PREPARATION FOR THE

REGION-WIDE ROUTINE
CATCH-UP IMMUNIZATION
(Pentavalent and MCV)
on NOVEMBER 2023

ONLINE ATTENDANCE : https://bit.ly/RoutineCatchUpImmunization

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Opening Prayer
Acknowledgement
of
Participants
 Outlin
Opening
e

Remarks

Cheryl R. Sarmiento MD
Medical Officer IV
FHU Cluster Head
 TIME ACTIVITIES RESPONSIBLE OFFICE/PERSON

Meeting Agenda 9:00-9:30 AM

Online Attendance /Online Registration of Participants/Opening Prayer
Acknowledgement of Participants
NIP TEAM

Cheryl R. Sarmiento MD, MPH

Opening Remarks
FHU Cluster Head

Situational Analysis
9:30-9:40 AM Dr. Abnet Samuel Abiyo
● Risk Analysis
WHO Consultant
● NIP Accomplishment

Presentation of Accomplishment for the Intensified Routine Catch-Up Immunization

Christy P. Ajijul
9:50-10:00 AM Held last September 18-29, 2023
NIP, Nurse Coordinator
● Issues and Challenges

10:00-10:10 AM Dr. Reynalyn P. Elshazly

Guidelines on Regionwide Routine Catch-Up Immunization in November
NIP, Medical Coordinator
Christy P. Ajijul
10:10-10:25AM Presentation of Micro Plan Matrix
NIP, Nurse Coordinator

OPEN Forum

Augusto Manolo G. Alpichi MD,MPH

10:25-10:30 AM Closing Remarks
LHSD, Chief
VPD Situational
Outlin Analysis
e

Dr. Abnet Samuel Abiyo

WHO Consultant
 Outlin
Presentation of Accomplishment for the
Intensified RoutineeCatch-Up
Immunization
September 18-29, 2023

Christy P. Ajijul
NIP, Nurse Coordinator
Accomplishment:
CATCH UP SEPTEMBER 18-29, 2023

Area Penta 1 Penta 2 Penta 3 1 dose Penta TOTAL DOSES

Zamboanga Peninsula 179 184 297 1,383 2,043

Zamboanga Del Norte 8 5 5 8 26

Sirawai (Bgy Guban) 8 5 5 8 26
Zamboanga Del Sur 20 14 25 6 65
Dinas(Brgy. Guban) 2 3 1 0 6
Dinas (Brgy.Poblacion) 0 0 1 0 1
Dumingag ( Brgy. Bag-ong
Valencia) 2 0 2 0 4
Dumingag (Brgy. San Pablo ) 1 1 0 0 2
Dumingag ( Brgy. San Pedro ) 1 0 2 0 3
Labangan (Brgy.Langapod) 2 4 7 0 13
San Miguel (Brgy. Calube) 4 1 2 0 7
San Miguel (Brgy. San Isidro) 1 0 0 1 2
Tukuran( Brgy, Sto Niño) 7 5 10 5 27
 Accomplishment:

CATCH UP SEPTEMBER 18-29, 2023

Area Penta 1 Penta 2 Penta 3 1 dose Penta TOTAL DOSES

Zamboanga Peninsula 179 184 297 1,383 2,043

Zamboanga Sibugay 6 8 26 30 70
Alicia(Brgy. Dawa-dawa) 3 4 3 5 15
Naga (Brgy. Sandayong) 2 1 9 0 12
Mabuhay (Brgy.
Bangkaw-bangkaw) 1 3 14 25 43
 Accomplishment:
CATCH UP SEPTEMBER 18-29, 2023

Area Penta 1 Penta 2 Penta 3 1 dose Penta TOTAL DOSES

Dapitan City 0 4 3 0 7
Brgy, Opao 0 2 2 0 4
Brgy, Portungan 0 2 1 0 3
Dipolog CIty 15 15 17 17 64
Brgy. Gatas 11 13 8 17 49
Brgy. Diwan 4 2 9 0 15
Isabela City 7 2 24 128 161
Brgy. Sumagdang 7 2 24 128 161
Pagadian City 0 2 2 5 9
Brgy. Bomba 0 0 2 1 3
Brgy. Dao 0 2 0 4 6
 Accomplishment:
CATCH UP SEPTEMBER 18-29, 2023

