Learning Objectives for this Presentation:
By the end of the presentation participants will be able to describe integration of hepatitis B vaccination into STD clinics.

Background:
Adults at high risk for hepatitis B infection are a difficult population to target for vaccination through traditional health care. Public health STD clinics and HIV prevention services clinics offer an accessible setting for reaching high-risk adults. Prior to the pilot, it was unknown whether clients would be receptive to receiving the vaccine series and if clinics could effectively incorporate vaccination into their clinic services. Further, a major barrier to implementation has been the lack of funding for the vaccine.

Setting:
Public health STD and HIV prevention services clinics.

Population:
Persons seeking services at public health STD clinics and HIV prevention service clinics.

Project Description:
The immunization, HIV/STD, and infectious disease programs collaborated to administer hepatitis B vaccine to adult clients seeking services at public health STD clinics and HIV prevention service clinics. Vaccine was allocated based on the average number of clients receiving services monthly and then multiplied by estimated vaccine uptake for dose 1 (45%), 2 (49%), and 3 (25%). Each month, the participating clinics submitted monthly reports detailing the number of doses administered by age group and by series dose number.

Results/Lessons Learned:
An estimated 38% of clients returned for the 2nd dose, 48% for the 3rd dose, and 18% completed the series. It is feasible to incorporate adult hepatitis B vaccination in STD clinics, however, identification of a constant funding stream for adult hepatitis B vaccine is needed.