Routine Immunization
The IEAG reinforces that the continued, rapid improvements in routine immunization are fundamental to sustaining the progress to date in eradicating wild poliovirus, preventing the emergence of cVDPVs, and ensuring long-term protection from polio

Steps in conducting the immunization session

¨Welcome the beneficiaries.
¨Verify beneficiaries’ record and age and check that the beneficiary is due for
vaccination today.
¨Explain what vaccine(s) will be given and the route of administration.
¨Screen for contraindications.
¨Check vial expiry date and double check vial label. Do not use if there is no label on vaccine vial. For OPV, check VVM.

¨Wash hands before reconstituting vaccine and conducting the session. Write the
time of reconstitution on the vial (BCG,Measles).
¨Maintain aseptic technique throughout.
¨For T-Series Vaccines, lightly shake the vials before withdrawing the dose.
¨Use only diluent supplied with the vaccine (Double distilled water (2.5 ml) for Measles & normal saline (1 ml) for BCG.

¨Inject the vaccine at the correct site and follow the correct route of administration of the vaccine e.g. intra-dermal; sub-cutaneous; intramuscular.
¨Inject the vaccine using steady pressure.
¨Withdraw the needle at the angle of insertion.
¨Do not massage the injection site after giving the injection.

¨Explain potential minor side-effects/ problems that may occur due to the vaccine and how to deal with them.
¨Ask beneficiaries to wait there for some time (15-30 minutes) after giving the injection
¨Fully document each immunization in the immunization card and relevant immunization register

¨Remind beneficiaries /parents about the next visit and ask them to bring the card on next visit .
¨Retain the counter foil
¨Ensure disinfection of the needles and syringes before disposal.
¨Disposal of syringes and needles should be done as per guidelines.