Improving the Quality of Immunization Delivery to an At-risk Population: a Comprehensive Approach

Overview

Journal Pediatrics

Specialty Pediatrics

Date 2012 Jan 11

PMID 22232306

Citations 9

Authors

Linda Y Fu

Mark Weissman

Rosie McLaren

Cherie Thomas

Jacquelyn Campbell

Jacob Mbafor

Urvi Doshi

Denice Cora-Bramble

Affiliations

Soon will be listed here.

Abstract

Objective: Immunization quality improvement (QI) interventions are rarely tested as multicomponent interventions within the context of a theoretical framework proven to improve outcomes. Our goal was to study a comprehensive QI program to increase immunization rates for underserved children that relied on recommendations from the Centers for Disease Control and Prevention's Task Force on Community Preventive Services and the framework of the Chronic Care Model.

Methods: QI activities occurred from September 2007 to May 2008 at 6 health centers serving a low-income, minority population in Washington, DC. Interventions included family reminders, education, expanding immunization access, reminders and feedback for providers, and coordination of activities with community stakeholders. We determined project effectiveness in improving the 4:3:1:3:3:1:3 vaccination series (4 diphtheria-tetanus-pertussis vaccines, 3 poliovirus vaccines, 1 measles-mumps-rubella vaccine, 3 Haemophilus influenzae type b vaccines, 3 hepatitis B vaccines, 1 varicella vaccine, and three 7-valent pneumococcal conjugate vaccines) compliance.

Results: We found a 16% increase in immunization rates overall and a 14% increase in on-time immunization by 24 months of age. Improvement was achieved at all 6 health centers and maintained beyond 18 months.

Conclusion: We were able to implement a comprehensive immunization QI program that was sustainable over time.

Citing Articles

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Effectiveness and Feasibility of Using Local Medical Universities for Capacity Building to Improve the Immunization Program in Ethiopia: Quasi-Experimental Study.

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