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REVIEW
Contents Vol 15(3)

Increasing vaccination among healthcare workers – Review of strategies and a study of selected Victorian hospitals

K. L. N. S. K. De Alwis A C , David Dunt A , Noleen Bennett B and Ann Bull B
+ Author Affiliations
- Author Affiliations

A Centre for Health Policy, Programs and Economics, School of Population Health, University of Melbourne, Victoria 3010, Australia.

B Hospital Acquired Infection Surveillance Coordinating Centre (Vic.NISS), No. 10, Wreckyn Street, North Melbourne, Victoria 3051, Australia.

C Corresponding author. Email: sandealwis@yahoo.com

Healthcare Infection 15(3) 63-69 https://doi.org/10.1071/HI10014
Submitted: 15 April 2010  Accepted: 20 July 2010   Published: 22 September 2010

Abstract

Aim: To describe strategies used in annual influenza vaccination programs for hospital staff in Victorian hospitals and to what extent these programs conform to evidence-based best practice.

Methods: A rapid evidence-based literature review on strategies to increase hospital staff influenza vaccination rates was conducted in conjunction with an interview survey of infection control practitioners in 17 of 27 Victorian hospitals using a structured proforma.

Results: The rapid review identified educational programs, mobile cart vaccination, combining vaccination with other mandatory activities within the institution, declination forms, mandatory vaccination and multiple interventions as being evidence-based. The interview survey made clear that many hospitals had not used some important evidence-based strategies (40% only used both clinics and mobile carts and only 30% had formal planned meetings before initiation of the program). Evidence-based strategies were used more often in larger hospitals. However, vaccination rates in Victorian hospitals were lower in larger hospitals. Resources were frequently considered inadequate, mainly in these larger hospitals (human resources in almost half, financial resources in two-thirds, administrative support around 40%, CEO support in 30%).

Discussion and conclusion: Failure to implement evidence-based strategies and inadequate resources are both important in limiting vaccination take-up rates. Inadequate support and resources may be the more important factor.


Acknowledgements

The authors would like to thank all of the infection control professionals involved in this project, the staff at the Vic.NISS Centre and the Department of Health Victoria.


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