EXPANDED PROGRAM ON
IMMUNIZATION (EPI)
LEARNING OBJECTIVES:
At the end of this lecture the students will be able to know
about:
1. What is Expanded Program on Immunization?
2. What are the legal basis/existing policies for EPI?
3. Which diseases are being covered by EPI?
4. Which vaccines are used for infants and children?
5. What are the EPI schedules are followed in Philippines?
6. What are the difference of FIC & CIC
The Expanded Program on Immunization in Phil.
• In 1976 - The EPI was launched by DOH , with vaccines
provided free by UNICEF & WHO.
• In the mid-1990s - The Philippines DOH began to
purchase its own supply of vaccines.
Expanded Program on Immunization
A DOH program to ensure that infants/children and mothers
have access to routinely recommended infant/childhood
vaccines.
Immunization services are available in public health centers
nationwide; health staff follow up infants in catchment areas
to ensure all required vaccinations are received by the first
birthday
Legal basis/existing policies for EPI
• Presidential Decree # 996
- Providing compulsory basic Immunization for infants and
children below 8 years old.
• Republic Act No. 10152
-Mandatory Infants and Children Health Immunization Act of
2011
Over all goal of EPI:
To reduce morbidity and mortality among infants and
children caused by 6 childhood immunizable diseases.
Initially included included six vaccine-preventable
diseases:
1. Tuberculosis
2. Poliomyelitis
3. Diphtheria
4. Tetanus
5. Pertussis
6. Measles
• Pneumococcal Conjugate Vaccine 13 ( recently added
2014)
IMMUNIZATION SCHEDULE
IMMUNIZATION SCHEDULE
IMMUNIZATION SCHEDULE
VACCINE DOSAGE
VACCINES DOSAGE SITE
BCG 0.05 ml ID , (right deltoid region)
Hepatitis B 0.5 ml IM (R )anterolateral aspect of mid thigh
Pentavalent Vaccine 0.5 ml IM (R) anterolateral aspect of mid thigh
Pneumococcal Conjugate
0.5 ml IM (L) anterolateral aspect of mid thigh
Vaccine (PCV)
OPV 2 drops ORAL
IPV
(INACTIVATED POLIO 0.5 ml IM (L) anterolateral aspect of thigh
VACCINE)
MEASLES VACCINE 0.5 ml SC (R) arm(right deltoid region)
MMR 0.5 ml SC (R) arm(right deltoid region)
FULLY IMMUNIZED CHILD(FIC)
• A child is said to be Fully Immunized Child when he/she
receives 1 dose of BCG and Hep.B , 3 doses of
PENTAVALENT VACCINE and OPV, and 2 doses of
measles-mumps-rubella (MMR) vaccine on or before 1
year of age.
COMPLETELY IMMUNIZED CHILD (CIC)
• refers to children who completed their 1 dose(BCG)
vaccine and Hep.B, 3 doses of pentavalent (DPT-HepB,
Hib) vaccine, 3 doses of OPV, and 2 doses of measles-
mumps-rubella (MMR) vaccine at 13-23 months.
•There is no contraindication to immunization except when
the child is immunosuppressed or is very, very ill (but not
slight fever or cold). Or if the child experienced
convulsions after a DPT or measles vaccine, report such to
the doctor immediately.
•Malnutrition is not a contraindication for immunizing
children rather; it is an indication for immunization since
common childhood diseases are often severe to
malnourished children.
Program Strategies:
1. Conduct of routine immunizations for infants/children at
the BHS.
2. The Reaching Every Purok in the Baranggay.
3. Supplemental immunization Activities (SIA)
All children aged 0-59 months old are eligible to receive the oral
polio vaccine, while children aged 9-59 months old will be given the
measles-rubella vsaccine. It aims to protect the children from the
debilitating effects of measles, rubella, and polio.
References:
• Archer, Sarah Ellen and Flieshmen, Ruth Community
Health Nursing: Patterns and Practices, California
Wadsworth Publishing HouseC. Inc.1975
• Reyala,Jean and Nisce,Zenaida Community Health
Nursing Services in the Philippines.2000
THANK YOU SO MUCH