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A pilot intervention to improve uptake and equality of childhood influenza vaccination in an area of Wales, through the introduction of a mixed delivery model including nursery school immunisation sessions

Caroline Harris Orcid Logo, Simon Cottrell Orcid Logo, Malorie Perry Orcid Logo, Rhian Meaden Orcid Logo, Rhianydd Davey Orcid Logo, Megan Elliott Orcid Logo, Rebecca Cushen, Gareth Jones, Hawys Youlden, Nicola Meredith, Rosemary Jones, Sara Thomas, Ashley Akbari Orcid Logo, Ronan Lyons Orcid Logo, Christopher Johnson

Vaccine, Volume: 41, Issue: 18

Swansea University Authors: Ashley Akbari Orcid Logo, Ronan Lyons Orcid Logo

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DOI (Published version): 10.1016/j.vaccine.2023.03.075

Abstract

The schools-based influenza vaccination programme has seen consistently high uptake in Wales, however coverage in pre-school two and three-year olds is lower. One health board area (Cwm Taf University Health Board (UHB)) developed an intervention to offer live attenuated influenza vaccine (LAIV) for...

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Published in: Vaccine
ISSN: 0264-410X
Published: Elsevier BV 2023
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URI: https://cronfa.swan.ac.uk/Record/cronfa63109
first_indexed 2023-05-10T15:06:18Z
last_indexed 2024-11-15T18:00:56Z
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One health board area (Cwm Taf University Health Board (UHB)) developed an intervention to offer live attenuated influenza vaccine (LAIV) for three-year olds attending nursery schools alongside the existing general practice (GP) programme. During the pilot, sessions were delivered by health visitors, working with school nurses. The mixed delivery model led to vaccination data being recorded in two separate data systems. To evaluate the impact of the pilot on overall vaccine uptake, data linkage was carried out within the Secure Anonymised Information Linkage (SAIL) Databank. Overall influenza vaccine uptake was calculated for each health board in Wales for two and three-year olds for the 2015&#x2013;16, 2016&#x2013;17, and 2017&#x2013;18 influenza programmes. Uptake in two-year olds in Cwm Taf UHB and also uptake in three-year olds in other health boards in Wales were the comparison groups. Uptake of influenza vaccine in the 2015&#x2013;16 (pre-intervention) period was 41.0% for three-year olds in Cwm Taf UHB. Following the intervention, coverage increased to 70.7% and 71.5% for 2016&#x2013;17 and 2017&#x2013;18 respectively. The same increases in uptake were not seen in two-year olds in Cwm Taf UHB or in three-year olds in non-intervention health boards. In Cwm Taf UHB resident three-year olds in 2015&#x2013;16 there was an inequality gap in the uptake of 17.4 percentage points between the most and least deprived areas. Uptake increased across all deprivation quintiles in 2016&#x2013;17 and 2017&#x2013;18; and the inequality gap decreased to 10.3 and 13.4 percentage points respectively. 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spelling 2023-05-15T15:29:08.6914562 v2 63109 2023-04-11 A pilot intervention to improve uptake and equality of childhood influenza vaccination in an area of Wales, through the introduction of a mixed delivery model including nursery school immunisation sessions aa1b025ec0243f708bb5eb0a93d6fb52 0000-0003-0814-0801 Ashley Akbari Ashley Akbari true false 83efcf2a9dfcf8b55586999d3d152ac6 0000-0001-5225-000X Ronan Lyons Ronan Lyons true false 2023-04-11 MEDS The schools-based influenza vaccination programme has seen consistently high uptake in Wales, however coverage in pre-school two and three-year olds is lower. One health board area (Cwm Taf University Health Board (UHB)) developed an intervention to offer live attenuated influenza vaccine (LAIV) for three-year olds attending nursery schools alongside the existing general practice (GP) programme. During the pilot, sessions were delivered by health visitors, working with school nurses. The mixed delivery model led to vaccination data being recorded in two separate data systems. To evaluate the impact of the pilot on overall vaccine uptake, data linkage was carried out within the Secure Anonymised Information Linkage (SAIL) Databank. Overall influenza vaccine uptake was calculated for each health board in Wales for two and three-year olds for the 2015–16, 2016–17, and 2017–18 influenza programmes. Uptake in two-year olds in Cwm Taf UHB and also uptake in three-year olds in other health boards in Wales were the comparison groups. Uptake of influenza vaccine in the 2015–16 (pre-intervention) period was 41.0% for three-year olds in Cwm Taf UHB. Following the intervention, coverage increased to 70.7% and 71.5% for 2016–17 and 2017–18 respectively. The same increases in uptake were not seen in two-year olds in Cwm Taf UHB or in three-year olds in non-intervention health boards. In Cwm Taf UHB resident three-year olds in 2015–16 there was an inequality gap in the uptake of 17.4 percentage points between the most and least deprived areas. Uptake increased across all deprivation quintiles in 2016–17 and 2017–18; and the inequality gap decreased to 10.3 and 13.4 percentage points respectively. Influenza vaccination uptake and equality of uptake in three-year olds can be improved by adopting a mixed delivery model across nursery school based immunisation sessions with the additional option of influenza vaccination at GPs. Journal Article Vaccine 