Barriers and facilitators of implementing a collaborative HPV vaccine program in an incarcerated population: A case study
Men and women in county jails make up a population that is difficult to reach with traditional preventive health interventions. Collaborations between local health departments and county jails represent an opportunity to enhance public health by reaching a vulnerable population with services like va...
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| Veröffentlicht in: | Vaccine 2020-03, Vol.38 (11), p.2566-2571 |
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| creator | Emerson, Amanda Allison, Molly Kelly, Patricia J. Ramaswamy, Megha |
| description | Men and women in county jails make up a population that is difficult to reach with traditional preventive health interventions. Collaborations between local health departments and county jails represent an opportunity to enhance public health by reaching a vulnerable population with services like vaccinations. The objective of this study was to coordinate planning and implementation of a collaborative program between a local health department (HD) and a county jail to offer human papillomavirus (HPV) vaccinations to adolescents (ages 10–17) and young adults (ages 18–26) in the jail and to identify facilitators and barriers to inform future program development.
A county-municipal jail and a local HD in Kansas participated. A case study method was employed based on data collected from a focus group, telephone interviews, and site observations, September 2016 to December 2017. Data were coded using codes roughly drawn from the consolidated framework for implementation research (CFIR). Codes were then consolidated into themes related to barriers and facilitators.
No adults were vaccinated; two juveniles were vaccinated. Barriers to a collaborative program to offer HPV vaccine to young adults arose in two areas: constrained resources and divergent organizational cultures and priorities. Barriers to offering HPV vaccinations to juveniles in the jail included parental consent and the unpredictable, often brief duration of juvenile detentions. A shared commitment to offering HPV vaccination services by leaders and staff in the two agencies was a key facilitator.
Finding ways to leverage leadership and staff buy-in and address specific barriers of constrained resources and divergent culture and priorities merits close attention, since partnerships between jails and local HD have potential to increase HPV vaccination rates in an overlooked population and advance public health. |
| doi_str_mv | 10.1016/j.vaccine.2020.01.086 |
| format | Article |
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A county-municipal jail and a local HD in Kansas participated. A case study method was employed based on data collected from a focus group, telephone interviews, and site observations, September 2016 to December 2017. Data were coded using codes roughly drawn from the consolidated framework for implementation research (CFIR). Codes were then consolidated into themes related to barriers and facilitators.
No adults were vaccinated; two juveniles were vaccinated. Barriers to a collaborative program to offer HPV vaccine to young adults arose in two areas: constrained resources and divergent organizational cultures and priorities. Barriers to offering HPV vaccinations to juveniles in the jail included parental consent and the unpredictable, often brief duration of juvenile detentions. A shared commitment to offering HPV vaccination services by leaders and staff in the two agencies was a key facilitator.
Finding ways to leverage leadership and staff buy-in and address specific barriers of constrained resources and divergent culture and priorities merits close attention, since partnerships between jails and local HD have potential to increase HPV vaccination rates in an overlooked population and advance public health.</description><identifier>ISSN: 0264-410X</identifier><identifier>EISSN: 1873-2518</identifier><identifier>DOI: 10.1016/j.vaccine.2020.01.086</identifier><identifier>PMID: 32046888</identifier><language>eng</language><publisher>OXFORD: Elsevier Ltd</publisher><subject><![CDATA[Adolescent ; Adolescents ; Adult ; Adults ; Case reports ; Case studies ; Child ; Collaboration ; County health departments ; Female ; Focus Groups ; Health Knowledge, Attitudes, Practice ; Health Plan Implementation ; Health promotion ; HPV vaccine ; Human papillomavirus ; Humans ; Identification methods ; Immunization ; Immunization Programs - organization & administration ; Immunology ; Implementation research ; Jails ; Juveniles ; Leadership ; Life Sciences & Biomedicine ; Male ; Medicine, Research & Experimental ; Men ; Minors ; Papillomavirus Infections - prevention & control ; Papillomavirus Vaccines - administration & dosage ; Population studies ; Priorities ; Prisoners ; Prisons ; Public health ; Research & Experimental Medicine ; Science & Technology ; Vaccination ; Vaccines ; Young Adult ; Young adults]]></subject><ispartof>Vaccine, 2020-03, Vol.38 (11), p.2566-2571</ispartof><rights>2020 Elsevier Ltd</rights><rights>Copyright © 2020 Elsevier Ltd. All rights reserved.</rights><rights>2020. Elsevier Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>8</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000521654200017</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c495t-f403eaaed8ceb9edf7780a35e129da16eec80bbb8e5fb6e2decb1447f5932e793</citedby><cites>FETCH-LOGICAL-c495t-f403eaaed8ceb9edf7780a35e129da16eec80bbb8e5fb6e2decb1447f5932e793</cites><orcidid>0000-0002-0579-3113</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2425692912?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,315,782,786,887,3554,27933,27934,28257,28258,46004,64394,64396,64398,72478</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32046888$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Emerson, Amanda</creatorcontrib><creatorcontrib>Allison, Molly</creatorcontrib><creatorcontrib>Kelly, Patricia J.</creatorcontrib><creatorcontrib>Ramaswamy, Megha</creatorcontrib><title>Barriers and facilitators of implementing a collaborative HPV vaccine program in an incarcerated population: A case study</title><title>Vaccine</title><addtitle>VACCINE</addtitle><addtitle>Vaccine</addtitle><description>Men and women in county jails make up a population that is difficult to reach with traditional preventive health interventions. Collaborations between local health departments and county jails represent an opportunity to enhance public health by reaching a vulnerable population with services like vaccinations. The objective of this study was to coordinate planning and implementation of a collaborative program between a local health department (HD) and a county jail to offer human papillomavirus (HPV) vaccinations to adolescents (ages 10–17) and young adults (ages 18–26) in the jail and to identify facilitators and barriers to inform future program development.
