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Immunization Protects Everyone. National Immunization Week April 23 to 30, 2011 Immunize.ca. Now what?. National Winner. Runner up. Nova Scotia Winner. National Immunization Strategy. Reductions in vaccine-preventable diseases Improved vaccine coverage rates
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Immunization Protects Everyone National Immunization Week April 23 to 30, 2011 Immunize.ca
National Immunization Strategy • Reductions in vaccine-preventable diseases • Improved vaccine coverage rates • Objective measurement of progress program evaluation
“The very success of immunization programs has proven to be one of their weaknesses”
Evidence Sufficient to Strongly Recommend • Client reminder/recall systems • Requirement for enrollment • Expanding clinic hours • Using emergency departments • Offering drop-in vaccination services • Home-visiting services • Use of electronic records • Vaccination settings closer to clients’ home • Immunizers are fully immunized
Insufficient Evidence to Recommend • Community education • Patient incentives • Patient-held records • Provider education • Using standing orders
Adolescents • Concrete thinkers (ages 9-12) • Abstract thinkers (ages 14-16) • Adult….(ages 16-19)
Community OwnedImmunization program “The program helped me get my child immunized because she kept getting on me about keeping my appointments”
Why evaluate? • Determine achievement of objectives • Improve program implementation • Accountability • Community support for initiatives • Contribute to scientific base for interventions • Inform policy decisions
References • Advisory Committee on Population Health and Health Security. 2003. National Immunization Strategy. • Boom, J., Nelson, C., Kohrt, A., & Kozinetz, C. 2010. Utilizing peer academic detailing to improve childhood immunization coverage levels. Health Promotion Practice. 11(3) 377-386. • Capwell, E., Butterfoss, F., & Francisco, V. 2000. Why evaluate? Health Promotion Practice. 1(1), 15-20. • Findley, S., Irigoyen, M., Sanchez, M., Guzman, L., Mejia, M., Sajous, M., Levine, D., Chen, S., & Chimkin, F. 2006. Community-based strategies to reduce childhood immunization disparities. Health Promotion Practice. 7(3), 191-200. • 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 Promotion Practice. 10(2), 128-137. • IWK Grace Health Center. 2011. Increasing Immunization Coverage. Pediatrics. 125, 1295-1304. • Kaplan, D. (2009). Barriers and potential solutions to increasing 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., & Kempe, A. 2011. Getting under the hood: Exploring issues that affect provider-based recall using an immunization information system. 11(1), 44-49.