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Designing a 'Deep End' childhood immunisation intervention: a pre-implementation qualitative study.

Amber Sacre1,2, Adam Todd3,4, Clare Bambra5,2

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|October 8, 2025
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Summary
This summary is machine-generated.

A new childhood immunisation pilot intervention in England aims to increase vaccination uptake among vulnerable children. The proposed flexible, in-home service was well-received, though practical concerns require further attention.

Keywords:
health inequalitieshealthcare interventionvaccinationvaccine uptake

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Area of Science:

  • Public Health
  • Immunisation Programmes
  • Health Equity

Background:

  • Childhood vaccination uptake is declining in England, increasing the risk of vaccine-preventable diseases (VPDs).
  • Children in socioeconomically disadvantaged areas face significant barriers to vaccination, leading to lower uptake rates.
  • Targeting these vulnerable populations is crucial for preventing VPD outbreaks.

Purpose of the Study:

  • To evaluate a proposed childhood "catch-up" immunisation pilot intervention.
  • The intervention targets general practices within the North East and North Cumbria "Deep End" Network (NENC DE).
  • Focuses on practices serving populations with high socioeconomic disadvantage.

Main Methods:

  • A pre-implementation evaluation was conducted.
  • Semi-structured qualitative interviews were used with a purposive and snowball sampling approach.
  • Fifteen interviews were conducted during the intervention's initial commissioning phase and analysed using the framework method.

Main Results:

  • The proposed intervention, particularly the in-home roving vaccination service, generated significant interest.
  • The roving service is expected to reduce practical access barriers for families.
  • Concerns were raised regarding physical space and staff safety, alongside the potential for increased vaccination uptake among vulnerable children.

Conclusions:

  • The intervention providers are encouraged to maintain flexibility and customisation of the service.
  • Further research is necessary to assess the intervention's impact and effectiveness.
  • The pilot aims to improve childhood immunisation rates in underserved communities.