Immunization Coalitions that Work

Fd, Butterfoss; Jd, Webster; Al, Morrow; Rosenthal, Jorge

doi:10.1097/00124784-199811000-00012

Cited by 13 publications

(1 citation statement)

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“…The two days training was probably the driving force for reducing invalid doses and improving the knowledge level on management of AEFI. This inference was probably true as most vaccinators lacked clear concepts of valid doses and management of AEFI in Yiwu and previous studies reported the success of training in solving these problems [ 16 – 18 ]. The utilization of the screening tool was effective in identifying and addressing the unmet demands.…”

Section: Discussionmentioning

confidence: 99%

Does introducing an immunization package of services for migrant children improve the coverage, service quality and understanding? An evidence from an intervention study among 1548 migrant children in eastern China

Luo²,

Tang

et al. 2015

BMC Public Health

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BackgroundAn EPI (Expanded Program on Immunization) intervention package was implemented from October 2011 to May 2014 among migrant children in Yiwu, east China. This study aimed to evaluate its impacts on vaccination coverage, maternal understanding of EPI and the local immunization service performance.MethodsA pre- and post-test design was used. The EPI intervention package included: (1) extending the EPI service time and increasing the frequency of vaccination service; (2) training program for vaccinators; (3) developing a screening tool to identify vaccination demands among migrant clinic attendants; (4) Social mobilization for immunization. Data were obtained from random sampling investigations, vaccination service statistics and qualitative interviews with vaccinators and mothers of migrant children. The analysis of quantitative data was based on a “before and after” evaluation and qualitative data were analyzed using content analysis.ResultsThe immunization registration (records kept by immunization clinics) rate increased from 87.4 to 91.9 % (P = 0.016) after implementation of the EPI intervention package and the EPI card holding (EPI card kept by caregivers) rate increased from 90.9 to 95.6 % (P = 0.003). The coverage of fully immunized increased from 71.5 to 88.6 % for migrant children aged 1–4 years (P < 0.001) and increased from 42.2 to 80.5 % for migrant children aged 2–4 years (P < 0.001). The correct response rates on valid doses and management of adverse events among vaccinators were over 90 % after training. The correct response rates on immunization among mothers of migrant children were 86.8–99.3 % after interventions.ConclusionOur study showed a substantial improvement in vaccination coverage among migrant children in Yiwu after implementation of the EPI intervention package. Further studies are needed to evaluate the cost-effectiveness of the interventions, to identify individual interventions that make the biggest contribution to coverage, and to examine the sustainability of the interventions within the existing vaccination service delivery system in a larger scale settings or in a longer term.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-015-1998-5) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Does introducing an immunization package of services for migrant children improve the coverage, service quality and understanding? An evidence from an intervention study among 1548 migrant children in eastern China

Luo²,

Tang

et al. 2015

BMC Public Health

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Factors affecting member perceptions of coalition impact

Wells

Feinberg

Alexander

et al. 2009

Nonprofit Mgmnt & Ldrshp

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The purpose of this study was to identify attributes of community-based coalitions associated with member perceptions of greater impact. Based on Hackman’s model of work group effectiveness, we hypothesized that member effort, knowledge and skill, and performance strategies would affect their perceptions of coalition impact. Findings from a lagged regression on a sample of forty-five youth-oriented coalitions indicated that two aspects of member effort were associated with subsequent perceived impact, as were performance strategies for both coalition governance and community interventions. There were no associations, however, between member knowledge and skill and perceived impact. These results suggest that leaders may improve perceived coalition impact by encouraging member participation in discussions and interventions and by developing effective strategies for both governance and implementation.

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Human Papillomavirus Vaccination in Georgia: Evaluating the Georgia HPV Work Group

et al. 2018

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HPV-related cancers can be prevented through HPV vaccination, however uptake and completion of the vaccination in the state of Georgia remains suboptimal. The research team conducted two online focus groups with members of the Georgia Cancer Control Consortium HPV Work Group in efforts to better understand the role that the working group could have on increasing vaccination uptake and completion in the state of Georgia. Analysis of the focus groups was completed using a Grounded Theory approach. Various aspects of the Working Group were discussed throughout the focus groups with a number of key points for growth identified both by the participants during the discussion, and by the research team during analysis. Predominantly, a primary point for growth of the Working Group lies in building its capacity to collectively conduct HPV vaccination-related activities. An online webportal specifically designed for the Working Group was identified as a tool for improving Working Group communication, sharing best practices and resources, and to collectively develop activities, research projects, and HPV vaccine promotion events in a culturally

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Immunization Coalitions that Work

Cited by 13 publications

References 0 publications

Does introducing an immunization package of services for migrant children improve the coverage, service quality and understanding? An evidence from an intervention study among 1548 migrant children in eastern China

Does introducing an immunization package of services for migrant children improve the coverage, service quality and understanding? An evidence from an intervention study among 1548 migrant children in eastern China

Factors affecting member perceptions of coalition impact

Human Papillomavirus Vaccination in Georgia: Evaluating the Georgia HPV Work Group

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