CDC COMMUNITY GUIDE: Targeted Vaccinations: Multiple Interventions Implemented in Combination
CDC
An Evidence-Based Practice
Description
Most of the available evidence on effectiveness identified in our reviews of interventions to increase targeted vaccine coverage came from studies that evaluated multiple interventions in combination. These studies evaluated a wide variety of intervention combinations.
The Community Preventive Services Task Force recommends interventions that include the combination of interventions as indicated below, based on strong evidence of their effectiveness in increasing targeted vaccination coverage.
• An intervention to enhance access to vaccination services (expanded access in healthcare settings, reduced client out-of-pocket costs), and
• At least one provider- or system-based intervention (standing orders, provider reminder systems, provider assessment and feedback), and/or
• At least one intervention to increase client demand for vaccination (client reminders, client education).
The Community Preventive Services Task Force recommends interventions that include the combination of interventions as indicated below, based on strong evidence of their effectiveness in increasing targeted vaccination coverage.
• An intervention to enhance access to vaccination services (expanded access in healthcare settings, reduced client out-of-pocket costs), and
• At least one provider- or system-based intervention (standing orders, provider reminder systems, provider assessment and feedback), and/or
• At least one intervention to increase client demand for vaccination (client reminders, client education).
Results / Accomplishments
Results from the Systematic Reviews:
Combinations of specific interventions have proven effectiveness for increasing targeted vaccine coverage.
Twenty-three qualifying studies provided 26 study arms evaluating 22 different combinations of interventions for the systematic review.
• Vaccination coverage: median increase of 16.5 percentage points (range: -5.9 to 67.0 percentage points; 16 studies, 19 study arms)
• These results should be applicable in most client and provider populations and most settings where improvements in coverage are needed.
• Evidence was insufficient to determine the effectiveness of other combinations of interventions in increasing coverage.
Combinations of specific interventions have proven effectiveness for increasing targeted vaccine coverage.
Twenty-three qualifying studies provided 26 study arms evaluating 22 different combinations of interventions for the systematic review.
• Vaccination coverage: median increase of 16.5 percentage points (range: -5.9 to 67.0 percentage points; 16 studies, 19 study arms)
• These results should be applicable in most client and provider populations and most settings where improvements in coverage are needed.
• Evidence was insufficient to determine the effectiveness of other combinations of interventions in increasing coverage.
About this Promising Practice
Primary Contact
The Community Guide
1600 Clifton Rd, NE
MS E69
Atlanta, GA 30329
(404) 498-1827
communityguide@cdc.gov
https://www.thecommunityguide.org/
1600 Clifton Rd, NE
MS E69
Atlanta, GA 30329
(404) 498-1827
communityguide@cdc.gov
https://www.thecommunityguide.org/
Topics
Health / Immunizations & Infectious Diseases
Source
Community Guide Branch Epidemiology and Analysis Program Office, Centers for Disease Control and Prevention
Location
USA
For more details
Target Audience
Children, Adults