Document detail
ID

doi:10.1186/s43058-023-00501-8...

Author
Yan, Ruijie Yin, Xuejun Hu, Yiluan Wang, Huan Sun, Chris Gong, Enying Xin, Xin Zhang, Juan
Langue
en
Editor

BioMed Central

Category

Medicine & Public Health

Year

2023

listing date

10/18/2023

Keywords
school-located influenza vaccinati... consolidated framework for impleme... expert recommendations for impleme... china implementing facilitators influenza barriers implementation
Metrics

Abstract

Background The school-located influenza vaccinations (SLIV) can increase influenza vaccination and reduce influenza infections among school-aged children.

However, the vaccination rate has remained low and varied widely among schools in Beijing, China.

This study aimed to ascertain barriers and facilitators of implementing SLIV and to identify implementation strategies for SLIV quality improvement programs in this context.

Methods Semi-structured interviews were conducted with diverse stakeholders (i.e., representatives of both the Department of Health and the Department of Education, school physicians, class headteachers, and parents) involved in SLIV implementation.

Participants were identified by purposive and snowball sampling.

The Consolidated Framework for Implementation Research was adopted to facilitate data collection and analysis.

Themes and subthemes regarding barriers and facilitators were generated using deductive and inductive approaches.

Based on the Consolidated Framework for Implementation Research—Expert Recommendations for Implementing Change (CFIR-ERIC) matching tool, practical implementation strategies were proposed to address the identified barriers of SLIV delivery.

Results Twenty-four participants were interviewed.

Facilitators included easy access to SLIV, clear responsibilities and close collaboration among government sectors, top-down authority, integrating SLIV into the routine of schools, and priority given to SLIV.

The main barriers were parents’ misconception, inefficient coordination for vaccine supply and vaccination dates, the lack of planning, and inadequate access to knowledge and information about the SLIV.

CFIR-ERIC Matching tool suggested implementation strategies at the system (i.e., developing an implementation blueprint, and promoting network weaving), school (i.e., training and educating school implementers), and consumer (i.e., engaging students and parents) levels to improve SLIV implementation.

Conclusions There were substantial barriers to the delivery of the SLIV program.

Theory-driven implementation strategies developed in this pre-implementation study should be considered to address those identified determinants for successful SLIV implementation.

Yan, Ruijie,Yin, Xuejun,Hu, Yiluan,Wang, Huan,Sun, Chris,Gong, Enying,Xin, Xin,Zhang, Juan, 2023, Identifying implementation strategies to address barriers of implementing a school-located influenza vaccination program in Beijing, BioMed Central

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