Early Lessons Learned from Extramural School Programs That Offer HPV Vaccine

Autor/inn/en	Hayes, Kim A.; Entzel, Pamela; Berger, Wendy; Caskey, Rachel N.; Shlay, Judith C.; Stubbs, Brenda W.; Smith, Jennifer S.; Brewer, Noel T.
Titel	Early Lessons Learned from Extramural School Programs That Offer HPV Vaccine
Quelle	In: Journal of School Health, 83 (2013) 2, S.119-126 (8 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.12007
Schlagwörter	Sexually Transmitted Diseases; Immunization Programs; Health Promotion; Semi Structured Interviews; Program Development; Program Implementation; Program Effectiveness; Adolescents; Child Health; School Community Programs; Health Services; Public Health; California; Colorado; Illinois; North Carolina; South Carolina + Suchen Sie Ihr Suchwort? Sexual transmitted disease; Geschlechtskrankheit; Immunisierung; Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Programmplanung; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Health service; Gesundheitsdienst; Gesundheitswesen; Kalifornien
Abstract	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 identi?ed. Semistructured, in-depth telephone interviews were conducted with program representatives about practical aspects of planning and implementation, including con?guration and effectiveness. Resutls: 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. (Contains 3 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10