Applying Primary Prevention Principles to Immunizations

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Applying primary prevention principles to immunizations is essential for promoting community health. Strategies such as enhancing access, provider-oriented interventions, and increasing client demand have proven effective in improving vaccine coverage rates. Examples like the Vaccines for Children (VFC) Program demonstrate successful implementation of these strategies to ensure widespread immunization protection.


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  1. Applying Primary Prevention Principles to Immunizations

  2. Data source: Results of the 2015 Immunization Status Survey of 24-Month-Old Children in Tennessee. Prepared by the Tennessee Department of Healths Immunization Program and available at: http://www.tn.gov/assets/entities/health/attachments/ImmunizationSurvey2015.pdf .

  3. Data source: Results of the 2015 Immunization Status Survey of 24-Month-Old Children in Tennessee. Prepared by the Tennessee Department of Healths Immunization Program and available at: http://www.tn.gov/assets/entities/health/attachments/ImmunizationSurvey2015.pdf .

  4. Coverage of Three Dose HPV Vaccine Female Adolescents Age 13-17 Years, 2014 Data source: 2014 NIS-Teen Vaccination Coverage Table Data http://www.cdc.gov/vaccines/imz-managers/coverage/nis/teen/figures/2014-maps/14-3- hpv-f.pdf

  5. Proven Primary Prevention Strategies Identify a specific action to address each of the 3 components of the Community Guide s evidence-based intervention packages Systematic review of 23 qualifying studies Combined interventions were evaluated and found effective Overall, studies found various combinations had a median impact of 16.5 percentage points on targeted vaccine coverage

  6. Proven Primary Prevention Strategies Strategies recommended in the Community Guide to Preventive Services (www.thecommunityguide.org) Enhance access A way to improve convenience and/or reduce out of pocket expense And Provider-oriented intervention Examples: standing orders, provider reminders, quality assessments And Increase client demand Examples: a form of patient education, reminders

  7. Proven Primary Prevention Strategies Example 1: Enhance Access Vaccines for Children (VFC) Program

  8. Proven Primary Prevention Strategies Example 2: Help providers

  9. Proven Primary Prevention Strategies Example 3: Increase Client Demand

  10. Additional Resources CDC s Reminder Systems and Strategies for Increasing Vaccination Rates http://www.cdc.gov/vaccines/recs/reminder-sys.htm Strategies for Increasing Adult Vaccination Rates http://www.cdc.gov/vaccines/hcp/adults/for-practice/increasing-vacc-rates.html TN Annual Immunization Status Survey of 24 month old Children https://www.tn.gov/health/article/cedep-reports Vaccination Coverage Articles and Reports http://www.cdc.gov/vaccines/imz-managers/coverage/articles.html The Community Guide: Vaccinations to Prevent Diseases: Universally Recommended Vaccinations http://www.thecommunityguide.org/vaccines/universally/index.html

  11. Technical Assistance Resources Catherine Haralson, Manager Tennessee Immunization Program 615-741-7507 Becky Pearsall, RN Adult and Adolescent Immunization Promotion 615-532-6608 Susan Copeland, RN VFC Program Quality Assurance 615-532-8509

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