AI Article Synopsis
- In Quebec, a study compared the effectiveness and costs of school-based (SBP) and clinic-based (CBP) vaccination programs for hepatitis B implemented in the 1990s.
- The clinic-based program resulted in lower vaccination coverage (73%) compared to the school-based program (over 90%), but coverage surged back to 90% when the CBP was discontinued.
- The societal costs were found to be higher for the clinic-based program ($63 per student) compared to the school-based program ($40 or less per student), highlighting the SBP's advantages.
Article Abstract
Context: In 1994, immunization against hepatitis B was implemented in schools in Quebec, targeting grade 4 students. In 1996-1997 and 1997-1998, one Local Community Service Centre (CLSC) replaced the school-based program in its district with vaccination offered in community clinics after school hours. The aim of the current study was to compare the effectiveness and costs of school-based and clinic-based programs.
Methods: Vaccination coverage data were collected in the CLSC with the clinic-based program (CBP), and in three matched CLSCs with a school-based program (SBP), from 1994 to 2000. Surveys were conducted to estimate costs to parents, to schools and to CLSCs in 1997-1998.
Results: With the implementation of the CBP, the vaccination coverage fell to 73%, compared with over 90% in the SBPs. Coverage increased to 90% when the CBP was abandoned. Costs to the CLSC were not much lower in the CBP. Societal costs were $63 per student vaccinated in the CBP, and < or = $40 in the SBPs.
Conclusion: Results demonstrate the advantage of a SBP over a CBP for the immunization of schoolchildren.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6980189 | PMC |
| http://dx.doi.org/10.1007/BF03405055 | DOI Listing |
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