Republic of the Philippines
Department of Health
OFFICE OF THE SECRETARY
November 11, 2022
DEPARTMENT CIRCULAR
No. 2022-_ O10
TO: ALL_UNDERSECRETARIES AND ASSISTANT SECRETARIES:
DIRECTORS OF BUREAUS, SERVICES AND CENTERS FOR
HEALTH _DEVELOPMENT; MINISTER OF HEALTH _-
BANGSAMORO AUTONOMOUS REGION _IN MUSLIM
MINDANAO; EXECUTIVE DIRECTORS OF SPECIALTY
HOSPITALS AND NATIONAL NUTRITION COUNCIL: CHIEFS
F MEDICAL CENT OSPITAL ANITARIA AND
TITUTES; PRI TOR PARTNERS; AND OTHER;
CONCERNED
SUBJECT: Interim Operational Guidelines on the Implementation of Vaccination
Activities during the Bakunahang Bayan II: Special COVID-19
Vaccination Days on December to 7, 2022 5
I. RATIONALE
Nationally, the decline in COVID-19 cases has slowed down while the COVID-19
vaccination coverage has decreased. These observations along with the transition to less stringent
protocols such as voluntary masking in public and inside classrooms; and the waning immunity
conferred by the COVID-19 vaccine shall soon undermine the collective effort in building the
country’s Wall of Immunity.
In order to
fortify the protection to our vulnerable population and to boost the waning
immunity of the population, the President directed the Department on October 25,2022 Cabinet
meeting to increase vaccination coverage by the end of 2022. In line with this, a Bakunahang
Bayan I or Special COVID-19 Vaccination Days shall be conducted from December 5 to 7
December 2022. The vaccination drive aims to
facilitate the rapid mobilization of vaccination
services among eligible population due for first booster vaccination as well as increase primary
series coverage among children 5 to 11 years old.
Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila e Trunk Line 651-7800 local 1113, 1108, 1135
Direct Line: 711-9502; 711-9503 Fax: 743-1829 URL: http://www.doh.gov.ph; e-mail: [email protected]
of the foregoing, the Department provides these interim operational guidelines on
In view
the implementation of vaccination activities during the Bakunahang Bayan: Special COVID-19
Vaccination Days (SVD) Part II.
Il. IMPLEMENTING GUIDELINES
A. Vaccination Rollout
1. The National Government aims to:
a. Achieve 50% first booster coverage among eligible population 12 years
old and above;
b. Vaccinate the remaining 5-11 years old population
2. The vaccination process including registration, screening, administration,
reporting, AEFI monitoring and referral shall follow the provisions outlined in
DOH Administrative Order no. 2022 - 0005, otherwise known as, Omnibus
Guidelines on the Implementation of the National Deployment and Vaccination
Plan (NDVP) for COVID-19 Vaccines, and other relevant COVID-19 vaccination
issuances;
3. The vaccination rollout during the Bakunahang Bayan: Special COVID-19
Vaccination Days (SVD) shall focus on service delivery closer to homes,
communities and workplaces. All LGUs and concerned agencies are therefore
directed to adopt the settings-based approach in the formulation of vaccination
strategies;
All concerned agencies are instructed to do:
i. Granular analysis of data and vaccination coverages per catchment
area or barangay. Regional/Local Vaccine Operation Centers
(RVOC/LVOC) are directed to closely monitor the number of
allocated and near-expiry COVID-19 vaccines of at least 21 days.
Strategic planning shall be done to ensure that these vaccines are
utilized before expiry dates;
ii. Mapping of areas with low vaccination coverages
and booster ;
- primary series
iii. Microplanning of activities related to SVD strategies;
1. Utilization of various vaccination strategies, to include
deployment of more mobile vaccination teams and
establishment of more temporary posts;
2. Conduct of intensive social mobilization and community
engagement activities;
3. Coordination activities with DILG to mobilize Barangay
LGU non-HCWs to identify unvaccinated populations
(barangay-level targets based on NVOC Advisory No. 2);
ws
Engagement with private sectors throughout the NVDs;
Cooperation and involvement with all National
Government Agencies;
B. Eligible Population
1. All individuals five (5) years old and above are eligible for the administration of
primary dose series during the SVD campaign; to include identification and
vaccination of individuals for completion of the primary dose series or with
missed doses
;
Individuals 12 years old and above are eligible for the administration of
booster/additional doses as stipulated in the DOH Department Memorandum
No. 2021-0492-A or the “Amendment to Department Memorandum No.
2021-0492: Interim Guidelines on the Administration and Management of
COVID-19 Vaccine Booster/Additional Doses to Priority Group A2: Senior
Citizens ages 60 years old and above and Priority Group A3: Adults with
Comorbidities to Include Provision of Booster/Additional Doses for All
Individuals 18 Years Old and Above,” Department Memorandum No.
