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close this bookImmunization in Practice - Modules 1-11 (WHO; 2001; 242 pages) [FR]
View the documentIntroduction to the course
open this folder and view contentsModule 1: EPI target diseases
open this folder and view contentsModule 2: EPI vaccines
open this folder and view contentsModule 3: The cold chain
open this folder and view contentsModule 4: Ensuring safe injections
open this folder and view contentsModule 5: Organizing immunization sessions
open this folder and view contentsModule 6: During a session: registering and assessing clients
open this folder and view contentsModule 7: During a session: preparing vaccines
close this folderModule 8: During a session: giving immunizations
View the documentAbout this module
View the document1. How to give a BCG immunization
View the document2. How to give an OPV immunization
View the document3. How to give a DPT immunization
View the document4. How to give a hepatitis B immunization
View the document5. How to give a measles immunization
View the document6. How to give a yellow fever immunization
View the document7. Giving a tetanus toxoid immunization
open this folder and view contentsModule 9: After a session
open this folder and view contentsModule 10: Communicating with parents and involving communities
open this folder and view contentsModule 11: Monitoring immunization coverage
View the documentBack Cover
 

5. How to give a measles immunization

Measles vaccine comes as a dry powder. Before you can use it you must reconstitute it with measles diluent (see Module 7).

5.1 Position the child

Clothing should be removed from the child's left upper arm so that the measles vaccine can be injected there. (Some health workers use the right arm.)

If the injection is to be made into the child's left arm he or she should sit on the parent's lap as follows:

• The parent's left arm should be around the child, supporting her or his head and holding the left shoulder.

• The child's right arm should be tucked around the parent's body.

• The parent's right arm should hold the child's legs out of the way, and the parent's right hand should hold the child's left hand.


Figure 8-K: Holding child for measles immunization

5.2 Inject measles vaccine

You need a sterile 0.5 ml syringe and a sterile 25 mm, 22 gauge reusable needle or a 25 mm, 23 gauge single-use needle.


Figure 8-L: Measles syringe and needle

1) Hold the child's arm from underneath. Your fingers reach around and PINCH UP the skin.

2) Push the needle into the pinched-up skin. The needle should go in at a sloping angle, not straight down.


Figure 8-M: Needle position for measles immunization

3) Do not push the needle too far in.

4) To control the needle, support the end of the syringe with your thumb and finger while you push the needle in. Do NOT touch the needle itself.


Figure 8-N: Giving measles vaccine

5) Press the plunger with your thumb to inject the vaccine.

6) Withdraw the needle and press the site with cotton wool.

Remember about measles injections:

Give 0.5 ml once at nine months of age.
Protect reconstituted measles vaccine from heat and sunlight.
Destroy reconstituted measles vaccine after six hours.
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