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Vaccination Programs: Community-Based Interventions Implemented in Combination

CDC

An Evidence-Based Practice

Description

Community-based interventions implemented in combination involve the use of two or more coordinated interventions to increase vaccination rates within a targeted population. Efforts involve partnerships between community organizations, local government, and vaccination providers to implement and coordinate the following:
-One or more interventions to increase community demand (client reminder and recall systems, manual outreach and tracking, client or community-wide education, client incentives, client-held paper immunization records, and case management)
-One or more interventions to enhance access to vaccination services (expanded access in healthcare settings, home visits, and reduced client out-of-pocket costs)

Efforts may also include additional interventions directed at vaccination providers (e.g. provider assessment and feedback, provider education, and provider reminder systems).

Impact

The Community Preventive Services Task Force (CPSTF) recommends using a combination of community-based interventions to increase vaccination rates in targeted populations.
Interventions may aim to increase community demand, enhance access to vaccination services, or reduce missed opportunities by vaccination providers.

Results / Accomplishments

The systematic review included 18 studies with 21 study arms.

Overall vaccination rates: median increase of 14 percentage points (18 studies)
-Older adults (65 years and older): median increase of 30.8 percentage points (4 studies)
-Children (12 years and younger): median increase of 12 percentage points (14 studies)

Studies that combined one or more interventions to increase client and community demand with one or more interventions to enhance access to vaccination services saw a median increase in vaccination rates of 16 percentage points (14 studies).

Intervention combinations that included client reminders reported a median increase in vaccination rates of 13 percentage points (15 study arms).

About this Promising Practice

Primary Contact
The Community Guide
1600 Clifton Rd, NE
MS H21-8
Atlanta, GA 30329
(404) 498-1827
communityguide@cdc.gov
https://www.thecommunityguide.org/
Topics
Health / Immunizations & Infectious Diseases
For more details
https://www.thecommunityguide.org/findings/vaccina...

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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.