1 / 11

Local Health Department Perspectives on HPV Vaccine Implementation

Local Health Department Perspectives on HPV Vaccine Implementation. Poki Stewart Namkung, MD, MPH President National Association of County & City Health Officials (NACCHO) Health Officer Santa Cruz County Health Services Agency NVAC Meeting Washington, DC 26 September 2006.

ramona
Télécharger la présentation

Local Health Department Perspectives on HPV Vaccine Implementation

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Local Health Department Perspectives on HPV Vaccine Implementation Poki Stewart Namkung, MD, MPH President National Association of County & City Health Officials (NACCHO) Health Officer Santa Cruz County Health Services Agency NVAC Meeting Washington, DC 26 September 2006

  2. NACCHO Overview • National voice of local public health • Nonprofit membership organization serving the ~3000 city/county/district/tribal public health agencies • Formed in 1994 • Focus on providing education, research, information, and technical assistance to our members

  3. NACCHO HPV Activities • Hosted 2 partner meetings this year • Developed Web page dedicated to these vaccines and the diseases they can help prevent • A special issue of NACCHO Exchange dedicated to HPV vaccines, cervical cancer, and associated issues • Working with C-CHANGE • Working with Partnership to End Cervical Cancer • Surveyed a sample of our membership re: key issues/concerns around implementing HPV vaccines

  4. NACCHO Activities HPV Partners Meeting #1 March 16 – communications • Representatives: vaccine manufacturers, academia, provider groups, professional organizations, faith-based organizations, and governmental public health • Goal • Collaborate to examine steps that can be taken as individual organizations and collectively to promote consistent messages to the general public, providers, parents, and others to increase awareness of the vaccines, cervical cancer, and the various associated issues • Outcomes • Communications checklist, reference notes • Helped make all our partners aware of the spectrum of issues, across areas of practice, to share with their constituents • Active participation and follow-up

  5. NACCHO Activities HPV Partners Meeting #2 • September 14 - implementation • Follow-up meeting with a wider array of partners focusing on HPV and the implementation of the vaccines.  • Goals • Costs/financing • School mandates • share information, updates, and strategies on collaborative activities among stakeholders to address many of the opportunities and challenges discussed at the March 2006 meeting. • Outcomes • Clearly articulated and identified barriers • Brainstormed strategies to address barriers

  6. Key LHD Issues • Costs – how do providers cover this expensive vaccine, given the limitations of VFC and 317 funding? • Costs – how do we vaccinate those girls and women who fall outside of public assistance coverage? • Costs – how does HPV vaccine “fit” into the spectrum of adolescent-focused recommended vaccines?

  7. Barriers/Issues • Expense of the vaccines • Building a real adolescent health platform that includes these important vaccinations to assure universal access • LHDs: Cost of personnel (and lack of personnel in some cases) to implement and operationalize new immunization recommendations • LHD roles • Assess the need in the community • Distribute the vaccines • Prioritization decisions and processes • Educate providers – all aspects of vaccine usage, storage, and handling • Work with schools and other settings where adolescents are vaccinated • Provide accountability by auditing our local providers • Collecting all those data and reporting them up to our state and federal counterparts

  8. Key LHD Issues • School mandates – state by state • What is the spectrum of opinions on mandating HPV for school entry? • How do we stay off the slippery slope of “choice?” • How do LHDs and others effectively address parental hesitancy within the issue of mandates? • What is the reaction from school officials?

  9. Barriers/Issues • Fluidity and difficulty of reaching higher-risk adolescents and dealing with the groups opposed to immunization mandates of any sort • Hepatitis B vaccine as a model for implementing HPV vaccine • We always want to keep some of missteps and failures in mind so that we learn from them • Do we want to spend 20 years to get it right this time?

  10. Action Items • Actively continue to work and dialogue with our partners • Develop, identify, disseminate, and warehouse tools and resource that our members can easily access and use, Be an active resource and partner in pilot demonstrations • Advocate for public patient assistance programs that include vaccines • Provide advocacy tools for our members to work more effectively with their city/county councils and/or state legislatures regarding funding for delivery of immunization services

  11. Thank YouNACCHOwww.naccho.org(202) 783-5550

More Related