3.1.5 HPV NSCH

Study Unit 3: Care of Children in the Community

Introduction

• Focus: Immunisations, Vitamin A supplementation, and Deworming
• Compiled by: Community Health Nursing Team

Learning Outcomes

• Understand the process of catch-up immunisations
• Explain what to do if immunisations are missed

Study Material

• Vaccinators’ Manual, 2015
• Primary Health Care Level (EDL), 2020, Chapter 13
• DOH, Knowledge Hub Webinars, 2023

Immunisation Intervals

• Adhere to the recommended intervals outlined in the immunisation schedule.
• The catch-up schedule provides guidance on missed immunisations.

Catch-up of Immunisations

Vaccination Schedule Overview

• Bacille Calmette-Guérin (BCG):

  • ≥1 year: Do not give

• Oral Polio Vaccine (bOPV):

  • ≥6 months: Do NOT give
  • 4 weeks: Interval for subsequent doses

• Hexavalent (DTaP-IPV-HepB-Hib):

  • Up to 5 years: First dose
  • 4 weeks: Interval for second dose
  • 12 months: Do not give before 18 months of age

• Pneumococcal Conjugate (PCV):

  • 6-
  • 9
  • 4 weeks: Interval for subsequent doses

• Rotavirus:

  • 20-24 weeks: Give one dose
  • >24 weeks: Do not give

• Measles/Rubella (MR):

  • ≥11 months: First dose
  • 4 weeks: Interval for subsequent doses

• Tetanus Diphtheria Acellular Pertussis (TdaP):

  • ≥6 years: Give first dose
  • At 12 years: Second dose

Important Notes

• PCV13 and PCV10 are interchangeable; no need for a catch-up dose for PCV10 if PCV13 has already been received.
• A 4-week interval should be observed for TdaP if the child has received Td previously.
• If the first dose is MCV, there is no catch up required for MR.

References

• DOH, Knowledge Hub Webinars, PCV10, MR, TdaP, 2023

Acknowledgment

• Thank you to all contributors at LUNWU®

This detailed approach emphasizes the importance of immunisation scheduling and ensuring that children receive necessary vaccinations in a timely manner.