MODULE 1:

MICROPLANNING
By the end of
this module,
the participant
should be able to:
Introduction
Microplanning:
-a “bottoms-up” process of detailed planning carried out to
determine local needs and ensure smooth and satisfactory
vaccine implementation
Introduction
Importance of Good Microplanning:
-To ensure that campaign objectives are reached and immunization
strategies are well implemented at the service delivery points (health
facilities & communities)
-To ensure that adequate resources are mobilized and in place with
expected results to be accomplished on time
-To anticipate the challenges and maximize use of limited resources
in an efficient manner in the context of the COVID-19 pandemic
 Critical Steps

1. Determine the number of eligible population for COVID-

19 vaccination in your area 2. Identify the implementing units in you areas, and the number of 3. Identify the number of supervisors, vaccination teams, AEFI/AESI composite
vaccination posts/sites, and plot in an operational spot map teams and other personnel needed and available for the vaccination campaign

4. Assign teams and vaccinees to an 5. Estimate the vaccine requirement and 6. Identify gaps in cold chain
implementing unit / vaccination post ancillary supplies needed capacity
Critical Steps

7. Ensure timely delivery of logistics 8. Prepare a daily vaccination session plan 9. Develop a communication plan and implement
social mobilization and advocacy activities

10. Prepare a supervision and

11. Prepare an AEFI/AESI management, 12. Develop a waste management plan
monitoring plan and schedule
surveillance and response plan
Critical Step 1: Determine the number of eligible population for COVID-19 vaccination
in your area

a. Utilize data gathered during the profiling (Electronic Immunization Registry) in

determining the number of eligible population for COVID-19 vaccination.
b. Once the type of vaccine to be deployed in your area is determined, work closely with
the DOH CO and CHD in determining the final eligible population based on the inclusion
and exclusion criteria as provided in the DOH guidelines.
c. Ensure that data in the Electronic Immunization Registry are complete. And triangulate
the accuracy of the profiling data with existing data available in the LGU.
d. Determine the eligible population per municipality/city.
e. Then, disaggregate the eligible population by barangay and/or implementing unit.
Who will be vaccinated?
Who will be vaccinated?

Eligible Population Definition of Terms

All health workers from the PRIVATE and PUBLIC sector currently on ACTIVE practice/ service,
1. Frontline Health Workers
whether they are permanent, contractual or job-order employees or staff

● All those are working in medical centers, hospitals, clinics, Temporary Treatment and
Monitoring Facilities (TTMFs), and Treatment and Rehabilitation Centers (TRCs)
● Assigned in the triage areas, out-patient department, emergency room, wards, intensive care
a) In public and private health units, operating rooms, delivery rooms, laboratory, radiologic, and pathology areas,
facilities rehabilitation units, among others
● INCLUSION IN THIS CATEGORY: Those who are assigned as part of the disinfection or
decontamination teams, medical social workers and security guards of the above-mentioned
facilities.\

All workers in the public health sector who are providing direct health services
● ALL employees in the public primary facilities (Rural Health Units, City Health Offices
(whether LGU-hired or DOH hired/ deployed)
● ALL health workers employed/ deployed/ detailed in Provincial Health Offices, Center for
b) Public health workers
Health Development, and Department of Health Central Office
● LGU-deployed/ designated hired contact tracers (kindly ensure that there are appropriate
documents stating deployment/ designation of government employees as contact tracers e.g.
LGU EO, resolution, and/ or ordinance)
Who will be vaccinated?

Eligible Population Definition of Terms

c) Barangay Health Workers ● ALL Barangay Health Workers in active service

including Barangay Health ● ALL active members of the BHERTs (based on appropriate documents stating
Emergency Response Teams designation as BHERTs team, e.g. LGU EO, resolution, and/or ordinance)

● Department of Social Welfare and Development (DSWD) and its regional and local
counterparts
○ All employees manning close-setting facilities and long-term care facilities, e.g.
orphanage, home for the aged, women’s crisis centers.
○ Social workers providing social amelioration, and social services in the
communities
● Department of Interior and Local Government (DILG)
d) Other NGAs ○ Those hired by DILG as contact tracers (active service)
● Bureau of Jail Management and Penology (BJMP under DILG)
○ All employees and health workers assigned in direct contact with Persons
Deprived of Liberty (PDLs) such as jail officers, wardens, and/or guards
● Bureau of Corrections (BuCor under DOJ)
○ All employees and health workers assigned in direct contact with Persons
Deprived of Liberty (PDLs) such as jail officers, wardens, and/or guards
Who will be vaccinated?

