2 VIEWS & REVIEWS Task force recommendations for improving vaccination coverage The us Task Force on Community Preventive Services has released a report recommending selected interventions for raising vaccination coverage levels in children, adolescents and adults. The task force evaluated 118 studies of vaccines universally recommended for certain age groups, such as rubella, hepatitis B and tetanus. Targeting clients Where a lack of knowledge about the need for vaccinations in the client population is a factor contributing to low coverage, the task force recommends issuing reminders of late or overdue vaccinations, implementing education strategies (e.g. targeting specific populations), and implementing policies that require vaccination as a condition of attendance at child care centres, schools and universities. Vaccination coverage may also be improved by facilitating access to vaccination services; for example, by reducing out-of-pocket costs, expanding the range of clinical vaccination settings, adopting more convenient hours, reducing administrative barriers at the clinic, and providing vaccination of low-income clients in their homes or other nonmedical settings. Targeting providers Provider-based interventions may also improve coverage. Strongly recommended strategies include informing providers about individual clients due for vaccination, evaluating the performance of providers against benchmark standards or incentives, and using nonphysician medical personnel to deliver vaccinations. The report concludes that its recommendations 'need to be considered along with such local information as resource availability, administrative structures, economic, social, and regulatory environment of organizations and practitioners'. Vaccine·preventable diseases: improving vaccination COYa'lIge in children, adolescents, and adults: a report on recommendations from the Task Force on Community Preventive Services. MOfbidity and Mortality Weekly Report 48 (Suppl RR-8): 1·15, 18 Iun 1999 Inphann.- 3 Jul11199 No. 1194 Adlalntematlolllli Llm1tecl11199. All rlghta rnerved

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2 VIEWS & REVIEWS Task force recommendations for improving vaccination coverage

The us Task Force on Community Preventive Services has released a report recommending selected interventions for raising vaccination coverage levels in children, adolescents and adults. The task force evaluated 118 studies of vaccines universally recommended for certain age groups, such as rubella, hepatitis B and tetanus.

Targeting clients Where a lack of knowledge about the need for

vaccinations in the client population is a factor contributing to low coverage, the task force recommends issuing reminders of late or overdue vaccinations, implementing education strategies (e.g. targeting specific populations), and implementing policies that require vaccination as a condition of attendance at child care centres, schools and universities.

Vaccination coverage may also be improved by facilitating access to vaccination services; for example, by reducing out-of-pocket costs, expanding the range of clinical vaccination settings, adopting more convenient hours, reducing administrative barriers at the clinic, and providing vaccination of low-income clients in their homes or other nonmedical settings.

Targeting providers Provider-based interventions may also improve

coverage. Strongly recommended strategies include informing providers about individual clients due for vaccination, evaluating the performance of providers against benchmark standards or incentives, and using nonphysician medical personnel to deliver vaccinations.

The report concludes that its recommendations 'need to be considered along with such local information as resource availability, administrative structures, economic, social, and regulatory environment of organizations and practitioners'.

Vaccine·preventable diseases: improving vaccination COYa'lIge in children, adolescents, and adults: a report on recommendations from the Task Force on Community Preventive Services. MOfbidity and Mortality Weekly Report 48 (Suppl RR-8): 1·15, 18 Iun 1999 ~

Inphann.- 3 Jul11199 No. 1194 1173-8324J9911194-0002I$Ol.~ Adlalntematlolllli Llm1tecl11199. All rlghta rnerved