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Hull B, Hendry A, Dey A, Brotherton J, Macartney K, Beard F. Annual Immunisation Coverage Report 2017. ACTA ACUST UNITED AC 2019; 43. [PMID: 31738865 DOI: 10.33321/cdi.2019.43.47] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
This eleventh national annual immunisation coverage report focuses on data for the calendar year 2017 derived from the Australian Immunisation Register (AIR) and the National Human Papillomavirus (HPV) Vaccination Program Register. This is the first report to include data on HPV vaccine course completion in Aboriginal and Torres Strait Islander (Indigenous) adolescents. 'Fully immunised' vaccination coverage in 2017 increased at the 12-month assessment age reaching 93.8% in December 2017, and at the 60-month assessment age reaching 94.5%. 'Fully immunised' coverage at the 24-month assessment age decreased slightly to 89.8% in December 2017, following amendment in December 2016 to require the fourth DTPa vaccine dose at 18 months. 'Fully immunised' coverage at 12 and 60 months of age in Indigenous children reached the highest ever recorded levels of 93.2% and 96.9% in December 2017. Catch-up vaccination activity for the second dose of measles-mumps-rubella-containing vaccine was considerably higher in 2017 for Indigenous compared to non-Indigenous adolescents aged 10-19 years (20.3% vs. 6.4%, respectively, of those who had not previously received that dose). In 2017, 80.2% of females and 75.9% of males aged 15 years had received a full course of three doses of human papillomavirus (HPV) vaccine. Of those who received dose one, 79% and 77% respectively of Indigenous girls and boys aged 15 years in 2017 completed three doses, compared to 91% and 90% of non-Indigenous girls and boys, respectively. A separate future report is planned to present adult AIR data and to assess completeness of reporting.
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Affiliation(s)
- Brynley Hull
- National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases, The Children's Hospital at Westmead and University of Sydney, Locked Bag 4001, Westmead, NSW 2145
| | - Alexandra Hendry
- National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases, The Children's Hospital at Westmead and University of Sydney, Locked Bag 4001, Westmead, NSW 2145
| | - Aditi Dey
- National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases, The Children's Hospital at Westmead and University of Sydney, Locked Bag 4001, Westmead, NSW 2145
| | - Julia Brotherton
- National HPV Vaccination Program Register, VCS Foundation, PO Box 310, East Melbourne, Vic 8002
| | - Kristine Macartney
- National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases, The Children's Hospital at Westmead and University of Sydney, Locked Bag 4001, Westmead, NSW 2145
| | - Frank Beard
- National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases, The Children's Hospital at Westmead and University of Sydney, Locked Bag 4001, Westmead, NSW 2145
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Carman R, Andrew L, Devine A, Oosthuizen J. Barriers to vaccination service delivery within general practice: opportunity to make a sustainable difference in Aboriginal child health? Aust N Z J Public Health 2019; 43:563-569. [PMID: 31535420 DOI: 10.1111/1753-6405.12937] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2019] [Revised: 07/01/2019] [Accepted: 08/01/2019] [Indexed: 01/05/2023] Open
Abstract
OBJECTIVE To identify behavioural barriers of service provision within general practice that may be impacting the vaccination coverage rates of Aboriginal children in Perth, Western Australia (WA). METHODS A purposive developed survey was distributed to 316 general practices across Perth and three key informant interviews were conducted using a mixed-methods approach. RESULTS Of the surveyed participants (n=101), 67.4% were unaware of the low vaccination coverage in Aboriginal children; 64.8% had not received cultural sensitivity training in their workplace and 46.8% reported having inadequate time to follow up overdue child vaccinations. Opportunistic vaccination was not routinely performed by 30.8% of participants. Key themes identified in the interviews were awareness, inclusion and cultural safety. CONCLUSION Inadequate awareness of the current rates, in association with a lack of cultural safety training, follow-up and opportunistic practice, may be preventing greater vaccination uptake in Aboriginal children in Perth. Cultural safety is a critical component of the acceptability and accessibility of services; lack of awareness may restrict the development of strategies designed to equitably address low coverage. IMPLICATIONS The findings of this study provide an opportunity to raise awareness among clinicians in general practice and inform future strategies to equitably deliver targeted vaccination services to Aboriginal children.
