Approach of PHC in Family health

3. Paradigm of PHC Essential health care e.g. Family health EPI Family planning Infant breast feeding Individual/ families Universally accessible Community based Primary health workers Social development

34. Schedule of immunization Vaccine Minimum age at 1st dose Number of doses Minimum interval between doses Reason BCG Birth or anytime after birth 1 BCG protects the infant from possibility of TB meningitis & other TB infections DPT 6 weeks 3 4 weeks Reduce the chance of pertussis OPV 6 weeks 3 4 weeks Protection against polio disease

35. Vaccine Minimum age at 1st dose Number of doses Minimum interval between doses Reason Hepatitis B At birth 3 6 weeks interval from 1 st dose to 2 nd dose; 8 weeks interval from 2 nd to 3 rd dose Reduces the chance of being infected and becoming a carrier Measles 9 months Prevents deaths, malnutrition and protection from measles

36. EPI vaccines and its characteristics Type/Form of vaccine Storage Temperature Most Sensitive to heat Oral Polio (live attenuated ) -15°C to -25°C ( at the freezer) Measles ( Freeze dried) -15°C to -25°C ( at the freezer)

37. Type/Form of vaccine Storage Temperature Least sensitive to heat DPT/Hep B “ D” toxoid is a weakened toxin “ P” killed bacteria “ T” toxoid is a weakened toxin +2 °C to + 8°C ( in the body of refrigerator) Hepatitis B +2 °C to + 8°C ( in the body of refrigerator) BCG (freeze dried) +2 °C to + 8°C ( in the body of refrigerator) Tetanus toxoid +2 °C to + 8°C ( in the body of refrigerator)

38. Administration of the vaccine Vaccine Dose Route of Administration Site of Administration BCG 0.05 ml Intradermal Right deltoid region DPT 0.5 ml Intramuscular Upper outer portion of the thigh OPV 2 drops or depending on the manufacturer instruction Oral Mouth Measles 0.5 ml Subcutaneous Outer part of the arm Hepa B 0.5 ml Intramuscular Upper outer portion of the thigh Tetanus toxoid 0.5 ml Intramuscular Deltoid region

42. The End