WHO recommendation | Related Guidance in Country Policies | |||
---|---|---|---|---|
Kenya | Mozambique | Uganda | Zimbabwe | |
Train staff on IPC and delivery protocols | Not mentioned | Not mentioned | Health workers to follow IPC procedures during service provision | Health workers to follow IPC procedures during service provision |
Provide facilities with adequate IPC equipment, including for waste management | Not mentioned | Personal protective equipment (PPE) provided, no mention of waste management | Use PPE, waste management procedures enforced | IPC equipment provided and waste management to be followed |
Plan several small sessions per day at different times to limit contact | Not mentioned | Not mentioned | Immunize in groups no larger than five mother–child pairs | Schedule smaller, more frequent sessions; bundle immunization into other essential preventative health services |
Limit the duration of stay in the health facility | Not mentioned | Not mentioned | Not mentioned | Not mentioned |
Modify session locations to ensure separation of immunization services from treatment areas | Not mentioned | Outdoor or open spaces must be used for congregation, designated waiting areas | Use dedicated immunization clinics or separate spaces in health care facility | Use outdoor spaces and separate spaces in facility |
Establish a screening process before allowing entry to the vaccination area | Not mentioned | Not mentioned | Triage clients and caregivers for symptoms and risk factors | Triage all clients entering health facility (not specific to vaccination area) |
For outreach and mobile services, proactively engage with communities to identify open sites that allow physical distancing | Not mentioned | Not mentioned | Not mentioned | Not mentioned |
Specific adaptations for birth doses and school-based vaccinationa [27] | Not mentioned | Not mentioned | School-based campaigns temporarily suspended | Not mentioned |