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=Introduction=
The Expanded Program on Immunization (EPI) in the Philippines began in 1986 in response to the Universal Child Immunization goal The four major strategies include: 1) Sustaining high routine Full Immunized Child (FIC) coverage of at least 90% in all provinces and cities, 2) Sustaining the polio-free country for global certification, 3) Eliminating measles by 2008, 4) Eliminating neonatal tetanus by 2008 <ref>{{cite book | title = Public Health Nursing in the Philippines | publisher = National League of Philippine Government Nurses, Inc | date = 2007 | ___location = Manila, Philippines | page = 141 | isbn = 978-971-91593-2-2 }}</ref>.
=Routine Schedule of Immunization=
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In June 2000, the 57 countries that have not yet achieved elimination of neonatal tetanus were ranked and the Philippines was listed together with 22 other countries in Class A, a classification for countries close to maternal and neonatal tetanus elimination<ref>{{cite news | first= | last= | coauthors= | title=Maternal and Neonatal Tetanus | date=2000-11 | publisher=UNICEF | url =http://www.unicef.org/immunization/files/MNTE_strategy_paper.pdf | work = | pages = | accessdate = 2007-05-12 | language = }}</ref>.
=Care for the Vaccines=
To ensure the optimal potency of vaccines, careful attention is needed in handling practices at the country level. These include storage and transport of vaccines from the primary vaccine store down to the end-user at the health facility, and further down at the outreach sites<ref name='WHO/IVB/06.10'>{{cite news | first= | last= | coauthors= | title=Temperature Sensitivity of Vaccines | date=2006-08 | publisher=World Health Organization | url =http://www.who.int/vaccines-documents/DocsPDF06/847.pdf | work =Immunization, Vaccines and Biologicals | pages = | accessdate = 2007-05-12 | language = }}</ref>. Inappropriate storage, handling and transport of vaccines won’t protect patients and may lead to needless vaccine wastage<ref name='mbphysicianresources#2_2005'>{{cite news | first= | last= | coauthors= | title=Handle Vaccines with Care | date= | publisher=British Columbia Center for Disease Control | url =http://www.bccdc.org/downloads/pdf/epid/reports/GP%202-HANDLE%20VACCINES%20WITH%20CARE.pdf?PHPSESSID=85793516774767a844e11dc04a118d5f | work = | pages = | accessdate = 2007-05-12 | language = }}</ref>.
A "first expiry and first out (FEFO) vaccine system is practiced to assure that all vaccines are utilized before its expiry date. Proper arrangement of vaccines and/or labeling of expiry dates are done to identify those close to expiring. Vaccine temperature is monitored twice a day (early in the morning and in the afternoon) in all health facilities and plotted to monitor break in the cold chain. Each level of health facilities has cold chain equipment for use in the storage vaccines which included cold room, freezer, refrigerator, transport box, vaccine carriers, thermometers, cold chain monitors, ice packs, temperature monitoring chart and safety collector boxes <ref>{{cite book | title = Expanded Program on Immunization Manual | publisher = Department of Health, Philippines | date = 1995 | ___location = Manila, Philippines }}</ref>.
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