A qualitative analysis of immunization programs with sustained high coverage, 2000-2005
- PMID: 20009633
- DOI: 10.1097/PHH.0b013e3181c7e053
A qualitative analysis of immunization programs with sustained high coverage, 2000-2005
Abstract
Despite record-high immunization coverage nationally, there is considerable variation across state and local immunization programs, which are responsible for the implementation of vaccine recommendations in their jurisdictions. The objectives of this study were to describe activities of state and local immunization programs that sustained high coverage levels across several years and to identify common themes and practical examples for sustaining childhood vaccination coverage rates that could be applied elsewhere. We conducted 95 semi-structured key informant interviews with internal staff members and external partners at the 10 immunization programs with the highest sustained childhood immunization coverage from 2000 to 2005, as measured by the National Immunization Survey. Interview transcripts were analyzed qualitatively using a general inductive approach. Common themes across the 10 programs included maintaining a strong program infrastructure, using available data to drive planning and decision making, a commitment to building and sustaining relationships, and a focus on education and communication. Given the challenges of an increasingly complex immunization system, the lessons learned from these programs may help inform others who are working to improve childhood immunization delivery and coverage in their own programs.
Similar articles
-
Qualitative analysis of immunization programs with most improved childhood vaccination coverage from 2001 to 2004.J Public Health Manag Pract. 2010 Jan-Feb;16(1):E1-8. doi: 10.1097/PHH.0b013e3181b0b8bc. J Public Health Manag Pract. 2010. PMID: 20009632
-
Is there an association between local health department organizational and administrative factors and childhood immunization coverage rates?J Health Hum Serv Adm. 2012 Spring;34(4):418-55. J Health Hum Serv Adm. 2012. PMID: 22530285
-
National vaccination coverage levels among children aged 19-35 months--United States, 1998.MMWR Morb Mortal Wkly Rep. 1999 Sep 24;48(37):829-30. MMWR Morb Mortal Wkly Rep. 1999. PMID: 10507249
-
The role of measles elimination in development of a national immunization program.Pediatr Infect Dis J. 2006 Dec;25(12):1093-101. doi: 10.1097/01.inf.0000246840.13477.28. Pediatr Infect Dis J. 2006. PMID: 17133153 Review.
-
Measuring immunization coverage among preschool children: past, present, and future opportunities.Epidemiol Rev. 2006;28:27-40. doi: 10.1093/epirev/mxj001. Epub 2006 Jun 1. Epidemiol Rev. 2006. PMID: 16740586 Review.
Cited by
-
Listen to the public and fulfil their information interests - translating vaccine communication research findings into guidance for regulators.Br J Clin Pharmacol. 2018 Aug;84(8):1696-1705. doi: 10.1111/bcp.13587. Epub 2018 May 31. Br J Clin Pharmacol. 2018. PMID: 29573274 Free PMC article. Review.
-
The challenges and opportunities of translating best practice immunisation strategies among low performing general practices to reduce equity gaps in childhood immunisation coverage in New Zealand.BMC Nurs. 2017 Jun 12;16:31. doi: 10.1186/s12912-017-0226-2. eCollection 2017. BMC Nurs. 2017. PMID: 28615990 Free PMC article.
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical
