Efforts to Increase HPV Vaccination Rates at Local

Health Departments

Tamara Yates RN, BSN

Ohio Department of Health Nurse Education Consultant

ODH and HPV• ODH authorizes use of HPV vaccine • Funding From CDC Grant (PPHF) awarded 2014-2016

– Statewide HPV Joint Initiative– Marketing Campaign– Reminder/Recall– Assessment/Feedback (AFIX)– Provider Education Program

• STIR Grant (Strategies for Increasing Teen Immunizations) for LHDs-TIES (Teen Immunization Education Sessions) presentation- AFIX (Assessment, Feedback, Incentive, eXchange)

• IAP (Immunization Action Plan) Grant for Local Health Departments• SLVC (School Located Vaccination Clinics)• ODH Adult/Adolescent Coordinator

Estimated vaccination coverage with selected vaccines and doses among adolescents aged 13–17 years, by survey year — National Immunization Survey–Teen, United States, 2006–2014

Estimated coverage with Selected vaccines among adolescents 13-17 years, National and State-National Immunization Survey-Teen (NIS Teen),

United States 2014

http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6429a3.htm#fig1- updated 7/31/15

HPV Vaccine Coverage by Age at Interview

≥ 3 doses ≥ 3 doses

ODH and HPV VaccineJune 8, 2006, the first Gardasil® 4 vaccine was licensed

January 1, 2007, ODH authorized ordering of Gardasil® 4

October 16, 2009, Cervarix® vaccine was licensed

May 5, 2010, ODH authorized ordering of Cervarix®

December 10, 2014, Gardasil® 9 vaccine was licensed

June 5, 2015, ODH authorized the ordering of Gardasil® 9

Doses of HPV Vaccine Shipped

Year Total doses Shipped by ODH

2013 150,939

2014 210,855

2015 248,518

2014 CDC/PPHF Grant to Increase HPV Vaccination RatesGoal: 80% of teens UTD with three doses Objectives:1.Statewide HPV Joint Initiative2.Marketing Campaign3.Reminder/Recall4.Assessment/Feedback5.Provider Education

2014 CDC / PPHF Grant1. Statewide HPV Vaccine Joint Initiative

• ODH Partners – Reproductive Health, Cancer, School Nursing

• External Partners – OSU, Ohio AAP, OACHC, Ohio AFP, etc.

2014 CDC / PPHF Grant2. Marketing Campaign

• Television campaign• ‘Close the Door to Cancer!’ (CDC)

– http://www.youtube.com/watch?v=YdLQ2f0hF4g– http://www.youtube.com/watch?v=ULbB0SdVe94

• Radio campaign• ‘Get Vaccinated Ohio’ (ODH)

– http://www2c.cdc.gov/podcasts/player.asp?f=8630172

• 10 major markets June – August 2014• Use of Social Media outlets( Facebook and Twitter)

TV and Radio Coverage Area

• Timeline: • June – Sept 2014

• Target Main Ohio Markets

2014 CDC / PPHF Grant 3. Reminder/Recall

• Centralized through ImpactSIIS• Monthly reminder letters

• Mailed over 3,900 letters• Recall letters

• Two mass mailings• June-July 2014: Promote adolescent platform• August-September 2014: HPV recall for doses 2 and 3

2014 CDC / PPHF Grant4. Assessment/Feedback

Adolescent AFIX• AFIX with 4-6 month follow-up assessment/feedback• Review 13 to 15 year old patients

Completed by STIR grantees and ODH• 170 Adolescent AFIXs

– 159 (93.5%) participated in a follow-up session– Aggregate HPV vaccination coverage for receipt of 3 doses increased 5.3 percentage points from 27.8% to 33.1%

2014 CDC / PPHF Grant5. Provider Education

• TIES (Teen Immunization Education Sessions) Grant• Developed with OAAP• Regional Education Days

• STIR grantees• Focus: Give providers the tools that they need to make a strong recommendation for HPV vaccine

2014 CDC / PPHF GrantImplement STIR Grants to LHDs

(Strategies for Increasing Teen Immunization Rates)• 6 lead counties

• Allen, Clark, Lorain, Lucas, Montgomery & Summit

• 5 partnering counties• Auglaize, Henry, Mercer, Van Wert &

Madison/London City

IAP GrantThe goal of the IAP program is to achieve and maintain 90% vaccination coverage levels for universally recommended vaccines among children less than 24 months of age and for adolescents through: Assessing and improving health district immunization rates through use of an Immunization Information System (IIS) and promoting effective practice changes to improve immunization rates; Assessing the immunization rates of providers throughout the applicant county (or counties) and promoting effective practice changes to improve immunization rates;Identifying disparities of low immunization levels and providing additional immunization education to parents and health care providers in those areas; Educating immunization providers of children and adolescents regarding the importance of timely immunizations and effective strategies to improve practice behavior; Implementing additional and targeted reminder and recall activities to improve local health department immunization rates. . Provide TIES and MOBI trainingsProvide childhood and adolescent AFIX

School Located Vaccination Clinics

• Recommended by ODH to provide all age-appropriate vaccines at school clinics to avoid missed opportunities.

• Collaborate with LHDs to provide vaccines for SLVC

Diphtheria Hepatitis A Hepatitis B

HPV Influenza Measles

Mumps Meningococcal Pertussis

Polio Rubella Tetanus

Varicella

Encourage Best Practices• Assessment, Feedback, Incentives, eXchange (AFIX) • Record-keeping• Immunization Information Systems• Recommendations to Parents / Need to Return• Reminder and Recall Messages to Parents• Reminder and Recall Messages from Providers• Reduce Missed-Opportunities and Barriers

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Tamara (Tami) Yates RN, BSNNurse Education Consultant

Ohio Department of Health Immunization Program

Tamara.yates@odh.ohio.govPhone: 614-752-9685

1-800-282-0546