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Learning Objective:
By the end of the presentation participants will be able to:
1. Apply community based healthcare program at churches
2. Identify resources and the process in implementation of vaccination in non-traditional settings.
Background:
Low levels of vaccination rates among Asian Pacific Islanders (API)s are troubling because HBV infection can be prevented by vaccination. Numerous studies have reported that lack of linguistic skills and insurance are barriers for people of color and immigrants in accessing care, and they are at risk for under-immunization. To ensure access and culturally competent vaccinations for Korean Americans (KA), it is imperative to implement and evaluate the use of non-traditional settings that would not be conceived as barriers.
Setting:
Two KA Churches in Colorado
Population e.g. API Youth, MSM, IDU:
KA communities that participated in the church based hepatitis B screening vaccination program
Project Description:
We, the research team and Advisory Council (AC) members, together, developed a study plan to provide HBV vaccinations at KA churches. A bilingual research team, AC members, and volunteers from designated churches implemented the program. We strictly followed the guidelines from the Advisory Committee for Immunization Practice, but found unexpected issues and problems occurred when the non-traditional setting was used for vaccination.
Results/Lessons Learned:
Issues in the process of vaccination intervention in the non-traditional setting were 1) ordering the vaccination, 2) liability insurance for the physician who orders vaccines, and nurses who inject the vaccines, 3) delivery, storage, and transportation of the vaccine, 4) reminding the participant, 5) consent process, 6) administration of vaccine, 7) protocol for emergency procedures in case of an unexpected accident, and 8) participant vaccination record. This study proved that the church, as a site, has great potential in community-based participatory approaches for immigrant, limited-English-proficient individuals.
See more of J5 - Models for Hepatitis Prevention and Control for Asian/Pacific Islander Communities
See more of The 2005 National Viral Hepatitis Prevention Conference