Module 4

HPV vaccine administration

CervarixTM

Essential Training Package for HPV Vaccine Introduction

HPV Vaccine administration, Module 4 | 19 April 20232 |

Learning Objectives

At the end of this module, you will have learned to:– Describe activities carried out before, during and after an

immunization session.– Describe how to ensure that vaccine is of good quality

– Describe the technique to administer the vaccine – Describe considerations for conducting immunization

session in school setting

Duration – 45 ’

HPV Vaccine administration, Module 4 | 19 April 20233 |

How to ensure that the vaccine is of good quality ?

1

How to prepare for vaccination?2

Key issues

How to administer the vaccine ?3

What to do after completing the immunization session ?

5

How to handle 2-dose vial of CervarixTM vaccine ?

4

HPV Vaccine administration, Module 4 | 19 April 20234 |

Immunization sessions: phases & critical activities

Phase 1Before girls come for immunization

Phase 2When girls come for

immunization

Phase 3After all girls leave

immunization AREA

HPV Vaccine administration, Module 4 | 19 April 20235 |

Phase 1: Before girls come for immunization

1. Take vaccines and vials out of the refrigerator

2. Check expiry date and VVM status for each vial

3. Collect & arrange supplies and monitoring tools for immunization session

4. Prepare an AEFI Kit

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How to ensure that vaccine is of good quality?

Check the temperature inside the refrigerator, if vaccine freezing is suspected perform the Shake test to confirm

Check VVM status

Check the expiry date on the vials

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How to check VVM status?

Before administering the vaccine, you need to check the Vaccine Vial Monitor (VVM) on the vaccine vial

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What should you do in this scenario?

The vaccine vial monitor shows that the inner square is lighter than the outer circle?

What should you do?

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Checklist of supplies and monitoring toolsneeded for HPV vaccination

Supplies Vaccine and syringes IEC materials (e.g. flyers, pamphlets,

posters) Chair and table Water and soap for cleaning hands Trays Safety box Containers for used vials Drugs to manage allergic reactions- 'AEFI

kit' Chairs to rest after vaccination (15 mins) Pen, pencil

Monitoring tools Vaccination register Tally sheets Vaccination cards Calendar

HPV Vaccine administration, Module 4 | 19 April 202310 |

Phase 2: When girls come for immunization

1. Check eligibility of girls

3. Administer vaccine according to the recommended techniques and injection site

5. Complete immunization card and tally sheet

6. Give key messages to girl/caregiver/parent: inform about vaccines given, side effects, and date of return

4. Dispose used syringes immediately into the safety box after each injection

2. Prepare injection using aseptic techniques

HPV Vaccine administration, Module 4 | 19 April 202311 |

What to do when girls come for immunization ?

1.Greet the girl

2.Verify, register, explain HPV

vaccine benefits

3.Prepare for vaccine

4.Inject in the upper

arm

5.Determine date for next vaccine

dose 6.Return the

updated card

7.Observe the girl for

15’

HPV Vaccine administration, Module 4 | 19 April 202312 |

How to prepare for vaccination ? (1/3)

Shake the vial well

Open AD syringe package and remove the syringe and needle from plastic wrapping

Ensure that you do not touch any part of the needle

HPV Vaccine administration, Module 4 | 19 April 202313 |

How to prepare for vaccination ? (2/3)

Take off the needle cap when you are ready to give the vaccine

Insert the needle into the vaccine vial

Draw vaccine from the vial into the 0.5mL syringe

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Route and site of administration

Injection route: Intramuscular

Injection site: the upper arm, check national policy on which arm (left or right)

The injection angle- 90 degree angle

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Proper handling of 2-dose vial of CervarixTM?

After opening, handle the vaccine in the same manner as:

– A reconstituted BCG vaccine vial– Or measles vaccine vial

Discard any opened vial with unused doses:

– At the end of immunization session– Or 6 hours after opening

During the session:– Put open vials in the vaccine carrier– DO NOT return them in the refrigerator

HPV Vaccine administration, Module 4 | 19 April 202316 |

Phase 3: After all girls leave immunization site

1. Complete Immunization tally sheet by counting the number of doses given

2. Return unopened vaccine vials to the refrigerator

3. Put safety box in a safe location

4. Inform community of the next session and activities planned to reach unvaccinated girls

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Key messages

HPV vaccine session requires planning of activities before girls come, when girls arrive and after all girls leave

The quality of vaccine should be checked before giving the vaccine

The HPV vaccine is given as an intramuscular injection in the deltoid muscle of the upper arm

Discard any opened vials with unused doses at the end of the immunization session or 6 hours after opening

HPV Vaccine administration, Module 4 | 19 April 202318 |

End of module

Thank youfor your attention !

HPV Vaccine administration, Module 4 | 19 April 202319 |

References

Comprehensive Cervical Cancer Control. A guide to essential practice (C4 GEP). WHO 2013

HPV vaccine introduction into national immunization programmes: Information for programme managers and health workers. WHO 2013

Global update on HPV vaccine introduction