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Implementing and sustaining school-located influenza vaccination programs: perspectives from five diverse school
Dulmini Wilson1, Kathleen M Sanchez, Susan H Blackwell
1Los Angeles County Department of Public Health Immunization Program, Los Angeles, CA 90010, USA. duwilson@ph.lacounty.gov
Summary
School districts can successfully implement their own school-located influenza vaccination (SLIV) programs by leveraging existing resources and staff. This approach enhances sustainability and allows for tailored, effective vaccination strategies within the school setting.
Area of Science:
- Public Health
- Epidemiology
- Health Administration
Background:
- School-located influenza vaccination (SLIV) programs traditionally rely heavily on local health departments.
- This model presents financial sustainability challenges due to resource-intensive roles in program design, coordination, and vaccination delivery.
- Alternative sustainable models are needed to ensure consistent influenza vaccination coverage in schools.
Purpose of the Study:
- To explore the capacity of school districts to independently design, implement, and institutionalize sustainable SLIV programs.
- To identify resource-minimizing strategies employed by school districts in developing their own vaccination programs.
- To document the process and outcomes of school districts leading their SLIV initiatives.
Main Methods:
- A 3-year case study involving five diverse school districts in Los Angeles County.
- Districts identified and maximized existing resources, with school nurses and staff leading program development.
- Strategies included adapting existing clinics, forming community partnerships, and refining processes based on effectiveness.
Main Results:
- Five school districts successfully developed and institutionalized their own SLIV programs.
- Districts utilized internal leadership and resources, tailoring program elements like consent and promotion.
- Creative, resource-minimal approaches were adopted, with program adjustments made annually.
- Two districts expanded existing immunization clinics; three developed capacity through partnerships.
Conclusions:
- School districts possess the capability to develop and sustain their own SLIV programs.
- Leveraging internal resources and adaptable strategies enables effective, tailored vaccination programs.
- This district-led model offers a financially sustainable alternative to traditional health department-led programs, even in challenging conditions.
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