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Submitted: 14 March 2017 Modified: 14 March 2017

Herdin Record #: R10-DOH-17031414000135

An evaluation of the extent of implementation of school-based immunization program in bayanga, mambuaya and dansolihon elementary and national high schools.

Researchers

NameRole
1Fahad Emmanuel R. Ambor Researcher
2Erlquinn Josef A. Gambe Researcher
3Hannah Lyn  D. Gumapon Researcher
4Melanie  F. La Victoria Researcher
5Justin Reene R. Magallon Researcher
6Aljane  B. Nano Researcher
7Zacaria B. Pario Researcher
8Dulcenia G. Soloveres Researcher

Related Institutions

Institutions NameRole
College of Medicine - Xavier University-Ateneo De Cagayan Authors Affiliation
Research Epidemiology Surveillance and Disaster Response Unit - Department of Health - Department of Health Funding

Publication Information

1.
Publication Type:
Research Project
Date:
March 13, 2017

Abstract

Establish in 1976, Presidential decree No. 996 aimed to provide compulsory basic immunization for infants and children below 8 years old (official Gazette, no date). To further strengthen the decree, Republic Act No. 10152 or the Expanded program on immunization (EPI) was created and adapted a more comprehensive and sustainable immunization program against vaccine preventable diseases (Official Gazette, 2011). This study is a descriptive study which employed purposive sampling. The study population included the implementer of SBIP, the parents or guardians of grade 1 students, and grade 7 SBIP recipients, structured interviews, questionnaires and innovated evaluation tools were used to gather data. Results showed a coverage rate of 59%, 54%, and 55% in Bayanga, Dansolihon, and Mambuaya Elementary School respectively. Bayanga, Dansolihon, and Mambuaya National High School had a coverage rate of 78%, 61%, and 77% respectively. for the grade 1 respondents, notification letters were given upon enrollment. They were informed about the SBI  and consent forms were given prior to the scheduled implementation. For grade 7 respondent, majority received the consent and vaccinated with two vaccines. For females who were vaccinated, a great number were ask about the history of sexual activities, allergies, their LMP and possible pregnancy. For males, most of them were ask about history of sexual activities and allergies. As for the implementers, all the respondents confirmed that appropriate recording and reporting forms were completed and submitted. They also confirmed that the vaccination of students took place in areas visible for other students that reveals a rather risky move because according to the guidelines, fear of injections resulting to fainting has been commonly observed in school immunization. In addition, all the implementers confirmed that the immunization did not take place after the recess which put the students at risk for hypoglycemia. In terms of management for adverse events following immunizations, results revealed that all the implementers have the necessary knowledge as stated in the guidelines. The determined coverage rate of the SBIP in the selected highland elementary and national high schools of cagayan de oro range from 54-59% in the elementary schools and 61-78% for the national high schools which was below the 95% national target coverage. For the implementation of SBIP on the grade 1 levels, 75% - 82.19% of the participants were issued notification letters by the school, 90.90% - 100% of the participants were asked for a parental consent, 81.82% - 94.23% were screen for previous measles vaccination. No fees or payments were collected during the implementation. In addition, the reasons for the respondents who were not vaccinated included absenteeism, fever, previous vaccination of tetanus toxoid, fear of injection, religion and inadequate knowledge of the parents regarding vaccination. For the implementation of the SBIP on the grade 7 students, 91.09% - 100% were asked for a parental consent, 50.68% were asked about their sexual history. The implementers were aware of thier roles in the program, including immunization safety, vaccine storage and transport, recording and reporting accomplishment reports and addressing adverse effects following immunization.

References

1. Available from: www.doh.gov.ph/content/national-objectives-health-2011-2016.html. - [External Link]