Training for rotavirus vaccine introduction

1
Training for rotavirus vaccine introduction

• Module 7
• Communicating about rotavirus vaccine with
  caretakers

2
Learning objectives

• At the end of the module, the participant will be
  able to
• Describe how to communicate with caretakers
• Advise caretakers on rotavirus disease and
  prevention methods particularly on the need for
  timely vaccination
• Alert caretakers of potential side effects and
  how to respond to them
• Provide other messages to caretakers before they
  leave the session
• Duration
• 20

3
Key issues
4
How to communicate with caretakers?

• Be respectful
• Use simple words and avoid technical terms
• Listen to caretaker's concerns
• Make sure the caretaker has understood your key
  messages

5
What is triple A communication with parents?
Advice on what is given
Arrange for when to return
Alert on side effects and how to respond
6
Advice How to inform about the disease?

• Rotavirus causes severe diarrhea, vomiting, and
  fever leading to rapid dehydration
• Rotavirus is found everywhere
• Almost every child in the world will suffer from
  at least one infection by the time he or she is
  three years old
• Rotavirus is not the only cause of diarrhea, but
  it is one of the most serious
• Rotavirus infection spreads very quickly

7
What can be done to prevent rotavirus and
diarrheal disease?
8
Advice What is the new rotavirus vaccine?

• Millions of children have received rotavirus
  vaccine in the last 8 years and the vaccine is
  considered very safe and effective
• This vaccine will be given at the same time as
  pentavalent vaccine, therefore no extra visit is
  required for this vaccine
• Rotavirus vaccine will not prevent diarrhea or
  vomiting caused by other germs, but it is very
  good at preventing diarrhea and vomiting caused
  by rotavirus.

9
Advice Rotavirus vaccine schedule?

• Getting vaccinated on time is important
• 3 doses of rotavirus vaccine

10
Alert How to respond to side effects?

• Infants may be more irritable. Some infants may
  also experience loss of appetite, fever, fatigue,
  diarrhea, and vomiting
• After immunization, if your infant has fever
  (gt39C), give paracetamol
• If your infant shows unusual signs- persistent
  crying, vomiting, blood in bowel motion take
  him/her directly to the hospital

11
Arrange When to return?

• Make an appointment for the next dose of
  rotavirus vaccine and other vaccines according to
  the immunization schedule
• Wait at least 4 weeks before next appointment
• Ensure that there is a session on the attributed
  date
• i.e., no public holiday, weekend, or other event
• Write the date of the next visit on the
  immunization card
• Remind the caretaker to come on the specified
  date and to bring the card

12
Key messages (1/4)

• Triple A communication - Be respectful - Listen
  to caretaker's concerns
• Use simple phrases and avoid technical terms to
  make sure the caretaker understands your key
  messages
• Ongoing dialogue may successfully reassure
  vaccine-hesitant parents that immunization is the
  best and safest option for their child

13
Key messages (2/4)

• Rotavirus infection is highly contagious
• Vaccination is the only way to prevent the severe
  episodes of rotavirus infection
• A child immunized with rotavirus vaccine can
  still get diarrhea from other agents
• Follow all steps to prevent and control diarrhea

14
Key messages (3/4)

• On-time vaccination is very important
• Current rotavirus vaccines are generally well
  tolerated
• Parents have to understand that the risk of side
  effects after rotavirus vaccination is much lower
  than the risk of severe rotavirus disease in
  unvaccinated children
• If your child shows any serious symptoms such as
  blood in the stool, take him/her immediately to
  the nearest hospital
• Keep the immunization card safe and remember to
  bring it next time

15
Key messages (4/4)

• A coordinated approach that combines rotavirus
  vaccines with other prevention and treatment
  methods should be practiced to reduce death and
  illness from diarrhea, such as
• Rotavirus and measles vaccination
• Promotion of exclusive breastfeeding and Vitamin
  A supplementation
• Promotion of hand washing with soap
• Improved water supply including treatment and
  safe storage of household water
• Community-wide sanitation promotion
• Fluid replacement (ORT)
• Zinc treatment

16
End of module
Thank you for your attention!