Partnering with school- based. providers to improve HPV immunisa5on uptake in Victoria, Australia. Heather O Donnell December 2014

Transcription

1 Partnering with school- based immunisa5on providers to improve HPV immunisa5on uptake in Victoria, Australia Heather O Donnell December 2014

2 Cervical screening & HPV immunisation, Australia! Public health success of Na;onal Cervical Screening program, est Increased human papillomavirus (HPV) knowledge and vaccine developed Na;onal HPV vaccina;on program, est LiMle knowledge of program delivery and barriers to uptake

3 CCV project commencement, 2011! Aims To increase the uptake of HPV vaccine amongst Year 7 students in areas of low HPV immunisa;on coverage To fill the HPV immunisa;on informa;on void for students, parents, schools and health professionals HPV Advisory Group Local government survey Resources & communica;on strategies Pilot sites

4 Contextual mapping! Victorian status Na;onal school program: girls aged years 1 83% / 79% / 72% Dose 1/2/3 Half of Councils were below 75% coverage (Range %) 77 local government areas, ~815 secondary schools, ~33,000 female Yr. 7 students, in- house and contracted immunisa;on services Gaps Lack of knowledge of state and local HPV immunisa;on coverage rates No formal linkages between health and educa;on sectors in Victoria Lack of previous focus, na;onal framework or published research for adolescent immunisa;on 1. Na;onal HPV Vaccina;on Program Register, 2011

5 Enablers: cancer prevention! Local engagement Iden;fica;on of barriers Consulta;on Development of effec;ve, appropriate strategies CCV resources

6 Barriers: it s a logistical nightmare!! System issues Lack of rela;onships Lack of knowledge Process issues Under resourced before and a`er immunisa;on day ac;vi;es Lack of accurate and consistent HPV immunisa;on data

7 Strategies: systems and processes! Six pilot sites iden;fied, allocated weighted funding Effec;ve and appropriate strategies developed Mul;ple strategies applied to all school- based vaccines Sustainable

8 Outcomes! Increased HPV vaccine uptake (range - 1% to 19%) Monitored consent card returns Improved rela;onships and planning Sustainable changes to systems and processes BeMer and broader data collec;on Educa;on and resource usage Incidental impacts

9 Effective pilot strategies! Systems Processes Rela;onships and planning with schools Informa;on for schools, students and parents Increasing consent card returns Following up missed doses Collec;ng and analysing data

10 80% 70% 60% 50% 40% 30% 20% 10% 0% Pilot sites! 74% 54% 72% 73% 51% 43% 67% 59% 72% School- based 2009 par;cipa;on Victorian state average Total % No. of Yr. 7 girls enrolled No. of consent cards returned YES No. of consent cards returned NO % 145 9% What CCV have done is great. The written information is the best part what they forwarded to us to provide to schools and the resources that they have been given. Meeting earlier in the year was informative and was what motivated me to step up and do more. By being together with the whole group, it put into context for me that this was a big thing it raised the profile. - Local government immunisation coordinator No. of consent cards not returned %

11 In summary! Increasing school HPV immunisa;on rates now will decrease cancer incidence and mortality in the future Implement mul;- component interven;on strategies Focus on system and process improvements Bring health and educa;on sectors together Promote the early success of the HPV vaccine Resources are available at

12 Acknowledgements! Victorian Immunisa;on Service Providers Victorian Department of Health Immunisa;on Sec;on Na;onal HPV Vaccina;on Program Register HPV School- Based Immunisa;on Program Advisory Group Cancer Council Victoria staff: Kate Broun, Robyn Mullins, Amy Collie, Kate Scalzo, Mel McGrath, Michelle Grainger, Lea Rawlings

13 Heather O Donnell HPV Vaccine Program Coordinator Cancer Council Victoria heather.odonnell@cancervic.org.au ph: Monday, Tuesday & Friday