Increasing Adult Vaccination Rates What Works
Other Strategies

Other strategies studied by the Task Force on Community Preventive Services are presented below. These strategies are applicable to practices serving adolescent or adult populations. Based on the literature review, some of these strategies are recommended while others lacked sufficient evidence to support a recommendation. These strategies are presented for your consideration. Some may work in your setting depending on your particular needs, the resources available to you, and the vaccination requirements of the patients you serve.

Multicomponent interventions that include education

Reducing out-of-pocket costs

Provider education only

The following three strategies generally require a more concerted public health approach involving community organizations working toward achieving broad goals that impact the larger community.

Vaccination requirements for childcare, school, and college attendance

Communitywide education only

Vaccination programs in schools

For additional information, please see:

Task Force on Community Preventive Services. Vaccine-preventable diseases: improving vaccination coverage in children, adolescents, and adults. A report on recommendations of the Task Force on Community Preventive Services. Morbidity and Mortality Weekly Report 1999;48(RR-8):1-15.

Task Force on Community Preventive Services. Recommendations regarding interventions to improve vaccination coverage in children, adolescents, and adults. American Journal of Preventive Medicine January 2000;18(1, Supplement):92-96.

Multicomponent interventions that include education: Strongly Recommended
This intervention is strongly recommended based on the scientific evidence that it improves vaccination coverage among adults and is a reminder that with any strategies that you choose to implement, providing patient education is always an important component of your immunization effort.


Reducing out-of-pocket costs: Strongly Recommended
Where feasible, this strategy has been shown to be effective in increasing vaccination coverage among adults. This strategy involves paying for vaccination or administration, providing insurance coverage, or reducing co-payments.


Provider education only: Insufficient Evidence
Educational programs developed for health care providers are generally designed to increase knowledge or change attitudes and can be delivered in a variety of ways such as written materials, lectures, etc. The literature assessment determined that there is insufficient evidence to support using this intervention alone.


Vaccination requirements for child care, school, and college attendance: Recommended
This strategy involves laws or policies that require vaccination or documentation of immunity for school entry. The evidence-based reviews show that this intervention is effective in decreasing vaccine-preventable diseases or increasing coverage rates.


Communitywide education only: Insufficient Evidence
This intervention involves providing information to a specific population located in a defined geographic area and can also include provision of information to vaccine providers. The review of the evidence found that there is insufficient evidence to determine the effectiveness of communitywide education used alone in improving vaccination coverage, knowledge, or attitudes.


Vaccination programs in schools: Recommended
This strategy focuses on improving delivery of vaccines to school attendees. These programs usually include educational programs or materials for students, parents, or teachers and provide either vaccination on-site or referral of students for vaccination services. The recommendation for this intervention was revised by the Task Force on Community Preventitive Services in 2002 and documented in Table 1, American Journal of Preventive Medicine 2005; 28 (5S), p. 232.

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