1. Module 5 Recording and monitoring uptake of rotavirus vaccine
Training for rotavirus vaccine introduction
Module 5
Recording and monitoring uptake of rotavirus vaccine

2. Learning objectives
At the end of the module, the participant will be able to:
Record vaccination on the infant’s immunization card
Record and register immunization in the tally sheet and monthly report
Use monitoring chart to monitor uptake of rotavirus vaccine
Follow up with eligible infants
Duration
15’

3. Key issues 1 2 3 4 How to use the immunization card?
How to record and register vaccination on the tally sheet and monthly report? 2
How to monitor uptake of rotavirus vaccine? 3
To the facilitator:
Explain to the participants the key issues raised in this module.
Once the infant was vaccinated, what should you do? We will provide you with answers to the following questions:
How to record immunization on the card?
How to record and register immunization in the tally sheet and monthly report?
How to monitor uptake of rotavirus vaccine?
How to follow up with eligible infants?
How to follow up with eligible infants? 4

4. What are the main uses of the immunization card?
Provides the date of birth of the infant
Informs health worker and caretaker of:
Vaccines already received and those needed in the future
Next appointment for vaccination
Can help with identifying infants who do return for vaccination on time
Useful to conduct coverage surveys
To the facilitator:
Explain to the participants the main uses of the immunization card.
The immunization card:
Provides the date of birth of the infant
Informs the health worker and caretaker of:
The vaccines already received and those needed in the future
The next appointment for vaccination
Can help with tracking infants who do return for vaccination on time
Is useful to conduct coverage surveys

5. How to use the immunization card?
To the facilitator:
Explain to the participants how to use the immunization card.
Parents should keep the immunization card in a safe place at home.
Then they need to remember to bring the immunization card back to the health center for each visit.
The health worker must check the card to determine eligibility and fill it out after the infant’s vaccination, providing details of vaccines given and the date for the next visit.
Then, the parents should take the immunization card back home and keep in a safe place.

6. How to record vaccination on the card?
Immunization cards are being updated to include boxes for indicating first and second rotavirus vaccine doses immunization card
= 1st dose of rotavirus vaccine
= 2nd dose of rotavirus vaccine
To the facilitator:
Explain to the participants how to record the vaccination.
Each time a vaccine is administered, health workers should complete the vaccination card outlining which vaccines have been given.
Health workers should also note the date of the next appointment on the vaccination card and remind the caretaker to return on that date with the card.
Caretakers should be reminded to bring the immunization card at each visit.
Note that the immunization card is being updated to include the rotavirus vaccine doses, and the generic abbreviation for the rotavirus vaccine is "Rota". Health workers should use this abbreviation when recording the vaccine they administered.

7. What should you do in this scenario?
The parents of a infant provide you with an old immunization card. The rotavirus vaccine is not included in this card.
How should you record the vaccination given?
To the facilitator:
Read the situation and question to the participants.
This question will test if participants understand what to do in the event that the Immunization card is not updated (i.e. rotavirus rows are not included on the immunization card).
Response:
If the parents of the infant provide you with an old immunization card, the health workers may add the rotavirus vaccination data by hand to the old card. Write Rota1 and Rota2 and the dates when the doses were given. Or replace card with the new one transferring all the data from the old card. 7

8. How to record the vaccination on the tally sheet?
Tally sheets, stock management forms, and monthly reporting forms are also being updated to include the new rotavirus vaccine
To the facilitator:
Explain to the participants how to record the immunization on the tally sheet.
Tally sheets have been updated to reflect the inclusion of rotavirus vaccine in the national immunization programme.
Health workers should keep a tally of each vaccine dose given.
At the end of an immunization session, count the tally sheet. This will provide the total number of immunizations given with each vaccine by dose.
If you have old tally sheets, include a lines for Rota1 and Rota2.
N.B. Countries can use examples of their own tally sheets, etc. in this presentation.

