TITLE

Feasibility and impact of providing feedback to vaccinating medical clinics: evaluating a public health intervention

AUTHOR(S)
Brousseau, Nicholas; Sauvageau, Chantal; Ouakki, Manale; Audet, Diane; Kiely, Marilou; Couture, Colette; Paré, Alain; Deceuninck, Geneviève
PUB. DATE
January 2010
SOURCE
BMC Public Health;2010, Vol. 10 Issue 1, p750
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Vaccine coverage (VC) at a given age is a widely-used indicator for measuring the performance of vaccination programs. However, there is increasing data suggesting that measuring delays in administering vaccines complements the measure of VC. Providing feedback to vaccinators is recognized as an effective strategy for improving vaccine coverage, but its implementation has not been widely documented in Canada. The objective of this study was to evaluate the feasibility of providing personalized feedback to vaccinators and its impact on vaccination delays (VD). Methods: In April and May 2008, a one-hour personalized feedback session was provided to health professionals in vaccinating medical clinics in the Quebec City region. VD for vaccines administered at two and twelve months of age were presented. Data from the regional vaccination registry were analysed for participating clinics. Two 12-month periods before and after the intervention were compared, namely from April 1st, 2007 to March 31st, 2008 and from June 1st, 2008 to May 31st, 2009. Results: Ten medical clinics out of the twelve approached (83%), representing more than 2500 vaccinated children, participated in the project. Preparing and conducting the feedback involved 20 hours of work and expenses of $1000 per clinic. Based on a delay of one month, 94% of first doses of DTaP-Polio-Hib and 77% of meningococcal vaccine doses respected the vaccination schedule both before and after the intervention. Following the feedback, respect of the vaccination schedule increased for vaccines planned at 12 months for the four clinics that had modified their vaccination practices related to multiple injections (depending on the clinic, VD decreased by 24.4%, 32.0%, 40.2% and 44.6% respectively, p < 0.001 for all comparisons). Conclusions: The present study shows that it is feasible to provide personalized feedback to vaccinating clinics. While it may have encouraged positive changes in practice concerning multiple injections, this intervention on its own did not impact vaccination delays of the clinics visited. It is possible that feedback integrated into other types of effective interventions and sustained over time may have more impact on VD.
ACCESSION #
57224151

 

Related Articles

  • Malaria: rapid tests moving slowly to market. Brieger, William R. // Africa Health;Jul2013, Vol. 35 Issue 5, p17 

    The article discusses issues related to the use of Malaria Rapid Diagnostic Test (mRDT) for malaria treatment in Nigeria. It is informed that unavailability of required quantity of mRDTs is a major setback for its use across he nation. It discusses advantages of using mRDT in place of...

  • Taking RDTs to the frontline: successes and challenges in Nigeria. Elden, Susan; Umar, Abba // Africa Health;Jul2013, Vol. 35 Issue 5, p21 

    The article discusses issues related to using Malaria Rapid Diagnostic Test (mRDT) for malaria diagnosis in Nigeria. It is informed that parasitological diagnosis is still dominant over mRDTs across health facilities in Nigeria to detect malaria in Nigeria. According to an estimation by National...

  • Clinics' legislative issues ease. Alexander, Antoinette // Drug Store News;8/18/2008, Vol. 30 Issue 9, p88 

    The article reports on the challenges experienced by retail-based clinics in the U.S. Previously, these facilities faced its share of legislative problems when some health officials and policymakers were quick to raise its defenses and act before a truly understanding the model. But such...

  • Calendar.  // Adirondack Daily Enterprise;6/19/2010, Vol. 117 Issue 144, pB6 

    A calendar of events from June 21-29, 2010 in Adirondack, New York is presented which includes an immunization clinic to be conducted by Essex County Public Health on June 21, 2010, a visit of the mobile dental clinic of Adirondack Medical Center at Mountain Health Center on June 21, 2010, and a...

  • Surveillance for the Expanded Programme on Immunization. Cutts, F. T.; Waldman, R. J.; Zoffman, H. M. D. // Bulletin of the World Health Organization;1993, Vol. 71 Issue 5, p633 

    Surveillance is the foundation of public health practice. This review examines the experience of surveillance in the Expanded Programme on Immunization (EPI). Surveillance systems include routine reporting, sentinel surveillance, and community-based reporting. Data from ongoing surveillance...

  • Cheap, Compact and Handy Spools and Elastic Ties Organizer. Bothra, Jitendra Kumar; Bansal, Sachin; Chavan, P. J.; Pachori, Yashpal; Barthunia, Neeral // Journal of Indian Orthodontic Society;Oct-Dec2013 Supplement 1, Vol. 47, p293 

    In our daily clinical practice it is very important for us to get organized in our clinics in such a way that we should spend more time on patient and less time on arranging our instruments and other orthodontic accessories. We have designed a cheap, compact and handy spools and elastic ties...

  • Age-appropriate vaccination against measles and DPT-3 in India - closing the gaps. Awofeso, Niyi; Rammohan, Anu; Iqbal, Kazi // BMC Public Health;2013, Vol. 13 Issue 1, p1 

    Background: In 2010, India accounted for 65,500 (47%) of the 139,300 measles-related deaths that occurred globally. Data on the quality of age-appropriate measles vaccination in rural India is sparse. We explored the following issues: (i) What proportion of Indian children were appropriately...

  • Health scares are making a misery of GP's working lives.  // Pulse;4/23/2005, Vol. 65 Issue 16, p24 

    The article reports that sometimes a Genral Practioner's (GP) working life can seem a rollcall of agitation and alarm. In Agenda 2005 survey conducted by the journal "Pulse" it was found that two-thirds of the respondents demanded action to soften the impact of health scares. They also felt the...

  • Afghanistan's health gains left in the balance as fighting returns. MacKenzie, Debora // New Scientist;10/7/2006, Vol. 191 Issue 2572, p12 

    This article focuses on the condition of health care system in Afghanistan. According to Peter Hansen of Johns Hopkins University in Baltimore, Maryland, the availability and quality of healthcare has improved significantly after the reorganization of health services in 2004. Hansen is assessing...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics