The bundled intervention was associated with higher rates of vaccine documentation and administration and the highly engaged nursing staff and innovative technology drove success.
Abstract
Introduction: This project sought to increase the vaccination completion rate to 95% in an adolescent medicine practice. We aimed to increase the percentage of individuals who were up to date on their meningococcal, human papillomavirus, and tetanus, diphtheria, and pertussis vaccinations to 80% and to verify that these efforts led to more equitable care. Methods: We used the Model for Improvement. After a current-state analysis, the team implemented a bundled intervention that included obtaining missing records, notifying providers about patients who needed vaccinations, and providing electronic medical record alerts when vaccinations were due. Patients received vaccine education, and nurses offered a numbing spray to mitigate needle-related vaccine hesitancy. Results: Statistical process control charts showed a shift in the percentage of complete vaccination records from 88% to 95%. There was a mean shift for the combined meningococcal, human papillomavirus, and tetanus, diphtheria, and pertussis completion percentage from 70% to 76%. All race and payer subgroups improved with the interventions. Racial disparity analysis for the completion percentage pre- and postintervention showed that there were 2 disparities observed between the reference group, Hispanic patients, and other racial groups. No disparities were observed between publicly and privately insured patients before or after the interventions. Conclusions: The bundled intervention was associated with higher rates of vaccine documentation and administration. The highly engaged nursing staff and innovative technology drove success.
Adherence to the vaccination schedule among children younger than one year was insufficient, highlighting the need to strengthen educational interventions for parents, improve access to vaccination services, and implement strategies that promote timely childhood immunization in primary healthcare settings.
Mejia Chiquinquira, Pina Alberto· Journal of Family Medicine a...· 0 citations
Background: Immunization is thought to be a very successful and economical therapeutic strategy since it dramatically lowers death and disability from vaccine-preventable illnesses. The survey was carried out at Rangpur medical college hospital (RMCH), Rangpur Division, Bangladesh, with the aim of evaluating the vaccination makeup of kids and moms. Methods: During January and June 2025, systematic interviews and immunisation document checking served to gather information about 200 participants, comprising 120 mothers and 80 children. For the statistical assessment, both deductive and informative techniques were applied using SPSS version 25. Findings: According to the Expanded Programme on Immunisation (EPI) timeline, 65% of the children assessed (n = 80) did totally immunised, 25% did partly immunized, and 10% did none. 55% of mothers received tetanus toxoid (TT) boosters, 78% obtained TT2, and 90% obtained TT1. Mothers in the 20–30 age range showed the highest percentage of vaccination knowledge (65%), followed by those over 30 (55%) and under 20 (40%). Ignorance (42%), vaccine unavailability (28%), fear of complications (18%), and hospital proximity (12%) were the largest obstacles to complete immunization. Furthermore, compared to children from distant regions (45%), children from urban or semi-urban areas had higher full vaccination rates (72%) (p = 0.012). Conclusion: The results underscore the critical role of tailored community-based interventions and policy measures that address structural inequities, maternal empowerment, and healthcare accessibility. To increase equitable levels of vaccination throughout Bangladesh, the results emphasize the necessity of enhancing maternal welfare skills, ensuring that vaccines remain available, and integrating immunizations into routine healthcare for women and newborns. Novelty/Originality of this article: The study additionally explored the interplay of socioeconomic status, maternal education, and health system factors, providing a holistic understanding of immunization behavior and the underlying social determinants influencing vaccine uptake.
M. Hasan, Ummay Kulsum· Journal of Sustainability, S...· 0 citations
The immunization status of children with chronic illnesses is determined, and a high rate of complete vaccination according to the routine vaccination schedule was observed, but non-routine vaccinations were administered at low rates.
With the regulation that entered into force on 3 June 2020 in Türkiye, the age 13 diphtheria-tetanus booster dose vaccines, which were administered collectively in schools with mobile service units, were transferred to family health units based on individual application. This study was planned to investigate the Tetanus-Diphtheria vaccination coverage and reasons for non-vaccination among adolescents in Şanlıurfa provincial center after this policy change. This study is a cross-sectional and case-control study conducted in Şanlıurfa Haliliye district in October 2023. The population comprised individuals aged 13 years who were eligible for Tetanus-Diphtheria vaccination; sample size was calculated based on available literature. Face-to-face questionnaires were administered. Participants who remained unvaccinated were placed in the case group, while those vaccinated were assigned to the control group. The Tetanus-Diphtheria vaccination coverage was 77.8%, falling below the World Health Organization’s ≥90% target. The most common reasons for not receiving the vaccine were “lack of awareness about the need for vaccination” (51.3%) and “lack of time/forgetfulness” (27.7%). Completing other childhood vaccinations, receiving a COVID-19 vaccine, and obtaining information from a healthcare provider were associated with higher vaccination rates, whereas citing the media as the main information source, agreeing with anti-vaccine news, a history of previous vaccine hesitancy/refusal, and access barriers were linked to non-vaccination. These findings indicate that insufficient information, accessibility challenges, and mistrust must be addressed simultaneously. A hybrid service model using both school-supported mobile teams and family health centers could increase Tetanus-Diphtheria coverage and improve overall vaccination rates.
Strong trust in vaccines among parents is revealed, with high support for their safety, effectiveness, and mandatory implementation, as well as recognition of their community-wide benefits, however, gaps in knowledge and barriers to vaccination access underscore the need for professional communication.
María José Reyes Cáceres, Astrid Mariam Enamorado Ortega, Astrid Pamela Romero Monday et al.· Journal of the Pediatric Inf...· 0 citations
This study demonstrates that under the guidance of a specialized vaccination clinic, over 90% of CSHCN can be safely vaccinated, thereby safeguarding their right to protection against vaccine-preventable diseases.
Yu Song, Jingjing Sun, Yu Ling et al.· Human Vaccines & Immunothera...· 0 citations