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Related Experiment Videos

Immunizations from ground zero: lessons learned in urban middle schools

L Boyer-Chuanroong1, B A Woodruff, L M Unti

  • 1School District Nurse/Project Manager, San Francisco Unified School District, CA 94115, USA.

The Journal of School Health
|November 14, 1997
PubMed
Summary

Large-scale school vaccination programs are feasible, even in urban settings. This project successfully administered the hepatitis B vaccine (HBVac) to students, overcoming logistical and linguistic barriers.

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Area of Science:

  • Public Health
  • Epidemiology
  • Health Services Research

Background:

  • School-based vaccination programs are crucial for disease prevention.
  • Urban school districts face unique challenges, including diverse populations and scheduling constraints.
  • Assessing the feasibility of large-scale vaccination initiatives in these settings is vital.

Purpose of the Study:

  • To evaluate the feasibility of implementing a large-scale, school-based vaccination program in an urban environment.
  • To identify and address barriers to successful vaccination delivery in schools.
  • To assess the effectiveness of a school-based hepatitis B vaccination program.

Main Methods:

  • A three-year demonstration project funded by the Centers for Disease Control and Prevention in San Francisco.

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  • Targeted seventh graders and special education students for hepatitis B vaccine (HBVac).
  • Implemented strategies to overcome barriers such as language diversity and school schedules.

    • Main Results:

    • 71% of 4,928 targeted students consented and received the first dose of HBVac.
    • 93% of vaccinated students completed the three-dose series at school.
    • Successfully navigated challenges including language barriers and bell schedules.

    Conclusions:

    • School-based vaccination programs are feasible in large urban schools with careful planning.
    • Key success factors include collaboration, education, incentives, and efficient clinic logistics.
    • Demonstrated a viable model for large-scale school immunization efforts.