Influenza vaccination in health-care workers: an evaluation of an on-site vaccination strategy to increase vaccination uptake in HCWs of a South Italy Hospital

Vimercati, Luigi; Bianchi, Francesco Paolo; Mansi, Francesca; Ranieri, Beatrice; Stefanizzi, Pasquale; Nitto, Sara De; Tafuri, Silvio

doi:10.1080/21645515.2019.1625645

Cited by 27 publications

(21 citation statements)

References 15 publications

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“…However, the vaccination coverage registered in our teaching hospital represents an encouraging starting point and it is analogous, or even higher, than flu vaccination coverage rates registered in other national and regional settings [29,32,33,39,50,[53][54][55]. Our results confirmed that physicians are the professionals most willing to get vaccinated, as reported in the literature [20,33,50,54], even though the overall increase was the lowest during the considered period if compared to nurses and OHCWs. The job category that registered the highest increase in coverage rate (compared to the previous years) were the OHCWs (+76.3%) and the nurses (+75.8%), proving that the implemented strategies were effective in reaching groups originally less inclined to vaccination, maybe due to the wrong perception of being at low risk of illness or transmitting the infection.…”

Section: Discussionsupporting

confidence: 86%

“…Nevertheless, the overall vaccination coverage rate was lower than those reached in other international settings [22,27,29,51,52], thus remaining unsatisfactory and still far away by the minimum goal of 75% defined by the WHO and by the Italian PNPV (PNPV 2017-2019) [10,11]. However, the vaccination coverage registered in our teaching hospital represents an encouraging starting point and it is analogous, or even higher, than flu vaccination coverage rates registered in other national and regional settings [29,32,33,39,50,[53][54][55]. Our results confirmed that physicians are the professionals most willing to get vaccinated, as reported in the literature [20,33,50,54], even though the overall increase was the lowest during the considered period if compared to nurses and OHCWs.…”

Section: Discussionmentioning

confidence: 77%

“…This strategy emerged as request from HCWs who participated at the FT [42]. Thought, this project has been already used elsewhere, as reported in the scientific literature [39,[47][48][49][50][51]. The OSV consisted of personal visit by 2 trained medical residents in Hygiene and Preventive Medicine (Public Health) and/or Occupational Medicine to wards to perform influenza immunization counseling and to vaccinate free of charge HCWs who wanted to be vaccinated.…”

Section: The On-site Vaccination (Osv) Interventionmentioning

confidence: 99%

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Strategies to Increase Flu Vaccination Coverage among Healthcare Workers: A 4 Years Study in a Large Italian Teaching Hospital

et al. 2020

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Flu vaccination is recommended among healthcare workers (HCWs). The low vaccination coverage registered in our hospital among HCWs called for new engaging approaches to improve flu vaccination coverage. The aim of this study was to evaluate the efficacy of different strategies implemented during the last four years (2015–2019). A quasi-experimental study was conducted, involving almost 4000 HCWs each year. Starting from the 2015–2016 campaign, new evidence-based strategies were progressively implemented. At the end of each campaign, an evaluation of the vaccination coverage rate reached was performed. Moreover, during the last three campaigns, differences in coverage among job category, wards involved or not in on-site vaccination (OSV) intervention, age classes and gender were analyzed. An increasing flu vaccination coverage rate was registered, from 6% in 2015–2016 to almost 22% at the end of 2018–2019. The overall number of vaccinated HCWs increased, especially at younger ages. OSV strategy always leads to better results, and physicians always show a higher vaccination coverage than nurses and other HCWs. The implemented strategies were effective in achieving higher flu vaccination coverage among HCWs in our hospital and therefore can be considered valuable examples of good prevention practices in hospital settings.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 77%

Section: The On-site Vaccination (Osv) Interventionmentioning

confidence: 99%

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Strategies to Increase Flu Vaccination Coverage among Healthcare Workers: A 4 Years Study in a Large Italian Teaching Hospital

et al. 2020

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“…One barrier to national scale up of HPV vaccination programs is the higher delivery costs associated with setting up a new delivery model for the 9–13 year old target age group [26]. Nevertheless, current strategies to improve vaccination uptake [27, 28] coupled with evidence of long-term benefits from vaccine investment [29, 30] provide a strong rationale for allocation of resources to HPV vaccination programs which seem relatively expensive.…”