Area Penta 1 Penta 2 Penta 3 1 dose Penta TOTAL DOSES

Zamboanga City 123 134 195 1,189 1,641
Brgy. Cawit 0 0 0 32 32
Brgy. Culianan 9 6 24 156 195
Brgy. Curuan 4 5 9 7 25
Brgy.Lumbangan 7 7 0 14 28
Brgy. Mampang 0 0 0 0 0
Brgy. Pasonanca 15 22 24 507 568
Brgy. Patalon 14 17 9 57 97
Brgy. Rio Hondo 12 9 50 286 357
Brgy. Santa Catalina 3 2 4 22 31
Brgy.Sinunuc 34 43 46 60 183
Brgy. Talon-talon 9 13 16 23 61
Brgy. Tumaga 16 10 13 25 64
 Intensified Routine Catch-Up Immunization Summary

● A total of 2,043 jabs were administered during the 2-weeks

implementation.
● Among the 32 identified barangays for implementation, Barangays in Zamboanga City
recorded the highest number of jabs administered. Barangay Pasonanca as the highest at
568 jabs, followed by Barangay Rio Hondo with 357 jabs, Barangay Culianan at 195 jabs and
Brgy. Sinunuc at 183 jabs.

● On the other hand, barangays with low utilization recorded were Brgy. Poblacion (Dinas)
with only 1 jab, Brgy. San Pablo (Dumingag) and Brgy. San Isidro (San Miguel) at 2 jabs,
Brgy. San Pedro (Dumingag), Brgy. Portungan (Dapitan City) and Brgy. Bomba (Pagadian City)
at 3 jabs respectively.
Issues, Gaps & Challenges

● Fear of vaccine and its side effects

● Movement of Individuals/Residence
● Areas with security concerns
● Perceived as COVID-19 vaccine
● Religious Beliefs
● Parents are not present (guardian cannot decide)
 Outlin
e
Guidelines for Region-wide Catch-Up
Immunization
November 13-29, 2023

DR. REYNALYN P. ELSHAZLY

MO III/ Medical NIP Coordinator
Outline
●Background
●General Guidelines
●Specific Guidelines
●Roles and Responsibilities
Background

52%

36%
56.13%
Background Fully Immunized child Coverage 2021-2022

Province/City FIC 2021 2021 FIC% FIC 2022 2022 FIC% FIC 2023 2023 FIC %

Zamboanga 41,483 52.0% 48,047 56.13% 30,348 36%

Peninsula

Zamboanga del 11,259 65.0% 10,660 58% 6,34 29%

Norte

Zamboanga del Sur 4,738 27.6% 8348 44.45% 4,867 23%

Zamboanga Sibugay 5,740 37.1% 7,250 44% 5,624 46%

Dapitan City 1,587 88.9% 1609 85% 1,025 51%

Dipolog City 1,944 68.5% 1436 47% 1,294 41%

Pagadian City 2,390 30.6% 2256 80.49% 1,273 29%

Isabela City 1,287 83.4% 2468 53% 1556 36%

Zamboanga City 12,538 68.9% 14020 70% 8,175 39%

 Measles-Rubella

Figure 9. MCV Status of the suspected

Measles-Rubella(MR) Cases (N=380) in
Zamboanga Peninsula from January 01,
2023 to September 30, 2023.
Pertussis
1. Huge unvaccinated
population
2. Increased mobility
3. Increased VPDs
Catch Up Immunization Policies (NATIONAL)

Administrative Order 2021-0045

Subject: Guidelines on the Conduct of
Catch-Up Immunization for Children

Department Memorandum 2022-0147

Subject: Interim Guidelines for the
Conduct of National Vaccination Days
(Chikiting Bakunation for Catch up
Immunization)
*participated by Zamboanga del Sur
Catch Up Immunization Policies (REGIONAL)

