NATIONAL

IMMUNIZATIO
N
PROGRAM
EXPANDED PROGRAM ON IMMUNIZATION

The Expanded Program on Immunization (EPI) was

established in 1976 to ensure that infants/children and
mothers have access to routinely recommended
infant/childhood vaccines.
Six vaccine-preventable diseases were initially included in the
EPI: Tuberculosis, Poliomyelitis, Diphtheria, Tetanus, Pertussis
and Measles.
Republic Act No. 10152 “Mandatory Infants and
Children Health Immunization Act of 2011, Signed by
President Benigno Aquino III in July 26, 2010. The mandatory
includes basic immunization for children under 5 including
other types that will be determined by the Secretary of
Health.
EXPANDED PROGRAM ON IMMUNIZATION

Strategies:
Conduct of Routine Immunization for
Infants/Children/Women through the Reaching
Every Barangay (REB) strategy

Supplemental Immunization Activity (SIA)

Strengthening Vaccine-Preventable Diseases

Surveillance
NATIONAL IMMUNIZATION PROGRAM

EPI eventually became the NIP which covered

wider segment of the population. To date, the NIP
covered 14 preventable diseases from only six in
1976.
It also expanded its program beyond infancy, and
pregnant women including school age children,
adolescents/youth, senior citizens and those with
special situations.
 Indicator 8. Health Service Coverage target met

2023
Performance
Reference Table
Level
Performance
Indicator External Internal
Performanc Performanc
National
e result e result
Benchmark Benchmark Target 2023
2023 2022

Percentage of Fully
Immunized Child (FIC)
42.59% 34.46% 95%

2022
IMMUNIZATION STATUS: CY 2019- 2023
100.0%
95.0% 95.0% 95.0% 95.0% 95.0%

90.0%

80.0%

70.0% 68.0%
63.0%

60.0%
54.6%
60.0% 52.0%
50.0%
45.0%
41.0% 42.6%
40.0%
33.0% 34.5%

30.0% 27.0%

20.0% 17.1%
12.0% 12.0%
10.0%
3.0%

0.0%
2019 2020 2021 2022 2023
FULLY IMMUNIZED CHILD COMPLETELY IMMUNIZED CHILD TOTAL IMMUNIZED CHILD
NATIONAL TARGET
IMMUNIZATION STATUS: TOP PERFORMING BHS

(General) PROJECTED 13-23 MONTHS

INABANGA 0-12 MONTHS FIC % CIC
POPULATION

Riverside 286 5 6 120% 6 0

Hambongan 695 15 17 113% 12 0

Cagawasan 1,594 31 25 81% 28 4

Bugang 845 18 14 78% 14 0

Datag 769 16 12 75% 13 2

Lomboy 581 12 9 75% 11 4

Cuaming 3,320 68 46 68% 58 5

Baguhan 583 12 8 67% 11 0

Saa 710 15 10 67% 12 0

Poblacion 992 20 13 65% 17 1

Cogon 827 17 11 65% 13 1

IMMUNIZATION STATUS: TOP BOTTOM BHS

PROJECTED
INABANGA 0-12 MONTHS FIC % 13-23 MONTHS CIC
POPULATION

Canlinte 315 6 0 0% 6 2

Dait Sur 898 19 1 5% 15 0

U-og 1,103 22 2 9% 19 0

Cagayan 418 8 1 13% 8 0

Ilaya 435 8 1 13% 8

Lapacan 1,101 22 4 18% 19 6
Sur
Santo 1,103 22 4 18% 19 1
Rosario
Nabuad 2,339 48 10 21% 40 8

Lutao 1,377 28 6 21% 24 0

Banahao 824 17 4 24% 13 1

Dagohoy 1,635 33 8 24% 29 1

 ACTUAL INFANT DEATHS AND IMR
TREND (2019-2023)
17
16
15
14
13
12
11
10 8.5
9
8 7
4.8
6 3.9 5
4 3
0 0
2 1
1 1 2 0 0
0 -1
2019 2020 2021 2022 2023

