Innovations in adult influenza vaccination in China, 2014-2015: Leveraging a chronic disease management system in a community-based intervention

• Published in: Human vaccines & immunotherapeutics 2018-04, Vol.14 (4), p.947-951
• Main Authors: Yi, Bo, Zhou, Suizan, Song, Ying, Chen, Enfu, Lao, Xuyin, Cai, Jian, Greene, Carolyn M, Feng, Luzhao, Zheng, Jiandong, Yu, Hongjie, Dong, Hongjun
• Format: Article
• Language: English
• Subjects: Attitude of Health Personnel; China; Chronic Disease; Disease Management; Female; Health Personnel; health system; healthcare worker; Humans; Influenza Vaccines - immunology; Influenza, Human - immunology; Influenza, Human - prevention & control; Male; Middle Aged; non-communicable disease; older adults; seasonal influenza vaccine; Short Report; Surveys and Questionnaires; vaccination; Vaccination - methods
• ISSN: 2164-5515; 2164-554X
• DOI: 10.1080/21645515.2017.1403704

To evaluate a community-based intervention that leveraged the non-communicable disease management system to increase seasonal influenza vaccination coverage among older adults in Ningbo, China. From October 2014 - March 2015, we piloted the following on one street in Ningbo, China: educating community healthcare workers (C-HCWs) about influenza and vaccination; requiring C-HCWs to recommend influenza vaccination to older adults during routine chronic disease follow-up; and opening 14 additional temporary vaccination clinics. We selected a non-intervention street for comparison pre- and post-intervention vaccine coverage. In April 2016, we interviewed a random sample of unvaccinated older adults on the intervention street to ask why they remained unvaccinated. Pre-intervention influenza vaccine coverage among adults aged 60 years and older on both streets was 0.3%. Post-intervention, coverage among adults 60 years and older was 19% (1338/7013) on the intervention street and 0.4% (20/5500) on the non-intervention street (p