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Affiliation(s)
- Rebecca Carman
- School of Medical and Health Sciences, Edith Cowan University, Western Australia
| | - Lesley Andrew
- School of Medical and Health Sciences, Edith Cowan University, Western Australia
| | - Amanda Devine
- School of Medical and Health Sciences, Edith Cowan University, Western Australia
| | - Jacques Oosthuizen
- School of Medical and Health Sciences, Edith Cowan University, Western Australia
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Hull B, Hendry A, Dey A, Beard F, Brotherton J, McIntyre P. Annual Immunisation Coverage Report 2016. ACTA ACUST UNITED AC 2019; 43. [PMID: 31522666 DOI: 10.33321/cdi.2019.43.44] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
This tenth annual immunisation coverage report shows data for the calendar year 2016 derived from the Australian Immunisation Register (AIR) and the National Human Papillomavirus (HPV) Vaccination Program Register. After a decade of being largely stable at around 90%, 'fully immunised' coverage at the 12-month assessment age increased in 2016 to reach 93.7% for the age assessment quarterly data point in December 2016, similar to the 93.4% for the age assessment quarterly data point in December 2016 for 60 months of age. Implementation of the 'No Jab No Pay' policy may have contributed to these increases. While 'fully immunised' coverage at the 24-month age assessment milestone decreased marginally from 90.8%, in December 2015, to 89.6% for the age assessment quarterly data point in December 2016, this was likely due to the assessment algorithm being amended in December 2016 to include four doses of DTPa vaccine instead of three, following reintroduction of the 18-month booster dose. Among Indigenous children, the gap in coverage assessed at 12 months of age decreased fourfold, from 6.7 percentage points in March 2013 to only 1.7 percentage points lower than non-Indigenous children in December 2016. Since late 2012, 'fully immunised' coverage among Indigenous children at 60 months of age has been higher than for non-Indigenous children. Vaccine coverage for the nationally funded seasonal influenza vaccine program for Indigenous children aged 6 months to <5 years, which commenced in 2015, remained suboptimal nationally in 2016 at 11.6%. Changes in MMR coverage in adolescents were evaluated for the first time. Of the 411,157 ten- to nineteen-year-olds who were not recorded as receiving a second dose of MMR vaccine by 31 December 2015, 43,103 (10.5%) of them had received it by the end of 2016. Many of these catch-up doses are likely to have been administered as a result of the introduction on 1 January 2016 of the Australian Government's 'No Jab No Pay' policy. In 2016, 78.6% of girls aged 15 years had three documented doses of HPV vaccine (jurisdictional range 67.8-82.9%), whereas 72.9% of boys (up from 67.1 % in 2015) had received three doses.