Section: Introductionmentioning

confidence: 99%

Implementation strategy and cost of Mozambique’s HPV vaccine demonstration project

et al. 2019

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BackgroundCost is an important determinant of health program implementation. In this study, we conducted a comprehensive evaluation of the implementation strategy of Mozambique’s school-based HPV vaccine demonstration project. We sought to estimate the total costs for the program, cost per fully immunized girl (FIG), and compute projections for the total cost of implementing a similar national level vaccination program.MethodsWe collected primary data through document review, participatory observation, and key informant interviews at all levels of the national health system and Ministry of Education. We used a combination of micro-costing methods—identification and measurement of resource quantities and valuation by application of unit costs, and gross costing—for consideration of resource bundles as they apply to the number of vaccinated girls. We extrapolated the cost per FIG to the HPV-vaccine-eligible population of Mozambique, to demonstrate the projected total annual cost for two scenarios of a similarly executed HPV vaccine program.ResultsThe total cost of the Mozambique HPV vaccine demonstration project was $523,602. The mean cost per FIG was $72 (Credibility Intervals (CI): $62 - $83) in year one, $38 (CI: $37 - $40) in year two, and $54 CI: $49 - $61) for years one and two. The mean cost per FIG with the third HPV vaccine dose excluded from consideration was $60 (CI: $50 - $72) in year one, $38 (CI: $31 - $46) in year two, and $48 (CI: $42 - $55) for years one and two. The mean cost per FIG when only one HPV vaccine dose is considered was $30 (CI: $27 - $33)) in year one, $19 (CI: $15–$23) in year two, and $24 (CI: $22–$27) for both years. The projected annual cost of a two-and one-dose vaccine program targeting all 10-year-old girls in the country was $18.2 m (CI: $15.9 m - $20.7 m) and $9 m (CI: $8 m - $10 m) respectively.ConclusionNational adaptation and scale-up of Mozambique’s school-based HPV vaccine strategy may result in substantial costs depending on dosing. For sustainability, stakeholders will need to negotiate vaccine price and achieve higher efficiency in startup activities and demand creation.

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“…One barrier to national scale up of HPV vaccination programs is the higher delivery costs associated with setting up a new delivery model for the 9 -13 year old target age group (26). Nevertheless, current strategies to improve vaccination uptake (27) (28) coupled with evidence of long-term benefits from vaccine investment(29)(30) provide a strong rationale for allocation of resources to HPV vaccination programs which seem relatively expensive.…”

Section: Introductionmentioning

confidence: 99%

Implementation Strategy and Cost of Mozambique’s HPV vaccine demonstration project

Soi

Babigumira

Chilundo

et al. 2019

Preprint

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Background Cost is as an important determinant of health program implementation. In this study, we conducted a comprehensive evaluation of the implementation strategy of Mozambique's school-based HPV vaccine demonstration project. We sought to estimate the total cost of the program and the cost per fully immunized girl (FIG), and to project the total cost of implementing a similar immunization program at the national level. Methods We collected primary data through document review, participatory observation, and key informant interviews with project implementers at the central offices of the national immunization program, provincial and district health directorates, and in health facilities. We used a combination of micro-costing methods-the identification and measurement of resources quantities and valuation by application of unit costs, and gross costing-the consideration of resource bundles as they apply to the number of FIGs. We extrapolated the cost per FIG to the HPVvaccine-eligible population of Mozambique under current guidelines to demonstrate the projected total annual cost for a similarly executed HPV vaccine program. Results The total cost of the Mozambique HPV vaccine demonstration project was $523,601. The mean cost per FIG was $72 (95% the analysis were vaccine price, number of doses administered per recipient, program startup costs, and the costs of demand creation. Conclusion National adaptation and scale-up of Mozambique's school-based HPV vaccine strategy would result in substantial costs. To achieve national-level HPV vaccine roll out and sustainability, stakeholders will need to negotiate vaccine prices and achieve better efficiency in startup activities and demand creation. Contributions To The LiteratureResearch has shown considerable heterogeneity within and between countries for HPV vaccine delivery cost determinants. Our findings provide country specific cost data that can inform Mozambique's national immunization program HPV vaccine delivery scaling up strategyThe paper provides a costing framework and methodology that other HPV vaccine delivery researchers can replicate, thus promoting generalizability of research findings

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Influenza vaccination in health-care workers: an evaluation of an on-site vaccination strategy to increase vaccination uptake in HCWs of a South Italy Hospital

Cited by 27 publications

References 15 publications

Strategies to Increase Flu Vaccination Coverage among Healthcare Workers: A 4 Years Study in a Large Italian Teaching Hospital

Strategies to Increase Flu Vaccination Coverage among Healthcare Workers: A 4 Years Study in a Large Italian Teaching Hospital

Implementation strategy and cost of Mozambique’s HPV vaccine demonstration project

Implementation Strategy and Cost of Mozambique’s HPV vaccine demonstration project

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