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Improving childhood immunisation coverage rates--evaluation of a divisional program.
Hammad Ali1, Nicholas Zwar, Jo Wild
1University of New South Wales. drhammadali@gmail.com
Australian Family Physician
|November 7, 2009
Summary
Central Sydney GP Network improved childhood immunisation coverage by supporting general practices. The project identified modifiable practice issues and some complex patient-related barriers to higher vaccination rates.
Area of Science:
- Public Health
- Health Services Research
Background:
- Childhood immunisation coverage in central Sydney is below the Australian average.
- General practices in this region face challenges in achieving high vaccination rates.
Purpose of the Study:
- To address below-average childhood immunisation coverage in central Sydney.
- To support general practices in increasing vaccination rates above 90%.
Main Methods:
- A project involved visiting general practices with <90% coverage to provide guidance.
- Quantitative analysis of Australian Childhood Immunisation Register data.
- Qualitative semistructured interviews with general practitioners and practice staff.
Main Results:
- Several practices with initial coverage of 80-90% increased rates to >90% during the intervention.
- Qualitative findings revealed patient and practice-related issues affecting coverage and reporting.
Conclusions:
- Practice-related coverage and reporting issues are often modifiable and can be targeted for improvement.
- Some patient-related barriers to immunisation are complex and difficult to address.
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