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NVPO/NVAC Public Participation Meeting – September 13, 2004
Racial and Ethnic Adult Disparities in Immunization
Initiative (READII)
Tamara J. KiceraREADII Project Coordinator
Immunization Services Division
National Immunization Program
Centers for Disease Control and Prevention
NVPO/NVAC Public Participation Meeting – September 13, 2004
Soliciting Public InputSoliciting Public Input
Difference between help with Implementation vs. Decision-Making
READII projects were largely about engaging partners to implement intervention strategies known to be effective
NVPO/NVAC Public Participation Meeting – September 13, 2004
OverviewOverview
Background on READII projectPreliminary findings, lessons
learnedNext stepsRochester’s Experience: Key
message – starting/funding something new isn’t always necessary
NVPO/NVAC Public Participation Meeting – September 13, 2004
We’ve Been Busy!We’ve Been Busy!
Project Genesis – Spring 2002
HHS Support – July 31st announcement
Partners engaged: CMS, HRSA, AoA, AHRQ
Funds awarded; Demonstration sites began to identify stakeholders, Develop Community Plans
NVPO/NVAC Public Participation Meeting – September 13, 2004
Getting started…Getting started…
State/local health departments had to obligate funds quickly
Programs had little/no adult infrastructure in place
Smallpox activities began; Immunization/Health Department personnel asked to respond
2002-2003 Influenza season was upon us
NVPO/NVAC Public Participation Meeting – September 13, 2004
What’s happening…What’s happening…
Sites and Agencies have formed new, important partnerships; Engaged their communities
Infrastructure needs/gaps are better understood
Evidence-based interventions are underway
Evaluation efforts are planned to look at both outcome and process measures
Formative research is generating ideas for targeted health education messages to patients and providers, including media campaigns
READII activities have been widely publicized
NVPO/NVAC Public Participation Meeting – September 13, 2004
CDC Director Julie L. Gerberding holds up the READII Provider Tool Kit at a press conference.
PHOTO CREDIT: Evan Vucci--AP
Provider Tool KitProvider Tool Kit
NVPO/NVAC Public Participation Meeting – September 13, 2004
What’s happening… What’s happening… (cont.)(cont.)
Sites and Agencies have formed new, important partnerships; Engaged their communities
Infrastructure needs/gaps are better understood
Evidence-based interventions are underway
Evaluation efforts are planned to look at both outcome and process measures
Formative research is generating ideas for targeted media campaigns, health education messages to patients and providers
READII activities have been widely publicized
NVPO/NVAC Public Participation Meeting – September 13, 2004
What are we learning?What are we learning?
Every year presents new challenges!
Duplicating childhood successes for adults may need new methods, interventions, partnerships
Providers’/Health Professionals’ attitudes about immunizing adults requires additional study/efforts
Change of this magnitude takes time
NVPO/NVAC Public Participation Meeting – September 13, 2004
Mid-Course Review Meeting – Mid-Course Review Meeting – March 9-10, 2004 - GoalsMarch 9-10, 2004 - Goals To review and discuss successes and
challenges thus far in the project with each other;
To allow discussion of issues and challenges with CDC, partners and invited panelists; and
To share site-specific project information with senior officials from HHS and other partners.
NVPO/NVAC Public Participation Meeting – September 13, 2004
What’s Next?What’s Next?
Programmatic activities end December 31, 2004; Evaluation activities begin in earnest January 2005
2003-2004 flu season experience is presenting opportunities…
Sites’ experiences are/will be valuable to future efforts – both programmatic and research efforts
Dissemination of findings; Replication?
READII ROCHESTER
Community Action PlanChristine Long, M.P.H.
The Center for Rochester’s HealthA collaboration of the
University of Rochester and the
Monroe County Department
of Public Health
Outline
• Community Action Plan componentsCommunity Advisory BoardCommunity Based OrganizationsCommunicationsTargeted ProjectsVaccine Providers
• Actions and Accomplishments
• Assessment
READII RochesterCommunity Action Plan
Primary Care Practice Intervention
CommunicationsCommunity Based
Organizations
Targeted ProjectsPublic Vaccine Providers
• Community Based Organizations– Urban League of Rochester– Ibero American Action League– Economic development groups
• Senior Organizations• Coalition of African American Churches• Influenza vaccine providers• Health care providers from Primary Care Sites• Insurers, Medical Society, Primary Care Network• Health Department immunization unit
Community Advisory Board Members
Messages endorsed by African American community:
• Adult vaccines are important and needed
• Racial and ethnic disparities exist
• Direction on where and how to get vaccines
READII RochesterCommunity Action Plan Goal
Community Advisory Board
• Approved all intervention plans• Made specific recommendations
– Use existing organizations to spread message on adult vaccines
– One to one, or small group format is best– Be patient
• Volunteered their organizations • Volunteered as speakers (churches, media)
CBO’s provided: Outreach and education to own constituents e.g.: foster grandparents, case management clients, Head Start
READII team provided: Low literacy cards and brochures; Training for CBO staff on culturally competent delivery of vaccine information
Community Based Organizations
• 23 staff from 12 CBO’s participated in outreach training on adult vaccines and cultural competency
• 10 CBOs reported on activities
Improvement needed: Engage Hispanic American Community Engage more CBOs from other parts of city
Community Based Organizations
Summer campaign: Any time of year is the right time to talk to
your doctor about vaccines Television and newspaper articles
Fall campaign: Protect your loved ones, protect yourself
Television and newspaper articles Paid radio spots and transit ads
Communications
Lessons from the Community Action Plan
• Interpersonal approach worked best– CBOs– Church outreach – Senior housing
• African Americans in Rochester did not respond to national media-created flu vaccine emergency
• Need to better evaluate media treatment of flu news and non-traditional communication strategies
Lessons continued
• Success of Community Advisory Board linked to specific tasks, easily incorporated into usual activities
• Trusted members of community giving information about vaccines
• Low pressure education on vaccines
NVPO/NVAC Public Participation Meeting – September 13, 2004
Questions?Questions?