2.  applies to health professionals private & public providing vaccination nationwide  DOH offices & attached agencies  private and government facilities  epidemiology and surveillance units  Local government units

3.  Community involved in surveillance and management of AEFI  All vaccines under EPI and vaccines given by DOH

4.  To guide concerned stakeholders on the  early detection  appropriate and quick response

5.  Surveillance  Detection Reportable AEFIs All serious AEFIs Unusual events Minor AEFIs Clustering

6.  Surveillance  Detection Responsibility of reporting All health workers providing immunization and clinical treatment of AEFI Individuals who received the vaccines, parents or guardian for minors Researchers and research labs Vaccine manufacturers or distributors

7.  Timing & flow of reporting  be reported within 24 hours serious AEFIs deaths unusual AEFIs

8.  Investigation  Causality assessment Diseases Surveillance Coordinator of the facility Using PIDSR Form Done within 48 hrs

9.  Investigation Causality assessment Serious AEFIs & clustering – investigated by next higher level Regional AEFI Committee will conduct causality assessment upon receipt of complete AEFI report from the field

10.  Investigation  Causality Assessment Regional AEFI Committee will conduct causality assessment upon receipt of complete AEFI report from the field Final causality assessment of serious AEFIs shall be conducted by ISB Assessment should be completed within 48 hours afterr each investigation

11.  Response  LGU level Response based on the AEFI committee

12.  LGU shall ensure all serious AEFI cases are provided with immediate assistance If post mortem exam is required, DOH shall provide necessary assistance DOH retained and other government hospital shall not charge the patient any fee If no existing /accessible government facility, it can be managed in a private facilty and assistance shall be provided by LGU with support from DOH

13.  Concerned public health professional shall not held liable as long as DOH standard operating procedures are complied as per assessment of local, regional AEFI committe or NAEFIC  DOH shall collaborate with PAO, OSG,IBP in providing appropriate legal assistance  Local police force shall provide assistance for any threats received

14.  In case of physical Injury, they will be provided with free medical assistance in government facility. If referral is needed to a private facility, expenses incurred will be reimbursed by the LGU/DOH  HW will be given due process for any administrative, civil or criminal sanctions filed. Assistance will be given by LGU for any expenses incurred