OBJECTIVE: To assess the impact on clinic-specific vaccination coverage of implementing the Standards for Pediatric Immunization Practices. DESIGN: A nonrandomized intervention trial conducted for 1 year. SETTING: Two public health clinics in Albuquerque, NM: 1 intervention site and 1 control site, each serving 1 of 4 city quadrants. PARTICIPANTS: All children enrolled in the 2 city public health clinics. INTERVENTIONS: Implementation of the Standards for Pediatric Immunization Practices. OUTCOME MEASURES: Assessment of up-to-date vaccination coverage levels prior to and at the conclusion of the project. The impact on the proportion of children who dropped out of vaccination services after receiving 1 dose by 3 months of age. RESULTS: At the intervention site, up-to-date coverage at 12 months of age rose from 57.5% to 80.4%, while levels at the control site decreased from 42.1% to 41.9%. Before the intervention, 24% of children at the intervention site who received the first dose of diphtheria and tetanus toxoids and pertussis vaccine (DTP 1) by 3 months of age failed to receive the third dose of DTP (DTP 3) by 12 months of age vs 5% after the intervention. At the control site, the proportion of children who received DTP 1 by 3 months of age, but not DTP 3 by 12 months of age, increased from 39% to 51%. CONCLUSION: Implementation of the Standards for Pediatric Immunization Practices in a public health clinic was associated with important increases in vaccination coverage levels and a reduction in the proportion of children who dropped out of vaccination services.
OBJECTIVE: To assess the impact on clinic-specific vaccination coverage of implementing the Standards for Pediatric Immunization Practices. DESIGN: A nonrandomized intervention trial conducted for 1 year. SETTING: Two public health clinics in Albuquerque, NM: 1 intervention site and 1 control site, each serving 1 of 4 city quadrants. PARTICIPANTS: All children enrolled in the 2 city public health clinics. INTERVENTIONS: Implementation of the Standards for Pediatric Immunization Practices. OUTCOME MEASURES: Assessment of up-to-date vaccination coverage levels prior to and at the conclusion of the project. The impact on the proportion of children who dropped out of vaccination services after receiving 1 dose by 3 months of age. RESULTS: At the intervention site, up-to-date coverage at 12 months of age rose from 57.5% to 80.4%, while levels at the control site decreased from 42.1% to 41.9%. Before the intervention, 24% of children at the intervention site who received the first dose of diphtheria and tetanus toxoids and pertussis vaccine (DTP 1) by 3 months of age failed to receive the third dose of DTP (DTP 3) by 12 months of age vs 5% after the intervention. At the control site, the proportion of children who received DTP 1 by 3 months of age, but not DTP 3 by 12 months of age, increased from 39% to 51%. CONCLUSION: Implementation of the Standards for Pediatric Immunization Practices in a public health clinic was associated with important increases in vaccination coverage levels and a reduction in the proportion of children who dropped out of vaccination services.
Authors: Angela Oyo-Ita; Charles S Wiysonge; Chioma Oringanje; Chukwuemeka E Nwachukwu; Olabisi Oduwole; Martin M Meremikwu Journal: Cochrane Database Syst Rev Date: 2016-07-10
Authors: Khanh T M Tran; Tyler D Gavitt; Nicholas J Farrell; Eli J Curry; Arlind B Mara; Avi Patel; Lindsey Brown; Shawn Kilpatrick; Roxana Piotrowska; Neha Mishra; Steven M Szczepanek; Thanh D Nguyen Journal: Nat Biomed Eng Date: 2020-11-23 Impact factor: 25.671
Authors: Hussain R Usman; Sibylle Kristensen; M Hossein Rahbar; Sten H Vermund; Faiza Habib; Eric Chamot Journal: Trop Med Int Health Date: 2009-11-17 Impact factor: 2.622
Authors: Julie C Jacobson Vann; Robert M Jacobson; Tamera Coyne-Beasley; Josephine K Asafu-Adjei; Peter G Szilagyi Journal: Cochrane Database Syst Rev Date: 2018-01-18