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Learning Objective:
By the end of this presentation participants will learn components that resulted in a successful vaccination program in a categorical STD clinic, including how to develop staff buy-in and the degree of success in vaccinating high-risk clients.
Background:
The May 10, 2002 MMWR recommended that every person seeking treatment for a sexually transmitted disease be vaccinated against hepatitis B, a population which also contains significant numbers of men who have sex with men (MSM) and injection drug users also at risk for hepatitis A infection. The Indiana State Department of Health (ISDH) initiated a program in local STD clinics for hepatitis vaccination.
Setting:
Marion County Health Department (MCHD) Bell Flower STD Clinic (BFC) in Indianapolis, Indiana.
Population e.g. API Youth, MSM, IDU:
STD Clinic clients, ages 14 and up.
Project Description:
In July 2003, ISDH partnered with the MCHD to implement a hepatitis immunization program at its STD clinic. With input from the state and MCHD Immunization Program and intense staff education, a clinician-designed protocol was developed that was efficient, practical and respected. The program was implemented August 5, 2003.
Results/Lessons Learned:
From August 5, 2003 to October 19, 2004, 13,898 unique clients were seen. Despite multiple ongoing projects, clinicians were able to educate and encourage 15.9% of these clients to receive their first dose of hepatitis vaccine. Approximately 21.4% completed the vaccine series, despite it requiring a return to the STD clinic. The most common reason for declining was previous hepatitis vaccination. Those that accepted vaccine were at high risk: 50% were diagnosed at their first visit as having an STD and 30% were MSM who attend the clinic. Using a clinician-designed protocol, both clients and clinicians enthusiastically embraced the hepatitis vaccination program. This suggests the STD clinic setting is a promising venue for vaccine delivery.
See more of A5 - Hepatitis Vaccines: Making It a Reality in STD Clinics
See more of The 2005 National Viral Hepatitis Prevention Conference