Online Program

325298
Evaluation of Immunization Status of Contemporary Nurse-Family Partnership Clients


Monday, November 2, 2015 : 10:30 a.m. - 10:45 a.m.

Dustin W. Currie, MPH, Department of Planning and Analytics, the Nurse-Family Partnership National Service Office, Denver, CO
William Thorland, PhD, Department of Planning and Analytics, the Nurse-Family Partnership National Service Office, Denver, CO
Background

The Nurse-Family Partnership (NFP) is a national, evidence-based home visiting program currently serving over 30,000 first-time, low-income moms. The Guide to Community Preventive Services recognizes home visits as providing strong evidence for increasing vaccination rates.  This study provides updated data on immunization rates of a large cohort of Nurse-Family Partnership clients, and relates these figures to Healthy People 2020 goals.

Methods

Nurses completed forms at six month intervals after the birth of the client’s index child.  Data included whether the child’s immunizations were up-to-date based on their local immunization schedule, and whether this information was based on mother’s self-report or the nurse checking the written record.  We report the percentage of children up-to-date on immunizations based on the last records from a cohort of clients initially enrolled between 7/1/2007-6/30/2010, limiting to written record data. We then use logistic regression to identify predictors of immunization status within the NFP cohort.

Results

Immunizations were up-to-date for 90.0% (1789/1987), 91.4% (1514/1656), 91.8% (1259/1371), and 95.2% (2984/3133) of children of NFP clients at 6, 12, 18 and 24 months of age, respectively.  Immunization status was independent of race, education status or marital status of the clients.

Conclusions

 

Immunizations were up-to-date on 90% or more of the clients at each time period for Nurse-Family Partnership participants, indicating achievement of Healthy People 2020 levels. This updated data provides evidence that home visiting continues to be an effective intervention in achieving immunization targets, and may reduce health disparities between children of higher and lower-income mothers.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice

Learning Objectives:
Describe contemporary immunization status of Nurse-Family Partnership clients. Compare immunization status of Nurse-Family Partnership clients to Healthy People 2020 goals.

Keyword(s): Immunizations, Nursing Education

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked with the Nurse-Family Partnership in program evaluation for over two years. Under the supervision of my mentor, we have written several reports detailing program evaluation of birth outcomes, child development outcomes, and maternal life outcomes of the Nurse-Family Partnership combining secondary and primary data. I am currently a PhD student in Epidemiology and have obtained my MPH.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Nurse-Family Partnership Program Evaluation - MCH Employment (includes retainer)

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.