Early lessons learned from extramural school programs that offer HPV vaccine
| Autor: | Kim A. Hayes, Brenda W. Stubbs, Noel T. Brewer, Pamela Entzel, Jennifer S. Smith, Wendy Berger, Judith C. Shlay, Rachel Caskey |
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| Rok vydání: | 2011 |
| Předmět: |
Semi-structured interview
medicine.medical_specialty Health Knowledge Attitudes Practice Time Factors Adolescent education Risk Assessment Education Environmental health Surveys and Questionnaires Health care Medicine Humans Papillomavirus Vaccines Program Development Health Education School Health Services business.industry Extramural Immunization Programs Public health Papillomavirus Infections Vaccination Public Health Environmental and Occupational Health United States Philosophy Health promotion Cross-Sectional Studies Adolescent Behavior Family medicine Absenteeism Female business Medicaid Needs Assessment Program Evaluation |
| Zdroj: | The Journal of school health. 83(2) |
| ISSN: | 1746-1561 |
| Popis: | BACKGROUND There has been little evaluation of school-located vaccination programs that offer human papillomavirus (HPV) vaccine in US schools without health centers (ie, extramural programs). This article summarizes lessons learned from such programs. METHODS In July to August 2010, 5 programs were identified. Semistructured, in-depth telephone interviews were conducted with program representatives about practical aspects of planning and implementation, including configuration and effectiveness. RESULTS Most programs offered HPV vaccine as part of a broader effort to increase uptake of adolescent vaccines. Respondents stressed the importance of building partnerships with local school systems throughout all aspects of the planning and implementation phases. All programs offered HPV vaccine at no cost to students. Most did not have a mechanism to bill private insurance, and some found Medicaid reimbursements to be a challenge. Programs achieved modest rates of initiation of the 3-dose HPV vaccine series (median 10%); however, among those who initiated the series, completion rates were high (median 78%). HPV vaccine uptake was lowest for a program that offered only HPV vaccine. CONCLUSIONS Extramural programs may increase uptake of vaccines and decrease absenteeism due to noncompliance with vaccine requirements for school entry. Until extramural programs in the US receive better access to billing private insurers and Medicaid, sustainability of these programs relies on grant funding. Better integration of extramural school-located vaccine programs with existing local healthcare and other programs at schools is an area for growth. |
| Databáze: | OpenAIRE |
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