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Early Lessons Learned From Extramural School Programs That Offer HPV Vaccine.
MedLine Citation:
PMID:  23331272     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: There has been little evaluation of school-located vaccination programs that offer human papillomavirus (HPV) vaccine in US schools without health centers (ie, extramural programs). This article summarizes lessons learned from such programs.
METHODS: In July to August 2010, 5 programs were identified. Semistructured, in-depth telephone interviews were conducted with program representatives about practical aspects of planning and implementation, including configuration and effectiveness.
RESULTS: Most programs offered HPV vaccine as part of a broader effort to increase uptake of adolescent vaccines. Respondents stressed the importance of building partnerships with local school systems throughout all aspects of the planning and implementation phases. All programs offered HPV vaccine at no cost to students. Most did not have a mechanism to bill private insurance, and some found Medicaid reimbursements to be a challenge. Programs achieved modest rates of initiation of the 3-dose HPV vaccine series (median 10%); however, among those who initiated the series, completion rates were high (median 78%). HPV vaccine uptake was lowest for a program that offered only HPV vaccine.
CONCLUSIONS: Extramural programs may increase uptake of vaccines and decrease absenteeism due to noncompliance with vaccine requirements for school entry. Until extramural programs in the US receive better access to billing private insurers and Medicaid, sustainability of these programs relies on grant funding. Better integration of extramural school-located vaccine programs with existing local healthcare and other programs at schools is an area for growth.
Authors:
Kim A Hayes; Pamela Entzel; Wendy Berger; Rachel N Caskey; Judith C Shlay; Brenda W Stubbs; Jennifer S Smith; Noel T Brewer
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of school health     Volume:  83     ISSN:  1746-1561     ISO Abbreviation:  J Sch Health     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376370     Medline TA:  J Sch Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  119-26     Citation Subset:  IM; N    
Copyright Information:
© 2013, American School Health Association.
Affiliation:
Public Health Analyst, (khayes@rti.org), Primary Prevention Research and Evaluation Program, RTI International, 3040 Cornwallis Road, Research Triangle Park, NC 27709.
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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