Eligible Population Definition of Terms

● ALL indigent senior citizens registered and as determined by the Department of Social
2: Indigent Senior Citizens
Welfare and Development

● ALL senior citizens (not categorized as indigent) registered and as determined by the
3: Remaining Senior Citizens
Department of Social Welfare and Development

● ALL indigent population as determined by the Department of Social Welfare and

4: Remaining Indigent Population Development

● All enlisted uniformed personnel in active services under the:

○ Armed Forces of the Philippines
○ Philippine National Police
5: Uniformed personnel ○ Philippine Coast Guard
○ Bureau of Fire Protection
○ Citizen Armed Force Geographical Unit
Critical Step 1: Determine the number of eligible population for COVID-19 vaccination
in your area
REGIONAL POPULATION (2021) The projected total population for 2021. These are already
predetermined. The DOH CO will provide these information based on
LGU (MUNICIPAL/CITY) POPULATION (2021) the projected population given by the Philippine Statistics Authority.

Eligible Population # of Eligible Percentage

Population
1: Frontline Health Workers
a) Public and private health facilities (Hospitals,
TRCs and TTMFs)
b) Public health workers (all RHU/CHO personnel;
PHO, PDOHO, CHD and CO field workers)
and LGU contact tracers
Extract the information from the Electronic Immunization
c) Barangay Health Workers including BHERTS
Registry. Then, compute the percentage of each population
d) Other NGAs (DSWD, DepEd, DILG, BJMP & groups.
Bureau of Correction)

2: Indigent Senior Citizens

3: Remaining Senior Citizens
4: Remaining Indigent Population
5: Uniformed personnel (PNP, AFP, PCG, BFP,
CAFGU)
TOTAL 100%
Critical Step 1: Determine the number of eligible population for COVID-19 vaccination
in your area
Eligible Population Barangay 1 Barangay 2 Barangay 3 Barangay 4 Barangay 5 TOTAL

1: Frontline Health Workers

a) Public and private health facilities (Hospitals,

TRCs and TTMFs)

b) Public health workers (all RHU/CHO personnel;

PHO, PDOHO, CHD and CO field workers)
and LGU contact tracers

c) Barangay Health Workers including BHERTS

d) Other NGAs (DSWD, DepEd, DILG, BJMP &

Bureau of Correction)

2: Indigent Senior Citizens

3: Remaining Senior Citizens

4: Remaining Indigent Population

5: Uniformed personnel (PNP, AFP, PCG, BFP,

CAFGU)

TOTAL 100%
Critical Step 2: Identify the implementing units in your area, and the number of
vaccination sites/posts, and plot in an operational spot map

a. Fixed-post vaccination strategy. The following shall be utilized as implementing units:

i. Medical centers, hospitals and infirmaries (private and public)
ii. Rural Health Units
iii. Health facilities of other government agencies (e.g. AFP hospitals and facilities,
BJMP/BuCor health facilities, and DepEd clinics)
iv. Private clinics
b. The implementing units may have several vaccination sites/posts within its vicinity.
c. Each vaccination post shall have at least three (3) or more vaccination and AEFI/AESI
composite teams.
Critical Step 2: Identify the implementing units in your area, and the number of
vaccination sites/posts, and plot in an operational spot map
Implementing Units # of Vaccination Sites/Posts
a.
● Hospitals (government) b.
c.
a.
● Hospitals (private ) b.
c.
a.
● Rural Health Units b.
c.
a.
● Health Facilities of other agencies b.
c.
a.
● Private Clinics (for mapping) b.
c.
TOTAL
Critical Step 2: Identify the implementing units in your area, and the
number of vaccination sites/posts, and plot in an operational spot map
EXAMPLES

● LGUs may utilize this link to map out

facilities (except for private clinics) in
the area:
[Link]
php

Digital Mapping of Vaccination Sites in Pasig City

Critical Step 3: Identify the number of supervisors, vaccination teams, AEFI/AESI
composite teams, and other personnel needed and available for the vaccination campaign

Operational Guidelines
● Vaccination Team composition (6) ● Other personnel needed in the implementing unit (fixed
○ (2) Screening and Assessment: Physician/Nurse/Midwife point strategy):
○ (1) Counselor: Allied Professionals/ Volunteers from partner ○ Local Officials (barangay captains)
agencies (e.g. teachers, social workers, medical students, etc) ○ Security Personnel (PNP)
○ (1) Vaccinator: Nurse/Midwife of RHU ○ Drivers
○ (2) Documenter/Recorder and V/S taking: Midwife/BHW/Health ○ Safety Officers (Barangay Tanods, among others)
Staff / Volunteers from partner agencies (e.g. teachers, social
workers, medical students, etc)
● One (1) supervisor, preferably a physician, for at least three (3)
vaccination team

