Successful Use of Interventions in Combination to Improve Human Papillomavirus Vaccination Coverage Rates Among Adolescents—Chicago, 2013 to 2015

Abstract

In 2013, National Immunization Survey-Teen data indicated that >40% of female adolescents had not initiated the human papillomavirus (HPV) vaccine series and >60% had not completed the series, documenting vaccination rates much lower than those for other vaccines recommended for adolescents. The Chicago Department of Public Health (CDPH) was 1 of 22 jurisdictions nationwide to receive a Prevention and Public Health Fund award through the Centers for Disease Control and Prevention to improve HPV vaccination rates among adolescents. The CDPH implemented 5 interventions targeting the public, clinicians and their staff, and diverse immunization and cancer prevention stakeholders. Compared with 2013 jurisdiction-specific HPV vaccination rates among all adolescents, Chicago's HPV vaccination rates were increased significantly in 2014 and 2015. This article details the methods and results of Chicago's successful interventions, the particular strengths as well as barriers encountered, and future steps necessary for sustaining improvement.

School‐Located Influenza Vaccination: Do Vaccine Clinics at School Raise Vaccination Rates?

“…Further, since most influenza vaccinations are given between October and January, it is logistically challenging for primary care practices to vaccinate all children. Another challenge is that only a minority of primary care practices send reminders or educational messages to parents about influenza vaccinations despite studies showing that parent reminder‐recall can raise vaccination rates …”

Improving HPV vaccine delivery at school-based health centers

“…21 Other health departments have implemented enhanced AFIX programs with clinician-to-clinician visits, including Rhode Island and Chicago. 22,23 The Chicago program found 95% of all clinics had an increase in HPV vaccine initiation and 96% had an increase in series completion. 23 Their program included 12 SBHCs but they did not report on SBHC specific outcomes.…”

Increasing HPV Vaccination Uptake among Adolescents: A Systematic Review

“…Multicomponent strategies targeting both A/P and HCPs mostly included educational and training interventions (5; 83.3%) [61][62][63]65,66] and reminders (5; 83.3%) [61][62][63][64]66], followed by periodic feedback reports on coverage (3; 50%) [61][62][63]. All described positive effects in terms of both HPV initiation and completion [61][62][63][64][65][66], but only three of them (50%) reported significant results [63][64][65].…”

“…Multicomponent strategies targeting both A/P and HCPs mostly included educational and training interventions (5; 83.3%) [61][62][63]65,66] and reminders (5; 83.3%) [61][62][63][64]66], followed by periodic feedback reports on coverage (3; 50%) [61][62][63]. All described positive effects in terms of both HPV initiation and completion [61][62][63][64][65][66], but only three of them (50%) reported significant results [63][64][65]. In particular, offering HPV vaccination in bundle with other vaccinations (tetanus toxoid, reduced diptheria toxoid, acellular pertussis-Tdap-and tetravalen meningococcal-MCV4) to all subjects attending a medical visit, together with the establishment of an internal immunization registry and standing orders/reminders before any visit, showed to increase both first-dose uptake and all-doses completion [64].…”