Expanded Program On Immunization

Expanded Program on Immunization

Background and Definition

Expanded Program on Immunization (EPI), established in 1987, aimes at guaranteeing the right of every child in Lebanon, regardless of social status or parent's education level, on immunization and protection from diseases that have available effective and safe vaccines. In order to ensure that, the Ministry of Public Health guarantees the provision of vaccines in 700 health care centers, public and social, in collaboration with the private sector and with the conitnuous awareness of care givers about the importance of immunization. The program provides further special attention to chidlren residing in remote and underprivileged areas through quality outreach activities.

EPI ِAims at:

Elevating routine vaccination coverage per district to above 95%.
Preserving Lebanon as polio-free, considering the continuous influx of Syrian refugees and in preparation to the eradication of polio in the region and worldwide.
Eradicating Measles and Rubella by the end of year 2018.

EPI Activities:

Continuous training and capacity building throughout the year for health care workers on routine vaccination management and implementation in all districs.
Continuous work to keep Lebanon certified polio-free
Implementation of the RED STRATEGY to reach every child, which includes:
1. Data on the immunization coverage for children under one year of age
2. Data on immunization coverage in Lebanon
3. Identification of the number of drop-outs and planning to ensure their vaccination per district accordingly
Celebrating World Immunization Week and planning awareness sessions over Lebanon about routine vaccination
Conducting National and Mop-Up Immunization campaigns annually, including vaccination against Measles, Rubella, and Mumps
Conducting regular visits by the self-assessment team to follow on the quality of vaccination delivery service
Continuous collaboration with UNICEFand WHO to follow-up on updates related to immunization worldwide and ensuring implementation in Lebanon considering national and international commitments
Continuous collaboration with the private sector (General Practictioners and Pediatricians) to ensure vaccination for all children in Lebanon, particularly during immunization campaigns and routine immunization.

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ATC	Name	B/G	Ingredients	Dosage	Form	Price
B05AA07	VOLUVEN	B	Starch poly(O-2-Hydroxyethyl) - 6%	6%	Injectable solution	987,724 L.L
D11AX22	SOOLANTRA	B	Ivermectin - 10mg/g	10mg/g	Cream	2,154,180 L.L
J01MA14	AVALOX	B	Moxifloxacin (HCl) - 400mg/250ml	400mg/250ml	Injectable solution	9,052,935 L.L
L01EK01	INLYTA	B	Axitinib - 1mg	1mg	Tablet, film coated	33,373,253 L.L
N02AA05	OXYNORM	B	Oxycodone HCl - 10mg/ml	10mg/ml	Injectable solution	1,584,390 L.L
N06AA21	LUDIOMIL	B	Maprotiline - 10mg	10mg	Tablet, sugar coated	867,738 L.L
R01AA07	OTRIVIN	B	Xylometazoline HCl - 0.1%	0.1%	Solution	260,705 L.L
A03DB04	PANADOL WOMAN	B	Paracetamol - 500mg, Hyoscine butylbromide - 10mg		Tablet, coated	436,749 L.L
A10BB12	AMARYL	B	Glimepiride - 1mg	1mg	Tablet	231,141 L.L
A16AB05	ALDURAZYME	B	Laronidase - 100U/ml	100U/ml	Injectable concentrate for solution	57,138,680 L.L
B05BA01	AMINOVEN 10%	B	Glacial Acetic Acid 99% - 5.297g/l, L-Proline - 15.0g/l, L-Alanine - 15.0g/l, Glycine - 14.0g/l, L-Histidine - 3.00g/l, L-Arginine - 12.0g/l, L-Valine - 6.20g/l, L-Tryptophan - 2.00g/l, L-Threonine - 4.40g/l, L-Phenylalanine - 5.10g/l, L-Methionine - 4.30g/l, L-Lysine (monoacetate) - 6.60g/l, L-Leucine - 7.40g/l, L-Isoleucine - 5.00g/l		Injectable solution	951,440 L.L
C09DA06	ATACAND PLUS	B	Candesartan cilexetil - 16mg, Hydrochlorothiazide - 12.5mg		Tablet	705,517 L.L
D11AX22	SOOLANTRA	B	Ivermectin - 10mg/g	10mg/g	Cream	1,053,573 L.L
L01EL01	IMBRUVICA	B	Ibrutinib - 140mg	140mg	Tablet, film coated	194,761,649 L.L
N06AA21	MEFIDIOMIL	B	Maprotiline - 25mg	25mg	Tablet, sugar coated	909,973 L.L
B05BA01	AMINOVEN INFANT	B	L-Leucine - 13g/l, L-Isoleucine - 8g/l, L-Lysine Acetate - 12g/l, L-Methionine - 3.12g/l, L-Phenylalanine - 3.75g/l, L-Threonine - 4.40g/l, L-Tryptophan - 2.01g/l, L-Valine - 9g/l, Arginine - 7.5g/l, L-Histidine - 4.76g/l, Glycine - 4.15g/l, L-Taurine - 0.40g/l, L-Serine - 7.67g/l, L-Alanine - 9.3g/l, L-Proline - 9.71g/l, N-Acetyl-L-Tyrosine - 5.176g/l, N-Acetyl-L-Cysteine - 0.70g/l, L-Malic Acid - 2.62g/l	10%	Injectable solution	880,217 L.L
C09DA06	BLOPRESS PLUS 16MG	B	Candesartan cilexetil - 16mg, Hydrochlorothiazide - 12.5mg		Tablet	1,040,134 L.L
C10BX06	TRINOMIA	B	Acetylsalicylic acid - 100mg, Atorvastatin - 20mg, Ramipril - 2.5mg		Capsule, hard	1,029,383 L.L
H01AC08	NGENLA	B	Somatrogon - 60mg/1.2ml	60mg/1.2ml	Injectable solution	46,927,262 L.L
J01MA17	KINODROX	B	Prulifloxacin - 600mg	600mg	Tablet, film coated	1,407,835 L.L
L01AA09	RIBOMUSTIN	B	Bendamustine HCl - 100mg	100mg	Injectable powder for concentrate for solution	31,939,807 L.L
L04AA10	RAPAMUNE	B	Sirolimus - 1mg	1mg	Tablet	12,907,489 L.L
M01AE01	ALGIFAST 400	B	Ibuprofen Lysine - 400mg	400mg	Powder for suspension	473,033 L.L
N02AA59	DOLOSPASMINE COMP	B	Codeine phosphate - 40 mg, Hexahydro-adipenine HCl - 50 mg, Propyphenazone - 500 mg		Suppository	267,489 L.L
N03AX14	KEPPRA	B	Levetiracetam - 500mg	500mg	Tablet, film coated	6,245,576 L.L
N06AA21	MEFIDIOMIL	B	Maprotiline - 75mg	75mg	Tablet, sugar coated	958,608 L.L
R06AD08	TOPLEXIL	B	Oxomemazine HCl - 0.33mg/ml	0.33mg/ml	Syrup	615,480 L.L
B05BA01	AMINOPLASMAL B. BRAUN	B	Amino acids - 10%	10%	Injectable solution	1,036,103 L.L
C10BX06	TRINOMIA	B	Acetylsalicylic acid - 100mg, Atorvastatin - 20mg, Ramipril - 5mg		Capsule, hard	1,236,335 L.L
G01AA51	POLYGYNAX	B	Nystatin - 100,000IU, Polymixin B sulfate - 35,000IU, Neomycin sulfate - 35,000IU		Capsule, vaginal	407,184 L.L

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