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Immunization Immunization Protects EveryoneProtects Everyone
National Immunization WeekNational Immunization Week
April 23 to 30, 2011April 23 to 30, 2011
Immunize.caImmunize.ca
Now what?Now what?
National WinnerNational Winner
Runner upRunner up
Nova Scotia WinnerNova Scotia Winner
National Immunization National Immunization StrategyStrategy
Reductions in vaccine-preventable Reductions in vaccine-preventable diseasesdiseases
Improved vaccine coverage ratesImproved vaccine coverage rates Objective measurement of progress Objective measurement of progress
program evaluationprogram evaluation
““The very success of The very success of immunization programs immunization programs has proven to be one of has proven to be one of
their weaknesses”their weaknesses”
Evidence Sufficient to Strongly Evidence Sufficient to Strongly RecommendRecommend
Client reminder/recall systemsClient reminder/recall systems Requirement for enrollment Requirement for enrollment Expanding clinic hoursExpanding clinic hours Using emergency departmentsUsing emergency departments Offering drop-in vaccination servicesOffering drop-in vaccination services Home-visiting servicesHome-visiting services Use of electronic recordsUse of electronic records Vaccination settings closer to clients’ Vaccination settings closer to clients’
homehome Immunizers are fully immunizedImmunizers are fully immunized
Insufficient Evidence to Insufficient Evidence to RecommendRecommend
Community educationCommunity education Patient incentivesPatient incentives Patient-held recordsPatient-held records Provider educationProvider education Using standing ordersUsing standing orders
AdolescentsAdolescents
Concrete thinkers (ages 9-12)Concrete thinkers (ages 9-12)
Abstract thinkers (ages 14-16)Abstract thinkers (ages 14-16)
Adult….(ages 16-19)Adult….(ages 16-19)
Community OwnedCommunity OwnedImmunization Immunization
programprogram““The program helped me get my The program helped me get my
child immunized because she kept child immunized because she kept getting on me about keeping my getting on me about keeping my
appointments”appointments”
Why evaluate?Why evaluate?
Determine achievement of objectivesDetermine achievement of objectives Improve program implementationImprove program implementation AccountabilityAccountability Community support for initiativesCommunity support for initiatives Contribute to scientific base for Contribute to scientific base for
interventionsinterventions Inform policy decisionsInform policy decisions
ReferencesReferences Advisory Committee on Population Health and Health Security. 2003. Advisory Committee on Population Health and Health Security. 2003.
National Immunization Strategy.National Immunization Strategy. Boom, J., Nelson, C., Kohrt, A., & Kozinetz, C. 2010. Utilizing peer academic Boom, J., Nelson, C., Kohrt, A., & Kozinetz, C. 2010. Utilizing peer academic
detailing to improve childhood immunization coverage levels. Health detailing to improve childhood immunization coverage levels. Health Promotion Practice. 11(3) 377-386.Promotion Practice. 11(3) 377-386.
Capwell, E., Butterfoss, F., & Francisco, V. 2000. Why evaluate? Health Capwell, E., Butterfoss, F., & Francisco, V. 2000. Why evaluate? Health Promotion Practice. 1(1), 15-20.Promotion Practice. 1(1), 15-20.
Findley, S., Irigoyen, M., Sanchez, M., Guzman, L., Mejia, M., Sajous, M., Findley, S., Irigoyen, M., Sanchez, M., Guzman, L., Mejia, M., Sajous, M., Levine, D., Chen, S., & Chimkin, F. 2006. Community-based strategies to Levine, D., Chen, S., & Chimkin, F. 2006. Community-based strategies to reduce childhood immunization disparities. Health Promotion Practice. 7(3), reduce childhood immunization disparities. Health Promotion Practice. 7(3), 191-200.191-200.
Findley, S., Irigoyen, M., Sanchez, M., Guzman, L., Mejia, M., Sajous, M., Findley, S., Irigoyen, M., Sanchez, M., Guzman, L., Mejia, M., Sajous, M., Levine, D., Chen, S., & Chimkin, F. 2009. REACH 2010: New York City. Health Levine, D., Chen, S., & Chimkin, F. 2009. REACH 2010: New York City. Health Promotion Practice. 10(2), 128-137.Promotion Practice. 10(2), 128-137.
IWK Grace Health Center. 2011. Increasing Immunization Coverage. IWK Grace Health Center. 2011. Increasing Immunization Coverage. Pediatrics. 125, 1295-1304.Pediatrics. 125, 1295-1304.
Kaplan, D. (2009). Barriers and potential solutions to increasing Kaplan, D. (2009). Barriers and potential solutions to increasing immunization rates in adolescents. Journal of Adolescent Health.46, 24-33.immunization rates in adolescents. Journal of Adolescent Health.46, 24-33.
Saville, A., Albright, K., Nowels, C., Barnard, J., Daley. M., Stokley, S., Irby, K., Saville, A., Albright, K., Nowels, C., Barnard, J., Daley. M., Stokley, S., Irby, K., & Kempe, A. 2011. Getting under the hood: Exploring issues that affect & Kempe, A. 2011. Getting under the hood: Exploring issues that affect provider-based recall using an immunization information system. 11(1), 44-provider-based recall using an immunization information system. 11(1), 44-49.49.