NVPO Webinar Series: Project Successes and Challenges August 26, 2013

1. NVPO Webinar Series: Project Successes and Challenges August 26, 2013

2. Welcome and Overview • Bruce Gellin, M.D., M.P.H. • Shary M. Jones, Pharm.D., M.P.H., BCPS CDR—U.S. Public Health Service National Vaccine Program Office • Alaysia Phillips, M.P.H.—JBS International, Inc.

3. Presenters • Tiffany Mackey, M.P.H. — Orange County Health Department • Hannah Baker, M.P.H.— University of North Carolina • Wendy Rose — Marshall County Health Department

4. Bruce G. Gellin, M.D., M.P.H.Deputy Assistant Secretary for Health and DirectorNational Vaccine Program OfficeU.S. Department of Health and Human Services Insert video here

5. Orange County Health DepartmentTeen Health Advocates to Promote Healthy Sexual Behaviors Tiffany Mackey, M.P.H. Centers for Disease Control and Prevention-Public Health Associate Orange County Health Department tmackey@orangecountync.gov

6. Successes • Obtained school system permission to offer a Teen Health Advocate program • Developed and implemented the program at a local high school • Recruited school advisor for program • 14 students joined the program and 11 participated in HPV training • Developed promotional materials and logo for HPV prevention • 24 students vaccinated at school-site HPV clinics – 46% male • Hosted summer retreat for Teen Health Advocates

7. Challenges • Obtaining school system approval in a timely manner • Getting students to respond and submit registration forms • Getting media approval from schools – i.e. Facebook and Twitter • Maintaining student interest during summer • Staff changes mid project • Limited time with students prior to end of school year • Recruiting diverse participants

8. Lessons Learned/Best Practices • Tailor promotions to target audience- promotional materials, presentations, incentives • Include teens in planning process – teens designed program logo, incentives, planned activities • Meeting during school “plus period” (break time) instead of after or before school • Schedule vaccination clinics during school hours • Identifying the best form of communication for students

9. Evaluation/Measurable Outcomes • Establishment of functioning Teen Health Advocate group • Comparison of pre and post test results following HPV training • Vaccination of 24 students with HPV vaccine within 12 months

10. Closing • Next Steps • Implementing the Teen Health Advocate program in other high schools • Expanding the role of the group • Offering presentations at local Middle Schools • Offering more HPV vaccination clinics at both high schools and middle schools

11. University of North Carolina: Cervical Cancer-Free AmericaEvidence-Based Interventions: Building Capacity Among UNC Project Cervical Cancer-Free America Hannah Baker, M.P.H. Project Coordinator University of North Carolina: Cervical Cancer Free America hmbaker2@unc.edu

12. Successes • Held 3 web-based workshops to share evidence-based interventions (EBI’s), attendance high at each • Great discussion regarding EBI’s and cervical cancer prevention • Enthusiasm among State Partners about EBI’s and evaluation methods • Lessons shared amongst State Partners about evaluation design and best practices • Increased intentions to implement EBI’s among State Partners

13. Challenges • Scheduling: • 26 individuals from 8 different states to attend the same meeting • Scheduled meeting had to fit for presenter as well • Response rates for pre- and post-workshop surveys • State Partners commitment to implement presented EBI’s without specified funding

14. Lessons Learned/Best Practices • Doodle poll for scheduling meeting one month in advance • Provide time during the workshop for pre/post-workshop survey • Provide more time for discussion • Get face validity of pre/post measures from presenter prior to disseminating survey

15. Evaluation/Measurable Outcomes

16. Closing • Continue bi-monthly workshops, sharing evidence-based strategies • Assist State Partners in continuing with their plans for implementing evidence-based strategies • Assist State Partners in searching for funding opportunities

17. Marshall County Health DepartmentIncreasing the HPV Vaccination Rate in Marshall County, Kentucky Wendy Rose Laboratory Director Marshall County Health Department WendyD.Rose@ky.gov

18. Background • Marshall County has a population ~31,448. Demographically most residents are Caucasian and of moderate-socio economic status. 27.8% of the population is <24 years old. 11.6% of the population is below the poverty level. • 3 Project Goals • Increase HPV vaccination rate for Health Department clients • Inform and educate incoming 6th grade students parents about HPV vaccine • Discuss HPV vaccine as a prevention strategy to 9th grade students

19. Successes • 43 people have completed the series • 50 new patients have initiated the series. 13 High School aged, 29 6th grade aged and 8 >18 years • ~400 9th grade students were reached during the ‘Reducing the Risk’ Classes • ~350 incoming 6th grade students received HPV vaccine information

20. Challenges • Initial Data Retrieval for baseline • Mail/Telephone Outreach • Incorrect number • Incorrect addresses • Disconnected numbers • No return call when message left • Vaccine questionnaire • Voluntary response • Lack of incentive to client • Demographic • Some have moved • Receive services elsewhere

21. Lesson Learned/Best Practices • Be very specific in data requests for initial baseline • Incomplete contact data for patients – address, phone • Rate of voluntary survey completion is not high • Not able to capture entire county’s HPV vaccination data

22. Evaluation/Measureable Outcomes • Able to calculate a new completion rate • Can draw a loose connection among the ages of those initiating the vaccine and outreach efforts of the Health Department • If the return rate of completed surveys was higher, future outreach efforts could be guided by the response from those surveys

23. Closing • Next Steps • Health Department personnel will come together to discuss what, if any, components of this project will be continued • Could continue to follow-up with persons who have started the series… • Continue outreach efforts in the schools – same as this year or change the approach • Come up with other ways to inform citizens regarding HPV

24. Question and Answer Session Please send questions via WebEx chat box.

25. Please visit http://nvpo.jbsinternational.comto view Webinar recordings and presentations.