41 18 Elsevier BV 0264-410X Live attenuated influenza vaccine, Vaccination, Immunisation, Children, Equity, Intervention 4 5 2023 2023-05-04 10.1016/j.vaccine.2023.03.075 http://dx.doi.org/10.1016/j.vaccine.2023.03.075 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University SU Library paid the OA fee (TA Institutional Deal) Swansea University 2023-05-15T15:29:08.6914562 2023-04-11T16:16:14.1230565 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Caroline Harris 0000-0002-2778-3362 1 Simon Cottrell 0000-0003-0645-2764 2 Malorie Perry 0000-0003-1397-5934 3 Rhian Meaden 0000-0002-9609-2629 4 Rhianydd Davey 0000-0003-4018-3107 5 Megan Elliott 0000-0001-6495-5576 6 Rebecca Cushen 7 Gareth Jones 8 Hawys Youlden 9 Nicola Meredith 10 Rosemary Jones 11 Sara Thomas 12 Ashley Akbari 0000-0003-0814-0801 13 Ronan Lyons 0000-0001-5225-000X 14 Christopher Johnson 15 63109__27416__83b9d4c75c8f4429aacb6e0ad21df658.pdf 63109.pdf 2023-05-10T16:04:23.1528660 Output 741903 application/pdf Version of Record true This is an open access article under the CC BY license true eng http://creativecommons.org/licenses/by/4.0/ 186
title A pilot intervention to improve uptake and equality of childhood influenza vaccination in an area of Wales, through the introduction of a mixed delivery model including nursery school immunisation sessions
spellingShingle A pilot intervention to improve uptake and equality of childhood influenza vaccination in an area of Wales, through the introduction of a mixed delivery model including nursery school immunisation sessions
Ashley Akbari
Ronan Lyons
title_short A pilot intervention to improve uptake and equality of childhood influenza vaccination in an area of Wales, through the introduction of a mixed delivery model including nursery school immunisation sessions
title_full A pilot intervention to improve uptake and equality of childhood influenza vaccination in an area of Wales, through the introduction of a mixed delivery model including nursery school immunisation sessions
title_fullStr A pilot intervention to improve uptake and equality of childhood influenza vaccination in an area of Wales, through the introduction of a mixed delivery model including nursery school immunisation sessions
title_full_unstemmed A pilot intervention to improve uptake and equality of childhood influenza vaccination in an area of Wales, through the introduction of a mixed delivery model including nursery school immunisation sessions
title_sort A pilot intervention to improve uptake and equality of childhood influenza vaccination in an area of Wales, through the introduction of a mixed delivery model including nursery school immunisation sessions
author_id_str_mv aa1b025ec0243f708bb5eb0a93d6fb52
83efcf2a9dfcf8b55586999d3d152ac6
author_id_fullname_str_mv aa1b025ec0243f708bb5eb0a93d6fb52_***_Ashley Akbari
83efcf2a9dfcf8b55586999d3d152ac6_***_Ronan Lyons
author Ashley Akbari
Ronan Lyons
author2 Caroline Harris
Simon Cottrell
Malorie Perry
Rhian Meaden
Rhianydd Davey
Megan Elliott
Rebecca Cushen
Gareth Jones
Hawys Youlden
Nicola Meredith
Rosemary Jones
Sara Thomas
Ashley Akbari
Ronan Lyons
Christopher Johnson
format Journal article
container_title Vaccine
container_volume 41
container_issue 18
publishDate 2023
institution Swansea University
issn 0264-410X
doi_str_mv 10.1016/j.vaccine.2023.03.075
publisher Elsevier BV
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
url http://dx.doi.org/10.1016/j.vaccine.2023.03.075
document_store_str 1
active_str 0
description The schools-based influenza vaccination programme has seen consistently high uptake in Wales, however coverage in pre-school two and three-year olds is lower. One health board area (Cwm Taf University Health Board (UHB)) developed an intervention to offer live attenuated influenza vaccine (LAIV) for three-year olds attending nursery schools alongside the existing general practice (GP) programme. During the pilot, sessions were delivered by health visitors, working with school nurses. The mixed delivery model led to vaccination data being recorded in two separate data systems. To evaluate the impact of the pilot on overall vaccine uptake, data linkage was carried out within the Secure Anonymised Information Linkage (SAIL) Databank. Overall influenza vaccine uptake was calculated for each health board in Wales for two and three-year olds for the 2015–16, 2016–17, and 2017–18 influenza programmes. Uptake in two-year olds in Cwm Taf UHB and also uptake in three-year olds in other health boards in Wales were the comparison groups. Uptake of influenza vaccine in the 2015–16 (pre-intervention) period was 41.0% for three-year olds in Cwm Taf UHB. Following the intervention, coverage increased to 70.7% and 71.5% for 2016–17 and 2017–18 respectively. The same increases in uptake were not seen in two-year olds in Cwm Taf UHB or in three-year olds in non-intervention health boards. In Cwm Taf UHB resident three-year olds in 2015–16 there was an inequality gap in the uptake of 17.4 percentage points between the most and least deprived areas. Uptake increased across all deprivation quintiles in 2016–17 and 2017–18; and the inequality gap decreased to 10.3 and 13.4 percentage points respectively. Influenza vaccination uptake and equality of uptake in three-year olds can be improved by adopting a mixed delivery model across nursery school based immunisation sessions with the additional option of influenza vaccination at GPs.
published_date 2023-05-04T05:25:11Z
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