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Affiliation(s)
- Brynley Hull
- National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases, The Children's Hospital at Westmead and University of Sydney, Locked Bag 4001, Westmead, NSW 2145
| | - Alexandra Hendry
- National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases, The Children's Hospital at Westmead and University of Sydney, Locked Bag 4001, Westmead, NSW 2145
| | - Aditi Dey
- National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases, The Children's Hospital at Westmead and University of Sydney, Locked Bag 4001, Westmead, NSW 2145
| | - Frank Beard
- National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases, The Children's Hospital at Westmead and University of Sydney, Locked Bag 4001, Westmead, NSW 2145
| | - Julia Brotherton
- National HPV Vaccination Program Register, Victorian Cytology Service, PO Box 310, East Melbourne, Vic 8002 1st
| | - Peter McIntyre
- National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases, The Children's Hospital at Westmead and University of Sydney, Locked Bag 4001, Westmead, NSW 2145
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Hendry AJ, Beard FH, Dey A, Meijer D, Campbell‐Lloyd S, Clark KK, Hull BP, Sheppeard V. Closing the vaccination coverage gap in New South Wales: the Aboriginal Immunisation Healthcare Worker Program. Med J Aust 2018; 209:24-28. [DOI: 10.5694/mja18.00063] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2018] [Accepted: 04/23/2018] [Indexed: 11/17/2022]
Affiliation(s)
- Alexandra J Hendry
- National Centre for Immunisation Research and Surveillance, The Children's Hospital at Westmead, Sydney, NSW
| | - Frank H Beard
- National Centre for Immunisation Research and Surveillance, The Children's Hospital at Westmead, Sydney, NSW
- University of Sydney, Sydney, NSW
| | - Aditi Dey
- National Centre for Immunisation Research and Surveillance, The Children's Hospital at Westmead, Sydney, NSW
- University of Sydney, Sydney, NSW
| | - Dennis Meijer
- Health Protection, New South Wales Ministry of Health, Sydney, NSW
| | | | - Katrina K Clark
- National Centre for Immunisation Research and Surveillance, The Children's Hospital at Westmead, Sydney, NSW
| | - Brynley P Hull
- National Centre for Immunisation Research and Surveillance, The Children's Hospital at Westmead, Sydney, NSW
| | - Vicky Sheppeard
- Health Protection, New South Wales Ministry of Health, Sydney, NSW
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Lovie-Toon YG, Hall KK, Chang AB, Anderson J, O'Grady KAF. Immunisation timeliness in a cohort of urban Aboriginal and Torres Strait Islander children. BMC Public Health 2016; 16:1159. [PMID: 27842585 PMCID: PMC5109698 DOI: 10.1186/s12889-016-3825-z] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2016] [Accepted: 11/08/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND To evaluate immunisation coverage, timeliness and predictors of delayed receipt in urban Australian Indigenous children during the first 18 months of life. METHODS Cross-sectional retrospective analysis of data collected from 140 Australian Indigenous children aged < 5 years at the time of enrolment in a prospective cohort study on respiratory illness between 14 February 2013 and 28 January 2015. Children were recruited through an urban community primary health care centre in the Northern suburbs of Brisbane, Queensland. RESULTS The proportion of children with completed immunisation schedules was 50 of 105 (47.6%) at 7 months, 30 of 85 (35.3%) at 13 months and 12 of 65 (18.5%) at 19 months. Timely receipt of diphtheria-tetanus-pertussis decreased from 78.4% at 2 months of age to 63.7 and 59.3% at 4 and 6 months respectively. Amongst the 105 parents/guardians with children ≥7 months at enrolment, 71 (67.6%) incorrectly reported their child's immunisation status. Delayed vaccine receipt was significantly associated (p ≤0.05) with having multiple children in the household, mother's unemployment and premature birth. CONCLUSIONS Coverage and timeliness among this population is suboptimal and decreases as children age. Parent/guardian reporting of vaccination status was unreliable. Children of unemployed mothers and those with multiple siblings should be targeted to improve community immunisation timeliness due to a greater risk of vaccination delay. High quality trials, conducted in several settings to account for the diversity of Australian Indigenous communities are urgently needed to identify culturally appropriate, effective and sustainable strategies to improve immunisation targets in children.
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Affiliation(s)
- Yolanda G Lovie-Toon
- Institute of Health & Biomedical Innovation, Queensland University of Technology, Centre for Children's Health Research, South Brisbane, QLD, Australia.