2021-0492-B, otherwise known as “Further Amendment to Department
Memorandum No. 2021- 0492: Interim Guidelines on the Administration and
Management of COVID-19 Vaccine Booster/Additional Doses to Priority Group
A2: Senior Citizens ages 60 years old and above and Priority Group A3: Adults
with Comorbidities to Include Provision of Booster/Additional Doses for All
Individuals 18 Years Old and Above NVOC Advisory No. 113, titled,
“Reiteration on the Guidelines on the Administration of Booster/Additional Doses
to All Individuals 18 Years Old and Above”, Department Memorandum No.
2022-0263 otherwise known as “Interim Operational Guidelines on the
Administration of the Additional Doses of Pfizer-BioNTech COVID-19 vaccine to
the Non Immunocompromised Pediatric A3 and Rest of the Pediatric Population
ages 12-17 years old,” and Department Memorandum No.2022-0252 or
“Interim Operational Guidelines on the Administration of the Additional Doses
of Pfizer-BioNTech COVID-19 vaccine to Immunocompromised Pediatric A3
ages 12-17 years old,” are allowed,Provided That, the recommended intervals
between the completion of primary dose series and the booster/additional doses
are complied with;
A
3. Second booster doses may be given to the most at
risk population which includes
medical frontliners, immunocompromised individuals, individuals 50 years old
and above, and adults 18 to 49 years of age with comorbidities as provided for in
Department Memorandum No 2022-0154 or “Interim Operational Guidelines
on the Administration of 2nd COVID-19 vaccine booster doses to
Jmmunocompromised Population (ICPs) ages 18 years old and above”,
Department Memorandum No. 2022-0206 otherwise known as, “Interim
Operational Guidelines on the Administration of 2nd COVID-19 Vaccine Booster
Doses to Senior Citizens and Frontline Healthcare Workers ages 18 Years Old
and Above”, Department Memorandum No. 2022-0206 titled “Amendment to
the Department Memorandum No. 2022-0206: Interim Operational Guidelines on
the Administration of 2nd COVID-19 Vaccine Booster Doses to Senior Citizens
and Frontline Healthcare Workers ages 18 Years Old and Above “ and NVOC
Advisory No. 154, titled, “Guidance on the Vaccination Rollout for Second
Booster Doses to Priority Groups Al: Workers in Essential Health Services and
A2: Senior Citizens.”
C. Vaccination Strategy
Setting-Based Approach
All concerned agencies shall implement the following strategies in the conduct of
the Bakunahang Bayan: Special COVID-19 Vaccination Days (NVD) Part II
Settings Activities
Centers for Health 1. Review each local government unit’s (LGU’s) microplans,
Development (CHD) prioritizing those lagging in performance. Provide guidance
/ recommendations in recalibrating the plans.
2. Develop and release bulletins and advisories relevant to the
vaccination campaign including updated demand generation
materials. Ensure materials are received by the LGUs.
3. Conduct targeted orientations/training to program
coordinators, stakeholders, implementers and monitor
4. Assist the LVOC Finance, Cold Chain and Logistics Team
for concerns related to delivery and distribution of logistics
and supplies, as necessary.
5. Analyze data and report challenges along with implemented
solutions to the National VOC.
6. Facilitate stakeholders/parties support, especially in LGUs
with lagging performance.
__
Settings Activities
Local Government 1. Review and recalibrate LGUs microplans, prioritizing areas
Units (LGUs) with lagging performance.
2. Coordinate and collaborate with barangays, health facilities,
partners and stakeholders.
3. Engage Punong Barangays to update the inventory of
unvaccinated people at the barangay level and provide this to
local and regional health teams to prioritize strategic
interventions.
4. Coordinate immediate concerns of implementing units to the
LVOCs.
5. Set up teams for settings-based vaccination, especially in
areas with low vaccination coverage for Priority Group A2:
Senior Citizen and low booster coverage among eligible
populations (e.g. mobile vaccination / home vaccination for
elderly).
6. Oversee and provide human resource support in priority
areas within the LGU.
7. Establishment of a coordination mechanism with the local
City Social Welfare and Development (CSWD).
Schools 1. Establish vaccination sites within the proximity of school
areas, accessible to school-age children and their
parents/guardians
2. Coordinate with respective LGUs and CHDs regarding
vaccination activities.
3. Formulate Memorandum of Agreement (MOA) with
hospitals, medical clinics, and pharmacies within the school's
proximity.
4. Submit vaccine accomplishment reports to CHDs/LGUs.
Workpl ace Ne
Establish/reactivate vaccination sites.
. Conduct orientations/training to employees, healthcare and
allied health personnel in the workplace.
Implement routine testing for unvaccinated individuals every 2
weeks.
Coordinate with respective LGUs and CHDs regarding
vaccination activities.
Formulate of Memorandum of Agreement (MOA) with
hospitals, medical clinics, pharmacies within the establishment
me
Submit vaccine accomplishment reports to CHDs/LGUs
. Provide leaves for employees who have themselves or a family
member vaccinated during the 3-day vaccination drive.