● AEFI Composite Team composition (2) ● Personnel needed in the community/health facility
○ (1) Monitor: Paramedic/Nurse/Midwife (house-to-house strategy):
○ (1) Surveillance: Surveillance Officer/Nurse/Midwife /Pharmacist ○ Social mobilizers: BHWs
○ Navigators/Transport: BHWS and Local Officials,
Health Facility Management
Critical Step 3: Identify the number of supervisors, vaccination teams, AEFI/AESI
composite teams, and other personnel needed and available for the vaccination campaign

Operational Guidelines
● One (1) vaccination team = One (1) ● Daily Vaccination Schedule
AEFI/AESI composite team ○ 8:00 AM - 5:00 PM
● One (1) vaccination team: 100 ○ 15 mins break in the morning and in the afternoon
vaccinees/day ○ One (1) hour lunch break
● Develop a contingency plan to ensure availability of sufficient number of human resource are available
while considering the following:
○ Human resource assigned for the COVID-19 pandemic response should NOT be utilized as part of the
Vaccination Campaign Teams or personnel.
○ Possibility of COVID-19 infection among the Vaccination Campaign Teams
○ Services offered in health facilities should not hampered because of the vaccination campaign, if so
kept to a minimal.
○ Possibility of health workers experiencing side effects, whether it be mild or severe, after vaccination.
Critical Step 3: Identify the number of supervisors, vaccination teams, AEFI/AESI
composite teams, and other personnel needed and available for the vaccination campaign

COMPOSITION # of Teams / Individuals Required

Vaccination Team

For Screening and Assessment:

For Counseling:

As Vaccinator:

As Documenter/Recorder:

AEFI/AESI Team

As Monitor/Responder:

As Surveillance Personnel:

Supervisor:
Critical Step 4: Assign teams and vaccinees to an implementing unit / vaccination post

a. Determine the eligible population to be vaccinated in the implementing unit / vaccination post
i. Assign frontline health workers and to facilities where they are employed/deployed.
ii. For frontline workers or uniformed personnel employed/deployed in an agency without any
health facility, assign them to the Rural Health Units.
iii. For senior citizens and indigent population, assign them in a facility nearest from their
residence.
b. Allocate Teams based on the number of eligible population assigned to the implementing unit /
vaccination post
Critical Step 4: Assign teams and vaccinees to an implementing unit / vaccination post

EXAMPLE

Eligible
No. of No. of No. of No. of
Population No. of No. of
Vaccination Available Composite Available
Barangay Vaccination Post assigned to Gap Gap Supervisors available Gap
Teams Vaccination Teams Composite
vaccination required supervisors
required Teams required Teams
posts

B1 RHU 1 5,467 8 4 4 8 6 2 3 2 1

Private Clinic 1 600 1 1 0 1 1 0 1 1 0

B2 Hospital 1

DepEd Clinic 1

B3
Critical Step 5: Estimate the vaccine requirement and ancillary supplies needed

LOGISTICS Formula LOGISTICS Formula

● Still to be determined: Eligible population ● 1 vaccine carrier per 1 Vaccination
÷ __ ( ___doses per via) x ___ (wastage ● Vaccine carriers and ice packs
● Vaccines Team
factor) = Total # of COVID-19 vaccine
vials ● Vaccine refrigerators ● Still to be determined
● Diluents ● Still to be determined
● Thermal Gun, BP Apparatus,
● ● ● 2 set per 1 Vaccination Team
AD syringes Still to be determined Stethoscope, Pulse Oximeter
● Mixing syringes ● Still to be determined
● AEFI or epinephrine ● At least one AEFI/AESI kit per composite ● Immunization cards ● 1 immunization card per vaccine
kits team
● Campaign Forms and
● Total ADS + Total Mixing syringes)/100
● Safety Collection Checklists (supervisory
x1.1 (WF) = Safety Box Quantity
Boxes (SCBs) checklists, tally sheets, ● 1 set per team/day
Requirement
summary report forms, AEFI
● Face mask: Total HR x 2 masks/day x 7 forms)
● PPEs days x 2 rounds; Face Shield: Total HR x 1
face shield ● Cot beds ● 1 bed per composite team
● Alcohol: 1 bottle of alcohol/HR per day x
● ● 1 ambulance per implementing
Alcohols, cottons 7 days x 2 rounds; 2 cotton balls per ● Ambulance
vaccinee x 2 rounds unit
Critical Step 6: Identify gaps in cold chain capacity

Refrigerators Make an inventory of refrigerators and freezers specifying model, manufacturer,

number, energy source and the net vaccine and coolant-pack storage capacities

Electrical system Check electrical system for reliability, accessibility, quality and security

Vaccine Evaluate number of cold boxes, vaccine carriers and coolant-packs. Conduct an inventory of

Carriers existing equipment at each health care facility.

