safety boxes), and placing banners and other IEC materials at the immunization site.
Ensure cold chain is functioning.
To the facilitator: Please add any relevant information that is specific to the local context.
*REMEMBER: Report all AEFIs to team supervisor as soon as possible.

8. Typical roles of health care workers during
CD-JEV campaigns
One vaccination team member:
Greets the child and/or his/her parents and checks the child’s name against the register.
Provides health education.
Documents receipt of JE vaccine on the immunization card and appropriate forms.
Another vaccination team member:
Reconstitutes and administers the JE vaccine.
Marks the child’s finger in indelible ink to note receipt of vaccine.
To the facilitator: These activities are general and may apply to other immunization campaigns beyond JE vaccination.
Success is a team effort!

9. At the end of the day…
Check the list to see if all expected eligible children got vaccinated. If not, check with the supervisor to see what needs to be done to follow-up with missing children.
Complete and sign the report on vaccination coverage and logistics at the end of each day.
Clean the vaccination site, including disposal of all medical and sharp waste, after the vaccination session has ended.
To the facilitator: Please add any relevant information that is specific to the local context.

10. Estimating vaccine coverage
Rapid Coverage Assessments (RCA):
Work with supervisors to conduct RCA immediately after a health center has completed immunization activities to ensure high rates of vaccine coverage have been achieved.
RCA will provide a day-to-day estimation of vaccine coverage to identify children missed by vaccine activities. If children are identified as not having received the vaccine, then additional immunization activities will be conducted to ensure optimal coverage.
Full Coverage Survey/30-cluster survey:
14 households within each of 30 villages are randomly selected for the survey.
Conduct face-to-face interviews with the adult parent or main caregiver of all children of eligible age. The process will continue until 14 interviews have been conducted.
During the interviews, immunization cards from 14 children within each village will be reviewed to determine if they received JE vaccine.
To the facilitator: Please add any relevant information that is specific to the local context.
Note: For the full coverage surveys, some households may not have a child of vaccine-eligible age, so more than 14 households may need to be visited. Likewise, as multiple families may inhabit the same household, fewer than 14 households may need to be visited. In the event the village is too small to complete the sample, the survey team will proceed to the next closest village which is not one of the 30 clusters.

11. Key messages (1/2)
Before the campaign, health care workers will attend a training that focuses on the schedule of the vaccination campaign, the role and responsibilities of all staff members, and immunization safety.
Microplanning is important to identify high-risk populations and create a strategy to reach these populations.
Review the map of the catchment area daily with your supervisor to understand the population to be immunized and the strategy to accomplish this task.
Encourage the families of children in the target age group to bring cards to the JE immunization campaign session.
Ensure adequate amounts of vaccine, AD and mixing syringes, safety boxes, report/record forms and other supplies are transported to the vaccination site every morning.
To the facilitator: Please add any relevant information that is specific to the local context.

12. Key messages (2/2)
Prepare the vaccination post, including set-up for registration, immunization tables for the vaccinators, and all necessary equipment; check to make sure the cold chain is intact.
Report any AEFIs as soon as possible to the supervisor.
At the end of each day, check the list to see if all expected eligible children got vaccinated. If not, check with the supervisor to see what needs to be done to follow up with missing children.
Rapid coverage assessments (RCA) and full coverage surveys will indicate if vaccination targets have been reached for the campaign.
To the facilitator: Please add any relevant information that is specific to the local context.

13. End of module for your attention! End of training modules Thank you
To the facilitator:
This is the end of the training, thank you for your attention!