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Am J Public Health. 2006 May;96(5):921-5. Epub 2006 Mar 29.

Bridging disparity: a multidisciplinary approach for influenza vaccination in an American Indian community.

Author information

  • 1Whiteriver Service Unit, Indian Health Service, PO Box 860, Whiteriver, AZ 85941, USA. marc.traeger@mail.ihs.gov

Abstract

OBJECTIVES:

The Whiteriver Service Unit (WRSU) used proven effective methods to conduct an influenza vaccination campaign during the 2002-2003 influenza season to bridge the vaccination gap between American Indians and Alaska Natives and the US population as a whole.

METHODS:

In our vaccination program, we used a multidisciplinary approach that included staff and community education, standing orders, vaccination of hospitalized patients, and employee, outpatient, community, and home vaccinations without financial barriers.

RESULTS:

WRSU influenza vaccination coverage rates among persons aged 65 years and older, those aged 50 to 64 years, and those with diabetes were 71.8%, 49.6%, and 70.2%, respectively, during the 2002-2003 influenza season. We administered most vaccinations to persons aged 65 years and older through the outpatient clinics (63.6%) and public health nurses (30.0%). The WRSU employee influenza vaccination rate was 72.8%.

CONCLUSIONS:

We achieved influenza vaccination rates in targeted groups of an American Indian population that are comparable to or higher than rates in other US populations. Our system may be a useful model for other facilities attempting to bridge disparity for influenza vaccination.

PMID:
16571714
[PubMed - indexed for MEDLINE]
PMCID:
PMC1470593
Free PMC Article
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