A county-municipal jail and a local HD in Kansas participated. A case study method was employed based on data collected from a focus group, telephone interviews, and site observations, September 2016 to December 2017. Data were coded using codes roughly drawn from the consolidated framework for implementation research (CFIR). Codes were then consolidated into themes related to barriers and facilitators.
No adults were vaccinated; two juveniles were vaccinated. Barriers to a collaborative program to offer HPV vaccine to young adults arose in two areas: constrained resources and divergent organizational cultures and priorities. Barriers to offering HPV vaccinations to juveniles in the jail included parental consent and the unpredictable, often brief duration of juvenile detentions. A shared commitment to offering HPV vaccination services by leaders and staff in the two agencies was a key facilitator.
Finding ways to leverage leadership and staff buy-in and address specific barriers of constrained resources and divergent culture and priorities merits close attention, since partnerships between jails and local HD have potential to increase HPV vaccination rates in an overlooked population and advance public health.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Adult</subject><subject>Adults</subject><subject>Case reports</subject><subject>Case studies</subject><subject>Child</subject><subject>Collaboration</subject><subject>County health departments</subject><subject>Female</subject><subject>Focus Groups</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Plan Implementation</subject><subject>Health promotion</subject><subject>HPV vaccine</subject><subject>Human papillomavirus</subject><subject>Humans</subject><subject>Identification methods</subject><subject>Immunization</subject><subject>Immunization Programs - organization & administration</subject><subject>Immunology</subject><subject>Implementation research</subject><subject>Jails</subject><subject>Juveniles</subject><subject>Leadership</subject><subject>Life Sciences & Biomedicine</subject><subject>Male</subject><subject>Medicine, Research & Experimental</subject><subject>Men</subject><subject>Minors</subject><subject>Papillomavirus Infections - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Vaccine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Emerson, Amanda</au><au>Allison, Molly</au><au>Kelly, Patricia J.</au><au>Ramaswamy, Megha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Barriers and facilitators of implementing a collaborative HPV vaccine program in an incarcerated population: A case study</atitle><jtitle>Vaccine</jtitle><stitle>VACCINE</stitle><addtitle>Vaccine</addtitle><date>2020-03-04</date><risdate>2020</risdate><volume>38</volume><issue>11</issue><spage>2566</spage><epage>2571</epage><pages>2566-2571</pages><issn>0264-410X</issn><eissn>1873-2518</eissn><abstract>Men and women in county jails make up a population that is difficult to reach with traditional preventive health interventions. Collaborations between local health departments and county jails represent an opportunity to enhance public health by reaching a vulnerable population with services like vaccinations. The objective of this study was to coordinate planning and implementation of a collaborative program between a local health department (HD) and a county jail to offer human papillomavirus (HPV) vaccinations to adolescents (ages 10–17) and young adults (ages 18–26) in the jail and to identify facilitators and barriers to inform future program development.
A county-municipal jail and a local HD in Kansas participated. A case study method was employed based on data collected from a focus group, telephone interviews, and site observations, September 2016 to December 2017. Data were coded using codes roughly drawn from the consolidated framework for implementation research (CFIR). Codes were then consolidated into themes related to barriers and facilitators.
No adults were vaccinated; two juveniles were vaccinated. Barriers to a collaborative program to offer HPV vaccine to young adults arose in two areas: constrained resources and divergent organizational cultures and priorities. Barriers to offering HPV vaccinations to juveniles in the jail included parental consent and the unpredictable, often brief duration of juvenile detentions. A shared commitment to offering HPV vaccination services by leaders and staff in the two agencies was a key facilitator.
Finding ways to leverage leadership and staff buy-in and address specific barriers of constrained resources and divergent culture and priorities merits close attention, since partnerships between jails and local HD have potential to increase HPV vaccination rates in an overlooked population and advance public health.</abstract><cop>OXFORD</cop><pub>Elsevier Ltd</pub><pmid>32046888</pmid><doi>10.1016/j.vaccine.2020.01.086</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-0579-3113</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adolescents Adult Adults Case reports Case studies Child Collaboration County health departments Female Focus Groups Health Knowledge, Attitudes, Practice Health Plan Implementation Health promotion HPV vaccine Human papillomavirus Humans Identification methods Immunization Immunization Programs - organization & administration Immunology Implementation research Jails Juveniles Leadership Life Sciences & Biomedicine Male Medicine, Research & Experimental Men Minors Papillomavirus Infections - prevention & control Papillomavirus Vaccines - administration & dosage Population studies Priorities Prisoners Prisons Public health Research & Experimental Medicine Science & Technology Vaccination Vaccines Young Adult Young adults |
| title | Barriers and facilitators of implementing a collaborative HPV vaccine program in an incarcerated population: A case study |
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