Regional Memo No. 048

February 13, 2023
Conduct of Intensified 2023 Routine Catch-Up
Immunization

ZP-CHD Routine Immunization Advisory No. 2

September 15, 2023
Conduct of Intensified Catch-Up Immunization for
Pertussis and Diphtheria in Areas with Reported
Cases in Zamboanga Peninsula
1. Whole-society and
whole-of-government approach for
intensified catch up of
underimmunized vulnerable children
–private sectors and government
hospitals may partner with LGUs
for service delivery and/or demand
generation
 2. Conducted on November 13-29, 2023 (13-day campaign).
TARGET: 80% per antigen for the remaining 2023 target
Monday Tuesday Wednesday Thursday Friday

Routine NIP/COVID Routine NIP/COVID Routine NIP/COVID Routine NIP/COVID Routine NIP/COVID Final
Week 1 Preparations
Routine + Routine + Routine + Routine + Routine +
Intensified Catch Intensified Catch Intensified Catch Intensified Catch Intensified Catch
Week 2 Up for Up for Up for Up for Up for
Immunization Immunization Immunization Immunization Immunization

Routine + Routine + Routine + Routine + Routine +

Week 3 Intensified Catch Intensified Catch Intensified Catch Intensified Catch Intensified Catch
Up for Up for Up for Up for Up for
Immunization Immunization Immunization Immunization Immunization

Routine + Routine + Routine +

Intensified Catch Intensified Catch Intensified Catch
Week 4 Up for Up for Up for
Immunization Immunization Immunization
3. Eligible population is all 0-23 months old infants who missed a dose,
doses or series of vaccines which can be identified through the defaulter
list.

4. All catch-up antigens identified in AO 2021-0045 shall be utilized.

5.Ensure that all antigens that may be given as catch-up antigens shall be
administered at first contact, with the succeeding doses, if applicable,
given at least 4 weeks interval between doses.

6. Recording and reporting will be done DAILY through a Reporting Tool and
monthly through FHSIS (TCL/Forms).
Intensified Catch Up Immunization (ICI) Targets
At least 80% per antigen shall be covered for the remaining 2023 eligible
population. This shall be set by the CHD per region, provincial and RHU level.

EP - eligible Population
Ag - Antigen
Targets for Penta 3 per day for 13 days

Province/City Target Penta 3 Target per day for 13 days

Zamboanga del Norte 10,398 800

Zamboanga del Sur 11,038 849

Zamboanga Sibugay 6,207 477

Dapitan City 803 62

Dipolog City 1,401 108

Pagadian City 2,682 206

Isabela City 3,201 246

Zamboanga City 7,162 551

Targets for MCV 2 per day for 13 days

Province/City Target MCV2 Target per day for 13 days

Zamboanga del Norte 15,857 1,219

Zamboanga del Sur 15,189 1,168

Zamboanga Sibugay 9,154 704

Dapitan City 1,118 86

Dipolog City 1,572 121

Pagadian City 3,632 279

Isabela City 3,493 269

Zamboanga City 11,810 908

Allocation and Distribution of Vaccines
 PHO/CHO Vaccine Inventory (Vials)
Vaccines Zambo
Zambo Zambo
Del Dapitan Dipolog Pagadian Isabela Zamboanga
Del Sur Sibugay
Norte

BCG 381 352 381 70 58 213 42 246

Hepa B 495 299 277 57 110 90 80 317

Penta 10,053 8,021 9,400 975 1,378 1,906 979 7,045

OPV 0 0 0 0 169 0 0 0

IPV 629 911 866 66 140 201 121 565

PCV 5,882 1,884 2,800 260 525 672 260 1,938

MMR 419 1 306 13 49 361 94 693

CHD Vaccine and Ancillary Inventory

Vaccines Total Number in Date of Expiration

Vials

BCG Quantity
5,197 August 2024, January 2025
Mixing Syringes (5mL) 178,971
Hepa B 1,729 March 2025
0.5 ml AD Syringe 115,644
Penta 102,142 June, August, October 2024
0.3 ml AD Syringes 700
IPV 11,174 February 2026, March 2026
0.05 ml AD Syringe 6,000
PCV 23,357 May 2024, February 2025
Safety Collector Box 4,725
MMR 8,073 July 2025, September 2025