9. How to record rotavirus vaccine on the monthly report?
Report Rota1 and Rota2 doses given each month, along with other vaccine doses
To the facilitator:
Explain to the participants how to record the immunization on the monthly report.
Reporting forms have been updated to reflect the inclusion of rotavirus vaccine in the national immunization programme.
Report Rota1 and Rota2 doses given each month, along with other vaccine doses.
Use tally sheets to prepare monthly reports to send to supervisors.
If you have the old reporting forms, add lines to report Rota1 and Rota2 doses given.

10. How to track infants for the first dose of rotavirus vaccine (RotarixTM)?
Ensure that all infants get the first dose of rotavirus vaccine (RotarixTM) on time, i.e. at 6 weeks
Identify newborns
Review the birth registry or other records for newborns
Use volunteers and/or community/religious leaders to inform about new births
Inform parents of vaccination sessions and ensure they understand importance of completing the vaccination series
Use volunteers to follow up with newborns that are due for rotavirus vaccination
To the facilitator:
Explain to the participants how to track infants for first dose of rotavirus vaccine.
Ensure that all infants get the first dose of rotavirus vaccine (RotarixTM) on time, i.e. at 6 weeks.
Identify newborns: Review the birth registry or other records for newborns; Use volunteers and/or community/religious leaders to inform about new births.
Inform parents of vaccination sessions and ensure they understand importance of completing the vaccination series.
Use volunteers to inform and motivate parents of newborns to bring their infants for vaccination on time.
Parents of infants who are due for vaccination, but have not yet come to the health center, should be reminded and followed up with.

11. How to track infants for the second dose of rotavirus vaccine (RotarixTM)?
Ensure that all infants get all doses of rotavirus vaccine (RotarixTM) on time (6 & 10 weeks)
Follow up with infants who have received the first dose and have not come back for the second dose
Children can be vaccinated up to 24 months
Reminder cards or immunization registries could be used follow up with defaulters
Use community volunteers to follow up with families of infants who have not completed the full 2 dose schedule
To the facilitator:
Explain to the participants how to track infants for the second dose of rotavirus vaccine.
Ensure that all infants get both doses of rotavirus (RotarixTM) vaccine on time (6 & 10 weeks)
Follow up with infants who have received the first dose and have not come back for the second dose - children can be vaccinated up to 24 months
A copy of the infant immunization card may be kept in the month the infant is supposed to return for second dose of rotavirus vaccine.
For example, if an infant receives pentavalent vaccine and rotavirus vaccine in January, place a copy of the card in the February section. Every month, review the reminder cards and follow up with those who did not attend when due.
Involve community volunteers to bring infants who are eligible for the second dose.
Also explain to the volunteers why it is important to bring infants back for a second dose of rotavirus vaccine.
N.B. If the caregiver asks whether elder siblings should also receive this new vaccine, you can answer: “If your child received the rota vaccines previously, he/she does not need to receive this new rota vaccine. Both vaccines are effective in protecting child, so no need to administer this new one”.
Year: 2018

12. How to monitor uptake of rotavirus vaccine?
Use a monitoring chart to track the number of infants who received first and second doses of rotavirus vaccine
To the facilitator:
Explain to the participants how to monitor uptake of rotavirus vaccine.
Use a monitoring chart to track the number of infants who received first and second doses of rotavirus vaccine (RotarixTM).
If the gap between Rota1 and Rota2 is large, this means that several infants received the first dose but not the second. Therefore follow-up systems (mentioned in previous slide) need to be strengthened.
If there is big gap between the monthly target and infants getting Rota1, this means that newborns need to be followed up with more regularly.

13. Key messages
Fill in the immunization card once the vaccines have been administered to the infant
The immunization card, tally sheet, and monthly report are being updated to include rotavirus vaccine doses
Follow up with infants who have received the first dose of RotarixTM and have not come back for the second dose
Children can be vaccinated up to 24 months
It is very important that all infants receive their first and second doses of rotavirus vaccine on time
To the facilitator:
Explain to the participants that this is the main information to keep in mind.

14. End of module for your attention! Thank you To the facilitator:
This is the end of the module.
You have been introduced to “Recording and monitoring uptake of rotavirus vaccine” module. The following module is untitled “Rotavirus vaccine AEFI monitoring”.
Thank you for your attention!