Immunisation Unit, Health Protection New South Wales, Australia.
School of Public Health and Community Medicine, UNSW Sydney, New South Wales, Australia.
Women Birth. 2018 Dec;31(6):463-468. doi: 10.1016/j.wombi.2018.01.002. Epub 2018 Feb 15.
Typically there is limited opportunity for stakeholder engagement to determine service delivery gaps when implementing an outbreak or supplementary vaccination program.
In response to increasing pertussis notifications in NSW, Australia, an antenatal pertussis vaccination program was introduced offering pertussis containing vaccine to all pregnant women in the third trimester.
To explore the effectiveness of consulting with midwives prior to and during a new state-wide vaccination program.
A pre-program needs analysis was conducted through an online audit of the NSW Clinical Midwifery Consultants followed by a post-implementation audit at 18 months.
Information received from the midwives was utilised during program planning which facilitated program implementation without any major issues in all Local Health Districts. The post-implementation audit provided feedback to program planners that that implementation was continuing consistently and Midwives were found to be very supportive and engaged.
Education and support of clinicians is vital for high vaccine uptake in new vaccination programs which can be enabled through appropriate educational packages and program resources.
Consulting with the midwives in advance of a new vaccination program was a new initiative and highly recommended as it was time well spent gaining essential information on program resourcing and operational needs. Conducting a post-implementation audit is also strongly recommended as a check-point for issues and recommendations, to empower frontline staff and support consistent program implementation. Frontline staff engagement before and during implementation of a new vaccination program is a powerful mechanism for effective, efficient and consistent program delivery.
在实施疫情或补充疫苗接种计划时，通常没有机会让利益相关者参与确定服务提供差距。
为了应对澳大利亚新南威尔士州百日咳发病率的增加，引入了一项产前百日咳疫苗接种计划，为所有妊娠晚期的孕妇提供含有百日咳疫苗的疫苗。
探讨在新的全州疫苗接种计划之前和期间咨询助产士的效果。
通过对新南威尔士州临床助产顾问的在线审计进行了计划前需求分析，然后在 18 个月后进行了实施后审计。
在计划制定过程中利用了从中获得的信息，这使得所有地方卫生区都没有出现任何重大问题的情况下顺利实施了该计划。实施后审计为计划制定者提供了反馈，即实施工作持续进行，并且助产士非常支持和参与。
在新的疫苗接种计划中，对临床医生进行教育和支持对于提高疫苗接种率至关重要，这可以通过适当的教育包和计划资源来实现。
在新的疫苗接种计划之前咨询助产士是一项新举措，强烈建议这样做，因为这是花时间获得有关计划资源和运营需求的重要信息的好方法。强烈建议进行实施后审计，作为检查点以发现问题和建议，赋予一线工作人员权力并支持一致的计划实施。在新的疫苗接种计划的实施之前和期间，让一线工作人员参与是实现有效、高效和一致的计划交付的有力机制。
