Overcoming Barriers to Immunization A Workshop Summary (1994) / Chapter Skim
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6 EFFECTIVE COMMUNICATION WITH FAMILIES AND THE COMMUNITY
6 EFFECTIVE COMMUNICATION WITH FAMILIES AND THE COMMUNITY
Pages 51-59
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From page 51... ...
have been developed to help investigators understand what combination of knowledge and circumstances leads to a positive health action, such as having a child immunized. The model stresses the need for a parent to believe that his or her child is susceptible to one or more serious diseases that are preventable by effective and safe immunizations and that those immunizations can be obtained conveniently and inexpensively.
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From page 52... ...
Tracy Lieu noted that parental concerns about vaccine safety are not necessarily a deterrent to immunization; among families in the Northern California Kaiser Permanente HMO, children with parents worried about the safety of vaccines were less likely than other children to receive their immunizations late, suggesting a general parental concern for their children's health. Unanticipated findings such as Lieu's suggest that "conventional wisdom" about parental attitudes should be tested to ensure that planning for immunization programs is based on accurate assumptions.
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From page 53... ...
The messages need to be delivered to individual families and to the community as a whole, and the messengers need to include individual providers, office and clinic staff, community groups, and public health officials. The committee emphasized that this national public education campaign must be sustainable and sustained, in contrast to many of the valuable but short-term and highly focused efforts that developed in response to the measles epidemic.
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From page 54... ...
Limited funding for community outreach activities in a recent Philadelphia grant for immunization tracking led Paris to emphasize the need for adequate support for these activities. Role of Health Care Providers Health care providers and their staffs are well-placed to educate families about immunization and should be prepared to do so.
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From page 55... ...
Streptococcus pneumonias 20- ~ 15 10 o 24 mo Conjugates, ~_ 1 1 I , ~ ~ ~ me , , , , , , , , r 1 ~ 1 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 Year FIGURE 6-1 Bacterial meningitis in children less than 5 years old according to the National Bacterial Meningitis Reporting System, 1980 through 1991 (20 continuously reporting states)
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From page 56... ...
Immunization education will benefit from strong support from within the community to overcome distrust of government officials and programs or of messages received from outside the community. Jeffrey Goldhaggen emphasized that the Cleveland All Kids Count project created a registry and tracking system not only as a tool to improve immunization rates but also as a way to link children to providers and strengthen the primary care system as a whole.
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From page 57... ...
Magda Peck noted that one California community found that giving families vouchers for immunizations overcame their reluctance to accept free immunization services. Similarly, outreach and follow-up activities must be culturally appropriate.
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From page 58... ...
Other office and clinic staff also provide important information to families and need to be informed contributors to immunization education efforts. They can help keep parents aware of their children's immunization schedules and endorse the value of immunization for keeping children healthy.
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From page 59... ...
Providers, community educators, and health departments need better risk communication skills and resources to respond to concerns about the potential dangers of immunization. In particular, Vaccine Information Pamphlets should reflect the principles of risk communication.
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