1. Training for rotavirus vaccine introduction Module 3 Rotavirus vaccine eligibility

2. Rotavirus vaccine eligibility, Module 3 | 21 August 2015 2 |2 | Learning objectives At the end of the module, the participant will be able to: –Describe the recommended immunization schedule for rotavirus vaccine –Describe when an infant is eligible for rotavirus vaccine and when he/she is not eligible –Describe ways to determine a child's eligibility for rotavirus vaccine when a written record is unavailable –Describe the absolute contraindications for vaccination Duration –60’

3. Rotavirus vaccine eligibility, Module 3 | 21 August 2015 3 |3 | Key issues What is the schedule for rotavirus vaccine? 1 1 What to do when the exact date of birth (DOB) or immunization card is missing? 2 2 What are the contraindications for vaccination? 3 3

4. Rotavirus vaccine eligibility, Module 3 | 21 August 2015 4 |4 | Rotavirus vaccine is given in a 2-dose schedule at 6 and 10 weeks of age Rotavirus vaccine can be given at the same time as first and second dose of DTP-HepB-Hib (i.e. Penta1 & Penta2) Maintain an interval of 4 weeks between doses What is the rotavirus vaccine schedule? (1/2) 6 Birth1015 32 weeks Rota 1 Rota 2

5. Rotavirus vaccine eligibility, Module 3 | 21 August 2015 5 |5 | First dose of vaccine should be given before 15 weeks Second dose has to be given before 32 weeks 16 weeks is too late for 1st dose and 33 weeks is too late for 2nd dose What is the rotavirus vaccine schedule? (2/2) Rota 1 Rota 2 6 Birth1015 32 weeks

6. Rotavirus vaccine eligibility, Module 3 | 21 August 2015 6 |6 | A child's immunization card shows that he/she is now 17 weeks old and has only received BCG and OPV 1 vaccines. What should you do? What should you do in this scenario?

7. Rotavirus vaccine eligibility, Module 3 | 21 August 2015 7 |7 | What should you do in this scenario? A caretaker brings a child to the health center for the first time and comes without any written documentation. The caretaker does not remember the exact date of birth (DOB) of the infant. What are some possible ways of determining DOB?

8. Rotavirus vaccine eligibility, Module 3 | 21 August 2015 8 |8 | What to do when exact DOB is unknown? Possible ways of determining the DOB –Question the caretaker to see if he/she can recall the child's birth based on a cultural, religious or national/local event –Look for DOB record in other documents kept in the health center or other local registries Antenatal Care record Birth registry –Look for development indicators If the child is able to sit unsupported and reaches out with one hand, he/she is probably too old to get rotavirus vaccination

9. Rotavirus vaccine eligibility, Module 3 | 21 August 2015 9 |9 | Absolute contraindications Hypersensitivity after previous administration of rotavirus vaccines Previous history of intussusception Administration of Rotarix TM should be postponed in subjects suffering from diarrhea or vomiting and in need of rehydration therapy Mild illness such as an upper respiratory tract infection or mild diarrhea is not a contraindication

10. Rotavirus vaccine eligibility, Module 3 | 21 August 2015 10 | Key messages On-time vaccination is very important for rotavirus vaccine First dose of rotavirus should be given at 6 weeks of age Second dose should be given at 10 weeks of age Rotavirus vaccine can be given with other vaccines like pentavalent vaccine.

11. Rotavirus vaccine eligibility, Module 3 | 21 August 2015 11 | End of module Thank you for your attention!