Efforts to increase HPV Vaccination Rates at Local Health Departments FINAL
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Transcript of Efforts to increase HPV Vaccination Rates at Local Health Departments FINAL
Efforts to Increase HPV Vaccination Rates at Local
Health Departments
Tamara Yates RN, BSN
Ohio Department of Health Nurse Education Consultant
ODH and HPV• ODH authorizes use of HPV vaccine • Funding From CDC Grant (PPHF) awarded 2014-2016
– Statewide HPV Joint Initiative– Marketing Campaign– Reminder/Recall– Assessment/Feedback (AFIX)– Provider Education Program
• STIR Grant (Strategies for Increasing Teen Immunizations) for LHDs-TIES (Teen Immunization Education Sessions) presentation- AFIX (Assessment, Feedback, Incentive, eXchange)
• IAP (Immunization Action Plan) Grant for Local Health Departments• SLVC (School Located Vaccination Clinics)• ODH Adult/Adolescent Coordinator
Estimated vaccination coverage with selected vaccines and doses among adolescents aged 13–17 years, by survey year — National Immunization Survey–Teen, United States, 2006–2014
Estimated coverage with Selected vaccines among adolescents 13-17 years, National and State-National Immunization Survey-Teen (NIS Teen),
United States 2014
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6429a3.htm#fig1- updated 7/31/15
HPV Vaccine Coverage by Age at Interview
≥ 3 doses ≥ 3 doses
ODH and HPV VaccineJune 8, 2006, the first Gardasil® 4 vaccine was licensed
January 1, 2007, ODH authorized ordering of Gardasil® 4
October 16, 2009, Cervarix® vaccine was licensed
May 5, 2010, ODH authorized ordering of Cervarix®
December 10, 2014, Gardasil® 9 vaccine was licensed
June 5, 2015, ODH authorized the ordering of Gardasil® 9
Doses of HPV Vaccine Shipped
Year Total doses Shipped by ODH
2013 150,939
2014 210,855
2015 248,518
2014 CDC/PPHF Grant to Increase HPV Vaccination RatesGoal: 80% of teens UTD with three doses Objectives:1.Statewide HPV Joint Initiative2.Marketing Campaign3.Reminder/Recall4.Assessment/Feedback5.Provider Education
2014 CDC / PPHF Grant1. Statewide HPV Vaccine Joint Initiative
• ODH Partners – Reproductive Health, Cancer, School Nursing
• External Partners – OSU, Ohio AAP, OACHC, Ohio AFP, etc.
2014 CDC / PPHF Grant2. Marketing Campaign
• Television campaign• ‘Close the Door to Cancer!’ (CDC)
– http://www.youtube.com/watch?v=YdLQ2f0hF4g– http://www.youtube.com/watch?v=ULbB0SdVe94
• Radio campaign• ‘Get Vaccinated Ohio’ (ODH)
– http://www2c.cdc.gov/podcasts/player.asp?f=8630172
• 10 major markets June – August 2014• Use of Social Media outlets( Facebook and Twitter)
TV and Radio Coverage Area
• Timeline: • June – Sept 2014
• Target Main Ohio Markets
2014 CDC / PPHF Grant 3. Reminder/Recall
• Centralized through ImpactSIIS• Monthly reminder letters
• Mailed over 3,900 letters• Recall letters
• Two mass mailings• June-July 2014: Promote adolescent platform• August-September 2014: HPV recall for doses 2 and 3
2014 CDC / PPHF Grant4. Assessment/Feedback
Adolescent AFIX• AFIX with 4-6 month follow-up assessment/feedback• Review 13 to 15 year old patients
Completed by STIR grantees and ODH• 170 Adolescent AFIXs
– 159 (93.5%) participated in a follow-up session– Aggregate HPV vaccination coverage for receipt of 3 doses increased 5.3 percentage points from 27.8% to 33.1%
2014 CDC / PPHF Grant5. Provider Education
• TIES (Teen Immunization Education Sessions) Grant• Developed with OAAP• Regional Education Days
• STIR grantees• Focus: Give providers the tools that they need to make a strong recommendation for HPV vaccine
2014 CDC / PPHF GrantImplement STIR Grants to LHDs
(Strategies for Increasing Teen Immunization Rates)• 6 lead counties
• Allen, Clark, Lorain, Lucas, Montgomery & Summit
• 5 partnering counties• Auglaize, Henry, Mercer, Van Wert &
Madison/London City
IAP GrantThe goal of the IAP program is to achieve and maintain 90% vaccination coverage levels for universally recommended vaccines among children less than 24 months of age and for adolescents through: Assessing and improving health district immunization rates through use of an Immunization Information System (IIS) and promoting effective practice changes to improve immunization rates; Assessing the immunization rates of providers throughout the applicant county (or counties) and promoting effective practice changes to improve immunization rates;Identifying disparities of low immunization levels and providing additional immunization education to parents and health care providers in those areas; Educating immunization providers of children and adolescents regarding the importance of timely immunizations and effective strategies to improve practice behavior; Implementing additional and targeted reminder and recall activities to improve local health department immunization rates. . Provide TIES and MOBI trainingsProvide childhood and adolescent AFIX
School Located Vaccination Clinics
• Recommended by ODH to provide all age-appropriate vaccines at school clinics to avoid missed opportunities.
• Collaborate with LHDs to provide vaccines for SLVC
Diphtheria Hepatitis A Hepatitis B
HPV Influenza Measles
Mumps Meningococcal Pertussis
Polio Rubella Tetanus
Varicella
Encourage Best Practices• Assessment, Feedback, Incentives, eXchange (AFIX) • Record-keeping• Immunization Information Systems• Recommendations to Parents / Need to Return• Reminder and Recall Messages to Parents• Reminder and Recall Messages from Providers• Reduce Missed-Opportunities and Barriers
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Tamara (Tami) Yates RN, BSNNurse Education Consultant
Ohio Department of Health Immunization Program
[email protected]: 614-752-9685
1-800-282-0546