| | - Kerry K Hall
- Institute of Health & Biomedical Innovation, Queensland University of Technology, Centre for Children's Health Research, South Brisbane, QLD, Australia
| | - Anne B Chang
- Institute of Health & Biomedical Innovation, Queensland University of Technology, Centre for Children's Health Research, South Brisbane, QLD, Australia.,Menzies School of Health Research, Charles Darwin University, Tiwi, NT, Australia.,Respiratory Department, Lady Cilento Children's Hospital, South Brisbane, QLD, Australia
| | | | - Kerry-Ann F O'Grady
- Institute of Health & Biomedical Innovation, Queensland University of Technology, Centre for Children's Health Research, South Brisbane, QLD, Australia
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Attwood L, Rodrigues S, Winsor J, Warren S, Biviano L, Gunasekera H. Improving delivery of health care to Aboriginal and Torres Strait Islander children. J Paediatr Child Health 2015; 51:534-540. [PMID: 25363130 DOI: 10.1111/jpc.12756] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/12/2014] [Indexed: 11/28/2022]
Abstract
AIM To identify opportunities to improve health-care delivery for urban Aboriginal and Torres Strait Islander children requiring hospital admission and to determine their characteristics. METHODS We analysed all documentation of admissions of Aboriginal and/or Torres Strait Islander children to a tertiary paediatric hospital in 2010. We reviewed the medical records to determine whether the Aboriginal status of patients was known, whether Aboriginal and/or Torres Strait Islander children and their families were reviewed by Aboriginal staff during admission and whether basic health-care quality indicators were met, including documentation of anthropometry, ear examination findings, immunisation status and catch-up immunisation delivery. RESULTS In 2010, 543 (2%) patients admitted to the institution were identified as Aboriginal and/or Torres Strait Islander: 140/538 (26.0%) were from the first decile (most disadvantaged) on Socio-Economic Indexes for Areas index. Of all admitted children, 148/543 (27.3%) were referred to Aboriginal health professionals during admission, more when length of stay was greater than 7 days (61% vs. 23%, P < 0.001). There was documentation of weight in 533/543 (98.2%), ear examinations in 64/543 (11.8%), immunisations being not up to date in 126/543 (23%), catch-up immunisation given in 7/126 (5.6%), Aboriginal and/or Torres Strait Islander status in 8/543 (1.5%) medical and 1/543 (0.2%) nursing discharge summaries. CONCLUSIONS We have identified several opportunities to improve culturally appropriate health-care delivery for Aboriginal and Torres Strait Islander children admitted to hospital, including improved recognition of Aboriginal and/or Torres Strait Islander status of patients, improved access to Aboriginal health professionals and increased performance and documentation of basic anthropometry, ear examination and immunisation catch-up.
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Affiliation(s)
- Lucy Attwood
- Sydney Medical Program, Sydney Children's Hospitals Network (Westmead), Sydney, New South Wales, Australia
| | - Sarah Rodrigues
- Department of Paediatrics, University College London, London, United Kingdom
| | - Josephine Winsor
- Sydney Children's Hospitals Network (Westmead), Sydney, New South Wales, Australia
| | - Shirley Warren
- Sydney Children's Hospitals Network (Westmead), Sydney, New South Wales, Australia
| | - Lyn Biviano
- Sydney Children's Hospitals Network (Westmead), Sydney, New South Wales, Australia
| | - Hasantha Gunasekera
- Sydney Medical Program, Sydney Children's Hospitals Network (Westmead), Sydney, New South Wales, Australia.,Sydney Children's Hospitals Network (Westmead), Sydney, New South Wales, Australia
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Brewster DR, Morris PS. Indigenous child health: are we making progress? J Paediatr Child Health 2015; 51:40-7. [PMID: 25534334 DOI: 10.1111/jpc.12807] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/27/2014] [Indexed: 01/20/2023]
Abstract
We identified 244 relevant articles pertinent to indigenous health (4% of the total) with a steady increase in number since 1995. Most Australian publications in the journal (with a small Indigenous population) have focussed on conditions such as malnutrition, diarrhoeal disease, iron deficiency, rheumatic fever, acute glomerulonephritis and respiratory and ear infections, and in settings where nearly all affected children are Indigenous. In contrast, New Zealand publications (with a large Maori and Pacific Islander population) have addressed important health issues affecting all children but emphasised the over-representation of Maori and Pacific Islanders. Publications in the journal are largely descriptive studies with relatively few systematic reviews and randomised trials. Our review attempts to cover the important Indigenous health issues in our region as represented by articles published in the Journal. The studies do document definite improvements in indigenous child health over the last 50 years.
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Affiliation(s)
- David R Brewster
- Hospital Nacional Guido Valadares, Dili, Timor-Leste; National University of Timor Lorosa'e, Dili, Timor-Leste
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