Impact of funding on influenza vaccine uptake in Australian children

Howard, Zachary L; Dalton, Craig; Carlson, Sandra J.; Baldwin, Zoe; Dürrheim, David N

doi:10.17061/phrp3112104

Cited by 6 publications

(4 citation statements)

References 8 publications

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“…Dyda et al performed a systematic review on influenza and pneumococcal vaccination rates in Australian adults from 1990 to 2015, which revealed the coverage of both vaccines was significantly higher following the introduction of universal funding (for influenza, pre and post-funding, 61.3% vs 74.8%, p<0.001) [ 27 ]. Howard et al also reported large increases in vaccination rates for children <5 years in 2018 that coincided with the introduction of funded vaccines in Australia (OR 4.75, 95% CI 4.57–4.79) [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

The impact of free vaccination policies under the Korean Influenza National Immunization Program: Trends in influenza vaccination rates in South Korea from 2010 to 2019

Seo

Lim

2022

PLoS ONE

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Background Annual vaccination for influenza is recommended for high-risk populations for its high morbidity and mortality. South Korea provides free influenza vaccination to some target groups under the National Immunization Program (NIP), and discrepantly high vaccination rates are observed in such populations. In this study, we analyzed the trends in influenza vaccination rates and evaluated the impact of the recent expansion of financial coverage to children ≤12 years and pregnant women. Methods We conducted a cross-sectional study with nationwide survey data from Korea National Health and Nutrition Examination Survey (KNHANES). From 2010 to 2019, we evaluated the trends in influenza vaccination rates of the following four target groups: children ≤12 years, adults ≥65 years, pregnant women, and people with chronic diseases. Results In total, 80,861 individuals were analyzed. From 2017 to 2019, the vaccination coverage of children ≤12 years increased from 66.2% to 83.1%; pregnant women from 44.1% to 68.5% (comparing the mean of 2010–2017 and 2018–2019, P <0.001 for both). The elderly ≥65 years showed the highest rates (85.8% in 2019), while people with chronic diseases marked the lowest (41.9% in 2019). People with liver diseases showed the lowest vaccination rate of 27.8%, while that of other common diseases ranged between 31.7–44.1%. Conclusion The discrepancy between target groups corresponds to their financial coverage under NIP. The recent expansion of financial aids to children ≤12 years and pregnant women was followed by significant increases in vaccination rates in both groups. We suggest that free vaccination policy is one of the most effective strategies to enhance vaccination coverage, and we call for its expansion to other under-vaccinated target groups, especially people with chronic diseases.

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Section: Discussionmentioning

confidence: 99%

The impact of free vaccination policies under the Korean Influenza National Immunization Program: Trends in influenza vaccination rates in South Korea from 2010 to 2019

Seo

Lim

2022

PLoS ONE

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“…We allowed the nurses to use additional distraction techniques in the intervention protocols for ethical reasons—this is considered best‐practice care (Birnie et al, 2018) and thus, we recommend future studies do the same and seek to determine the effects of the new interventions in addition to best‐practice care. Secondly, recruitment rates were low, likely due to the absence of government‐funded influenza vaccines for children aged 8–12, a feature shown to influence vaccine uptake (Howard et al, 2021). Thus, future studies should consider another type of injection that is typically scheduled (e.g., measles/mumps/rubella) rather than an entirely voluntary vaccine.…”

Section: Discussionmentioning

confidence: 99%

Reframe the pain: Divided attention and positive memory reframing to reduce needle pain and distress in children—A feasibility randomized controlled trial

Braithwaite

Noel

Jones

et al. 2022

European Journal of Pain

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Background Negative experiences of needle procedures in childhood can lead to medical avoidance and vaccine hesitancy into adulthood. We evaluated the feasibility of two new interventions provided by clinical nurses to reduce the negative impact of vaccinations: divided attention (DA) and positive memory reframing (PMR). Methods Children (8–12 years) were randomized into four groups: usual care (UC), DA, PMR or combined (DA + PMR). To evaluate feasibility, we undertook in‐depth analysis of video‐recorded interventions, nurse experiences (phone interviews) and child/parent memory recall of interventions (phone interviews at 2 weeks post‐vaccination). Key clinical outcomes included child and parent ratings of needle‐related pain intensity and fear assessed at baseline, immediately post‐vaccination and 2 weeks post‐vaccination (recalled). Results A total of 54 child–parent dyads were screened, with 41 included (10/group, except PMR [n = 11]). The interventions were not always completed as intended: 10%–22% of participants received complete interventions and two had adverse events related to protocol breach. Preliminary within‐group analyses showed no effects on child/parent pain ratings. However, children in DA + PMR had reduced recalled fear (p = 0.008), and PMR (p = 0.025) and DA + PMR (p = 0.003) had reduced fear of future needles. Parent ratings of child fear were also reduced immediately post‐vaccination for UC (p = 0.035) and PMR (p = 0.035). Conclusions The interventions were feasible, although enhanced nurse training is required to improve fidelity. Preliminary clinical results appear promising, particularly for reducing needle‐related fear. Protocol registration: Protocol number ACTRN12618000687291 at http://anzctr.org.au Significance Two new nurse‐led interventions to reduce negative impacts of vaccinations in children, divided attention and positive memory reframing, were feasible and may reduce needle‐related fear. Nurses were able to deliver the interventions in various environments including non‐clinical settings (schools). These interventions have potential to facilitate broader dissemination of vaccinations for children in a manner that minimizes distress.

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“…Howard et al assessed the impact of funded influenza vaccine programmes in Australia by comparing vaccine uptake before and after the introduction of funded vaccines for children aged 6 months to less than 5 years and showed that government-funded vaccines can lead to an almost fivefold increase in vaccine uptake in the target age group. They also found that funded vaccines for young children may encourage caregivers to also vaccinate themselves and their older children [ 18 ]. Most importantly, De Oliveira Bernard et al highlighted that the patients attending practices in the most affluent areas had the highest vaccination coverage in all years and they benefited most from this Australian government-funded influenza programme [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Enhanced Timeliness and Co-Administration of Meningitis B Vaccination in Children: Impact of Funding in Valencian Community, Spain

Juaneda,

Estrella-Porter,

Blanco-Calvo

et al. 2024

Vaccines

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Public funding of vaccines may enhance vaccination rates, co-administration, and timeliness. The impacts of including the serogroup B meningococcus vaccine (MenB) into the national immunisation schedule on vaccination rates, co-administration rates, and timeliness were assessed using a population-based pre-funding (2022) and post-funding (2023) study design. MenB vaccination rates improved after funding and were in line with previously funded vaccines. Co-administration rates also increased significantly. Timely administration increased, protecting children at an early age. Public funding has a positive impact on vaccine accessibility and early protection. Consistent population characteristics highlight the role of funding.

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Impact of funding on influenza vaccine uptake in Australian children

Cited by 6 publications

References 8 publications

The impact of free vaccination policies under the Korean Influenza National Immunization Program: Trends in influenza vaccination rates in South Korea from 2010 to 2019

The impact of free vaccination policies under the Korean Influenza National Immunization Program: Trends in influenza vaccination rates in South Korea from 2010 to 2019

Reframe the pain: Divided attention and positive memory reframing to reduce needle pain and distress in children—A feasibility randomized controlled trial

Enhanced Timeliness and Co-Administration of Meningitis B Vaccination in Children: Impact of Funding in Valencian Community, Spain

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