Td vaccine contains of tetanus toxoid and diphtheria toxoid, but the concentration of diphtheria antigen is lower than that in DPT, DT or Pentavalent etc.
• Td vaccine is sensitive to both freezing and heat.
• It is WHO prequalified
• Open vial policy is applicable to Td vaccine.
• Shake test valid for testing for any damage by accidental freezing
• Td vaccine is safe even for use in the pregnant women
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Open Vial Policy has been developed to minimise and prevent vaccine wastage under the UIP.
It permits the reuse of partially used multi dose vials of relevant vaccines under UIP in succeeding sessions up to 28 days PROVIDED certain conditions are fulfilled. It is essential that the policy is followed correctly, so as to minimize wastage, adverse effects following immunization and ensuring that the vaccination is effective.
Open Vial Policy is valid for the following vaccines:
• DPT, Td & TT,
• Hepatitis B,
• Oral Polio Vaccine (OPV)
Ayushman Bharat is a Government of India initiative for achieving Universal health coverage (UHC). Universal health coverage (UHC) implies that every individual gets optimum health care without any economic burden. It is a component of the National Health Policy, 2017.
Ayushman Bharat (AB) aims to achieve UHC through two components:
Animation: https://youtu.be/JM4rQ9vjj6E
Contraceptives are Broadly Divided into Two Classes
1. Spacing methods
2. Terminal methods
Launched in 1952
India was the first country in the world to launch a program for population stabilization
In beginning:
1. Few clinics
2. Training the personnel for above activities
3. Research for contraceptive methods, communication strategy, behavior change etc.
Antenatal Case Presentation: https://youtu.be/SD7ViCp6-8c
Long-term objective/goal: to achieve a stable population by 2045, at a level consistent with sustainable:
• Economic growth,
• Social development, and
• Environmental protection
Medium-term objective: to bring the TFR to replacement level (Meaning NRR=1) by 2010
Immediate objectives:
1. To address the unmet needs for
• Contraception
• Health care infrastructure and health personnel
2. To provide integrated service delivery for basic reproductive and child health care