Settings Activities
Communities 1. Expand the vaccination sites to include the following areas:
e Marketplaces
e Transportation Terminals
@ Places of Worship
e Gatherings (fiestas)
e Malls
° Fast Food Chain
2. Continue the house-to-house (swyod) campaign for high-risk
populations.
D. Adverse Events Following Immunization (AEFD Monitoring
1. Check the contents of the AEFI Kit. Ensure completeness of
the kit.
ii. Observe the vaccine recipient for any Adverse Event Following
Immunization (AEFI).
iii. Give the following information to the vaccine recipient:
1. Referral hospital/facility and contact details
2. Signs and symptoms to
watch for
3. Instructions and steps on how seek clinical care and report AEFI
to
events
iv. Ensure that the vaccine recipient is essentially well before leaving the
vaccination site
Provide appropriate intervention to manage AEFI.
Vi. Encode all information of the vaccine recipients (by the encoder) based on
the data requirements.
E. Data Reporting
1. Reporting of the vaccination accomplishments shall follow the usual route of
reporting through the Vaccination Integrated Management System (VIMS) as
shown in
the table below:
Data Tool Timeline of Submission
Vaccination Vaccine Operations End-of-day report before
Accomplishment “Quick Reporting System 5AM
Count” (VORS)
Line-list Record of Vaccination 24 hours after the
Vaccination Event Administration vaccination activity.
System (VAS)
2. The Local Government Units shall encode the following data accordingly while
the PHOC and RVOCs shall monitor the accomplishment of each LGU on a daily
basis. Likewise, the DILG shall monitor the performance of the LGUs and
compliance of the LGUs on
daily basis.
F. Demand Generation and Communications
Communications Handle
1.
a
As show of the unified commitment all government agencies and local
implementing units in this effort, all
of
activities during the SVD Part shall be
II
branded under the Bakunahang Bayan campaign banner, along with its key
messages and visuals. The overall theme for SVD Part Il is Bakunahang Bayan:
Biyayang Proteksyon sa Paskong Pilipino.
All implementing units are enjoined to use all relevant communication platforms
which include, but are not limited to, traditional broadcast and mass media
(television, radio, print), digital and emerging media (social media), and other
local channels. The materials to be used and localized for SVD Part II can be
accessed through the following links:
a. Bakunahang Bayan Assets
- bit.ly/BakunahangBayan2 Assets
b. Bakunahang Bayan Community Toolkit -
bit.ly/BakunahangBayan2Toolkit
The recommended content calendar for the release and airing of these materials
are included within the communication package linked above.
Furthermore, it is optional to use additional resources from the existing
PINASLAKAS materials:
a. PINASLAKAS Brand Guide -bit.ly/PinasLakasBrandGuide
b.
c.
PINASLAKAS Assets
-
bit.ly/PinasLakasAssets
PINASLAKAS Communication Packages - bit.ly/PinasLakasCommPacks
Further guidance on the implementation of the PINASLAKAS campaign is
outlined in Department Memorandum No. 2022-0352 or “Guidelines on the
Implementation of the ‘Sa Boosters: PINASLAKAS’ Social and Behavior Change
Communication Campaign”, for strict compliance.
Community Engagement and Social Mobilization
1, All concerned units must systematically implement community engagement and
social mobilization activities to ensure increased uptake. These activities include,
but are not limited to, advocacy meetings with local officials and stakeholders,
town halls, local events and celebrations, and house-to-house visits. Monthly
microplanning must also be conducted to identify key issues and appropriate
strategies tailor fit for the context of different communities.
2. Consolidate the list of all SVD Part II events, including photos, to be submitted to
the HPB. The reporting template is accessible at bit.ly/BB2CHDEvents.
3. Appropriate microplanning must be conducted in preparation for community
engagement activities. The microplan template is accessible at
bit.ly/DemGenMicroplan. The microplan must be updated on a monthly basis in
to
order identify the results of existing activities in terms of vaccine uptake and
restrategize accordingly.
4. Community listening must be conducted to identify sources of vaccine hesitancy
and complacency
at a granular level. A guiding tool for community hesitancy
monitoring is accessible at bit.ly/HesitancyMonitoringTool, Social mobilizers and
local communicators must use these insights to inform corrective communication
interventions that are tailor fit for the community issues identified.
5. Hesitancy can also be monitored by promoting the DOH KIRA Chatbot
(m.me/OfficialDOHgov), which serves as an accessible online tool for identifying
common questions and concerns that people have relating to the vaccines.
Promotional materials to encourage utilization of KIRA chatbot are available here
(bit.ly/KIRAPromgs).
For dissemination and strict compliance.
By Authority-ef the Secretary of Health:
NESTOR
F. SANTIAGO, JR., MD, MPHC, MHSA,
Undersecretary of Health
CESO
II
Public Health Operations Center
