Measuring the effectiveness of catch-up MMR delivered by school nurses compared to signposting to general practice on improving MMR coverage

Altinoluk-Davis, F.; Gray, Selena; Bray, Issy

Abstract

BACKGROUND: This study assesses whether increased coverage of the measles, mumps and rubella (MMR) vaccination differs between areas where school nurses deliver catch-up MMR doses to adolescents in school settings, compared to signposting to general practice. METHODS: A retrospective cohort study was conducted using Child Health Information Services records within the NHS England South (South Central) commissioning boundary. The sample population included children born 1 September 2000-31 August 2001, in school year 9 during the 2014-15 academic year. RESULTS: The primary outcome findings show an increase in coverage of at least one dose of MMR by 1.6% (n=334) in the cohort receiving catch-up MMR, compared to 0.2% (n=12) in the cohort signposted to general practice. Over time, the difference in increase between the two cohorts was 1.4%, analysed using the chi-squared comparison of proportions test, providing strong evidence (P

• Journal Article Type: Article
• Acceptance Date: Jan 3, 2020
• Online Publication Date: Feb 13, 2020
• Publication Date: Jun 1, 2020
• Deposit Date: Feb 19, 2020
• Publicly Available Date: Feb 14, 2021
• Journal: Journal of Public Health
• Print ISSN: 1741-3842
• Electronic ISSN: 1741-3850
• Publisher: Oxford University Press (OUP)
• Peer Reviewed: Peer Reviewed
• Volume: 42
• Issue: 2
• Pages: 416-422
• DOI: https://doi.org/10.1093/pubmed/fdaa004
• Keywords: Public Health, Environmental and Occupational Health; General Medicine
• Public URL: https://uwe-repository.worktribe.com/output/5452665
• Publisher URL: https://academic.oup.com/jpubhealth/advance-article/doi/10.1093/pubmed/fdaa004/5734963?guestAccessKey=4240f569-0192-4d59-bd41-42b3ccf4d41d