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Tuesday, October 19, 2004 - 1:55 PM
2

Capturing Hepatitis B Birth Dose Reporting in the New York Citywide Immunization Registry to Monitor Coverage

Amy E. Metroka1, Shirley Huie2, V. Papadouka3, and Stephen Friedman3. (1) New York City Department of Health, 2 Lafayette Street, 19th Floor, New York, USA, (2) Citywide Immunization Registry, New York City Department of Health and Mental Hygiene, 2 Lafayette Street, 19th Floor, New York, NY, USA, (3) Bureau of Immunization, New York City Department of Health and Mental Hygiene, New York, NY, USA


BACKGROUND:
Free vaccine was offered to NYC birthing hospitals as an incentive to increase hepatitis B birth dose administration from an estimated 33.5% to 50% by end of 2004. Progress is being monitored in the Citywide Immunization Registry (CIR). Birth doses are captured from birth certificates, or through batch file or paper reporting. The preferred method is birth certificates, eliminating the need for matching birth doses to birth certificates and later immunizations.

OBJECTIVE:
To demonstrate how registries can capture birth doses and monitor coverage.

METHOD:
All birthing hospitals (n = 46) were surveyed in fall 2003 to determine their newborn hepatitis B vaccination policy, barriers to universal birth dose administration, and method of reporting to CIR. The proportion of children receiving a birth dose was estimated as the sum of children born annually in hospitals with a universal birth dose policy compared to total NYC births. To estimate baseline reporting, the percentage of children for whom a birth dose is reported on the birth certificate or through other means was determined. Hospitals administering a birth dose, but under-reporting, were identified and targeted for outreach. Improvements in coverage and reporting are being monitored quarterly.

RESULT:
An estimated 33.5% of children born in NYC received a birth dose in 2003, while 24% had this dose reported on their birth certificate. An estimated 6% had this dose reported through other means. An estimated 3.5% did not have the dose reported. Three (3) hospitals were identified as under-reporting. Improvements in coverage and reporting will be presented.

CONCLUSION:
CIR captures most birth doses and can be used to monitor coverage.

LEARNING OBJECTIVES:
How to capture more complete birth dose reporting and monitor coverage.

[ Recorded presentation ]   Recorded presentation

See more of Registries as Tools for Vaccination Coverage Assessment and Program Evaluation
See more of The 2004 Immunization Registry Conference