Actual Infant Death IMR Trend Target

Target: Number of infant deaths or

Deaths occurring before reaching
Reduce to 17 12 months of life in a given period
per 1,000
Livebirths --------------------------------------- X 1,000
Total number of live births
 VACCINE PREVENTABLE DISEASES MORBIDITY
(2021-2024)

16

14

12

10

2 0
0 0
1 1
0 0 0 0
2021 2022 2023 2024

Measles Pertussis Others

Note:
3 Pertussis reported cases in Bohol (February 2024)
2 suspect
1 confirmed
Health
GAPS
 POLICIES
 No existing policy (Municipal to Barangay
Ordinance) on adapting the National
Immunizations Program (RA 10152)

Health
GAPS
 HUMAN RESOURCES
 1:20,000 – Physician (2 Physicians)
 1:10,000 – Nurses (5 NDP, 5 Regular, 4 JO)
 1:5,000 (Midwife)
- (on field)4 RHMPP, 4 Regular, 4 JO
Health - Birthing staff: 2 RHM
 Social mobilizer – On going recruitment
GAPS  Once a month vaccination schedule
 LOGISTICS & FACILITIES
 Out of stock supply of vaccines from the
PHO.
 13 Barangay no BHS yet (Immunization is
usually conducted at convenient sites
Health such as stage, Brgy. Hall, etc.)
GAPS
 BEHAVIORAL/RELIGIOUS BELIEF
 Devoted to personal religious beliefs
 Most are close-minded despite efforts to
provide information and education
campaign.
Health  Uncompliant to immunization schedule
 Sick children
GAPS
 TRANS-OUT
 Changing residency outside and within the
locality.
 Inconsistent updates on active master-
listing of eligible children.
Health
GAPS
 CAPACITY BUILDING
 New BHWs and BNS not yet oriented to
the National Immunization Program
 Limited health workforce trained to the
NIP Manual of Procedure
Health
GAPS
 POPULATION DISCREPANCY
 High projected population as compared to
actual population of eligible children
 Projected population (1005) vs Actual
(713)
Health
GAPS
IMPLEMENTATION PLAN
1.PREPARATORY STEPS FOR LOGISTICAL AND FINANCIAL
REQUIREMENTS
- Convene relevant stakeholders on health promotion, the
community playbook, specifically but not limited to the
following:
 Local health board and Expanded Local health board
 Schools
 BHW/BNS organization
- Explore partnerships for the different activities involved in
implementing immunization promotion intervention.
(USAID)
- Review, revise if necessary related policy.
IMPLEMENTATION PLAN
2. SCOPING FOR IMMUNIZATION-RELATED
CONCERNS
- Collect and review morbidity and mortality statistics
on immunization
- Map out barangay/puroks with low coverage to
concentrate Bakuna champions program. (active
masterlisting)
IMPLEMENTATION PLAN
3. IDENTIFY AND RECRUIT VOLUNTEERS TO BE
TRAINED AS BAKUNA CHAMPIONS
- Identify total number of needed Bakuna champions
(BHW/BNS)
- Identify existing organizations (formal/informal)
(DepEd, DSWD) in the community who are involved
in health promotion activities for immunization to
enrich pool of potential champions.
IMPLEMENTATION PLAN
4. PLANNING FOR BAKUNA CHAMPIONS TRAINING
- Conduct training needs and identify schedule
 Orientation on MOP and Updates on NIP done
(Oct. 2024)
 Comprehensive training on NIP and cold chain
and logistic management (Feb. 2024)

5. CONDUCT CAPACITY BUILDING OF BAKUNA

CHAMPIONS
- Identify trainers
 1 Physician, 1 NIP focal person (nurse), 1 Midwife
 Roll-out Bakuna champions training to BHW or
lay volunteers
- May 8, 2024
IMPLEMENTATION PLAN
6. Social mobilization and introduction of Bakuna
Champions to the community
- Printing and posting
 Information on routine immunization (Streamer,
flyers, brochures, standee) - DOH Template
available
 Routine immunization card
 Catch-up immunization FAQs - DOH Template
available
Thank
you…