Temperature
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Duis st amet odio vel purus bibendum
luctus.
Assess the number and condition of thermometer/ temperature monitoring devices,

monitoring temperature monitoring sheets

Critical Step 7:
Ensure timely delivery of logistics
Critical Step 8: Prepare a Daily Vaccination Session Plan
(Daily Itinerary)
a. Plot the activities or assignment of each implementing unit / vaccination post on a daily basis,
include in the plan:
i. Identification of teams required
ii. Determination of the eligible population assigned for the day; and the expected number of
vaccinees to be vaccinated per day
iii. Determination of the transportation mechanism for the vaccinees and the teams, ensuring
physical distancing is considered in computing the transportation sitting capacity required
iv. Determine the resources needed for the vaccination post, and its quantity
Critical Step 8: Prepare a Daily Vaccination Session Plan
(Daily Itinerary)
Date of Vaccination Assigned Eligible Daily Target to Transportation Transport Resources
Immunization Posts Vaccination population be Vaccinated mechanism for mechanism needed with
Schedule Teams and Vaccination Team for vaccinees quantity
Composite and Composite
Teams Teams

March 15 Hospital 1 Team 1 upto Frontline Health 300 3 hired vans none vaccines (#)
Team 3 Workers syringes (#)
Safety collector
boxes (4)
Vaccine Carriers
(3)
Ice Packs (12)
and etc

March 18 Hospital 2 Team 6-10 Senior Citizen in 500 8 vans 10 jeepneys vaccines (#)
the AM syringes (#)
Indigent Safety collector
Population in the boxes (6)
PM Vaccine Carriers
(5)
Ice Packs (20)
and etc
Critical Step 8: Develop a communication plan for community advocacy, social
mobilization, partnership and engagement

● List of community leaders to proactively engage in advocacy/ social mobilization

Critical Step 9: Prepare a supervision and monitoring plan and schedule
Vaccination Team Supervisor ● Visit Vaccination Teams at least once a day for supportive supervision
using the Supervision Checklist
● Compile vaccination team reports, analyze them and report to higher level
● Review team performance and undertake corrective actions if needed

Implementing Unit Level Supervisor ● Visit Vaccination Teams with Team Supervisors, at least once a day for
supportive supervision using the Supervision Checklist
● Compile and review vaccination team reports, analyze them and report to
higher level
● Review team performance and undertake corrective actions if needed
● Communicate daily with Coordinating team

LGU Level Supervisor ● Visit implementing units 1-2 weeks prior to campaign to monitor progress
in preparedness.
● Support training and microplanning activities
● Review submitted reports, compile and analyze health center level data

Monitors and Independent Monitors ● Visit vaccination sites and complete monitoring forms
● Participate in meetings of the coordination team
● Assist in troubleshooting, as needed
Critical Step 10: Prepare an AEFI/AESI Management, Surveillance and Response
Plan

a. Determine how many AEFI/AESI kits are required per vaccination post.
b. Ensure that each composite team has the following emergency equipment:
○ BP apparatus
○ Stethoscope
○ Penlight
○ Cot Bed / Stretcher
c. Identify AEFI/AESI referral facility for each composite team, and identify contact person in the referral facility and
his/her contact numbers.
d. Ensure that an emergency transport vehicle is on standby in the vaccination post.
Critical Step 10: Prepare an AEFI/AESI Management, Surveillance and Response
Plan

CONTENTS OF AN
AEFI/AESI KIT:

Reference:

WHO SIA Field Guide

Critical Step 10: Prepare an AEFI/AESI Management, Surveillance and Response
Plan
Vaccination Posts No. of Composite No. of AEFI/AESI Kits Emergency Referral Facility Contact Person/s Contact Assigned
Team Assigned Equipment Details Emergency
Needed Transport Vehicle

RHU 1 3 Teams (Team 1- 3 Kits (with complete Cot Bed / Pasig City General Dr. Juan Dela 0917 569 RHU Ambulance
3) items) Stretcher: 6 Hospital Cruz 3455 Plate No. TG
BP: 3 3485
Stethoscope 3
Pen light: 3

Hospital 2
Critical Step 11: Develop a Waste Management Plan

● Understanding the health care waste management system in general

requires the proper planning and implementation of managing wastes to be
generated in the nationwide COVID-19 vaccination considering the
complexity of the nature of the vaccine.

● Proper handling, storage, collection and disposal of the wastes shall be

followed to ensure protection of the environment and the general public.

** To be discussed in Module 8
THANK YOU