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Improving the uptake of selective neonatal BCG immunisation
Communicable Disease and Public Health
|December 17, 1998
Summary
Neonatal BCG immunisation uptake in Bolton increased from 6% to 88% after midwives took over the role. This high vaccination rate for BCG (Bacillus Calmette-Guérin) remains stable, with a goal of 95% coverage.
Area of Science:
- Public Health
- Immunology
- Pediatrics
Background:
- Selective neonatal BCG immunisation in Bolton showed low uptake (6%) in 1993 among at-risk infants.
- Community medical officers were responsible for BCG administration at that time.
Purpose of the Study:
- To assess the impact of training midwives to administer BCG immunisation.
- To improve BCG uptake rates in neonatal at-risk groups.
Main Methods:
- Midwives were trained to administer the BCG vaccine.
- Surveys were conducted to track immunisation uptake before and after the intervention.
Main Results:
- BCG immunisation uptake in targeted neonatal groups rose dramatically to 88% in 1994.
- This high uptake rate has remained consistent in subsequent follow-up surveys.
Conclusions:
- Training and empowering midwives significantly improved neonatal BCG immunisation coverage.
- Sustained high uptake demonstrates the effectiveness of the revised service delivery model for BCG vaccination.