The CIRE has received funding from the NDDoH for the past three years to study immunization disparities in the state of North Dakota. CIRE staff have conducted interviews and focus groups with healthcare and immunization stakeholders throughout the state, collected and analyzed immunization data, and reviewed current literature on immunization disparities. This project has focused on the following immunization disparities: racial disparities, rural vs. urban immunization disparities, and immunization rate differences observed between the eastern and western parts of North Dakota. Data from this project is being used to direct outreach and educational activities. This project is funded by the North Dakota Department of Health. This multi-year project totals $378,012.
The CIRE is also working on a project to address vaccine hesitancy in North Dakota by providing proactive infrastructure to healthcare facilities in North Dakota. The project will target future healthcare providers by providing content within healthcare curricula in the professional training programs throughout the state of ND, providing reliable immunization information to pregnant mothers and expectant fathers, and identifying immunization champions at Vaccines for Children enrolled clinics in high-risk counties. This project is funded by the North Dakota Department of Health. ($149,003)
For three years, the CIRE has had a contract with Sanford Health to provide technical assistance to the enterprise's Immunization Strategy Leader. ($77,985 3-year total)
The NDDoH engaged the CIRE to study immunization policies, practices, beliefs, and opinions in the state of North Dakota. The CIRE conducted focus groups and interviews with nearly 200 immunization stakeholders around the state, collected and analyzed state and national data, and reviewed other states' immunization policies and practices. In June 2016, the CIRE presented a report to the NDDoH with study findings and recommendations to improve immunization rates in the state of North Dakota. To view the study, click here.
This project was funded by the North Dakota Department of Health. ($91,935)
The CIRE received funding to conduct a pilot project that used enhanced communication techniques to address the vaccine hesitant parent at the medical encounter. The CIRE partnered with a local pediatric clinic for the project. The pilot project measured provider satisfaction with and perceived efficacy of the communication techniques. The CIRE hopes to expand this pilot project and test the communication strategies in multiple clinics to determine if these strategies are associated with increased vaccine acceptance.
This pilot project was funded by the Otto Bremer Foundation ($50,000) and the Dakota Medical Foundation. ($50,000)
The CIRE received funding to educate North Dakota's healthcare providers on how to effectively promote HPV vaccination to parents and patients at the medical encounter. CIRE staff and HPV subject experts canvassed the state to provide clinician-to-clinician education to pediatric and family medicine healthcare providers using AFIX methodologies. Education was focused on the importance of HPV vaccination and how to effectively recommend the vaccine.
This project is funded by the Prevent Cancer Foundation ($25,000) and by a grant subcontracted through the North Dakota Department of Health (NDDoH) from the Centers for Disease Control and Prevention. ($401,519)
The CIRE is seeking support for several potential research projects. These include studying: 1) communication and education strategies at the medical encounter to improve parental understanding and acceptance of vaccination, 2) the impact of earlier vaccine educational intervention as part of maternal education at the pre-natal medical encounter and in the hospital setting with the education given after delivery, 3) partnering with pharmacies/pharmacists, particularly in rural settings, to increase opportunities for adult immunization by pharmacists directly providing and administering vaccines, and 4) working with regional healthcare systems to identify ways to hardwire best immunization practice into standard workflows and electronic medical record functionality.