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?