MR 5,677 April 2025

Social Mobilization, Advocacy and Communication
 Vaccination Preparation and Process
Pre-ICI Preparation Checklist:

Microplanning - submission on or before October 20, 2023

Defaulter List - prepared at least 2-3 weeks prior by the BHWs/Volunteers

Disseminated to vaccination teams and vaccination sites

Dissemination of Information

Reactivation of LVOC/coordination with other NGAs/NGOs

 Vaccination Preparation and Process
During implementation ICI

Conduct of DAILY Feedback Meeting - ℅ LVOC at Prov/City/Municipal Level

Mid-implementation Meeting - ℅ PDOHOs and PHOs/CHOs, with MHOs, HRH

Vaccination Strategies
Guide to Defaulter Vaccines
Guide to Defaulter
Vaccines
Each Vaccination Team is expected to vaccinate 50-70 infants/day
Logistics and Cold Chain Management
●Each RHU/BHS/HFs shall have a designated vaccination team supervisor:

○ Ensure that vaccine and vaccine ancillaries are available, conditioned and
monitored
○ Monitor and record the temperature in the vaccine refrigerator and carriers
○ Test all electrical equipment to avoid vaccine quality reduction
Data Reporting
Monitoring and Supervision
Surveillance and AEFI Reporting
Targets for ICI can be access through the link :

https://bit.ly/NOVCatchup2023
Local Government Units
● Conduct of catch-up immunization services within their area of influence in accordance to the
guidelines set by DOH;
● Ensure the supply of vaccines in their areas of jurisdiction by continuously monitoring vaccines supply,
utilizing the current stocks their area have and requesting stock from the next higher level;
● Allocate vaccine supplies and commodities to other partner stakeholders that will provide
immunization services during the ICI based on predetermined targets for each respective immunization
service partners.
● Provide localized support or counterpart (i.e. resources, collaterals, others) for the implementation of
the policy;
● Develop strategies for conduct of catch-up immunization specific to their area of jurisdiction;
● Conduct regular consultation and implementation reviews among respective LGU personnel,
immunization stakeholders, and other organizational partners to improve service delivery efficiency and
address implementation issues/gaps; and
● Submit timely reports to the DOHZPCHD for monitoring and tracking of progress of implementation.
 Outlin
MICROPLAN
e MATRIX
 Outlin
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HPV Updates

Cheryl R. Sarmiento MD
Medical Officer IV
FHU Cluster Head
Area 9-14 years HPV 1st Dose Target Total Utilization Total Utilization
Target Allocation as 1st Dose as 2nd Dose

Zamboanga Peninsula 259,247 64,500 32,250

Zamboanga Del Norte 56,436 11,646 5,823 829 148

Zamboanga Del Sur 58,049 11,898 5,949 2,190 102

Zamboanga Sibugay 47,716 8,500 4,250 1,129

DAPITAN CITY 5,346 3,436 1,718

DIPOLOG CITY 8,086 4,669 2,334 273 88

ISABELA CITY 8,886 4,942 2,471 213

PAGADIAN CITY 13,325 6,835 3,417

ZAMBOANGA CITY 61,403 12,574 6,287

For allocation

Vaccine Total Number in Vials Date of Expiry

HPV 22,500 November 21, 2025

As of October 9, 2023, the Regional Epidemiology Surveillance Unit Morbidity Week 30

Vaccine Preventable Total Cases in the Region

Diseases
Measles 5
Rubella 8
Diphtheria 1
Pertussis 20
Acute Flaccid Paralysis 60
Outlin
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Outlin
OPEN
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FORUM
Activity Evaluation

bit.ly/MEETINGEVALUATION2
 Outlin
Closinge
Remarks

Augusto Manolo G. Alpichi MD, MPH

Chief - LHSD
MARAMING SALAMAT