Redefining the technical and organizational competences of children vaccination clinics in order to improve performance. A practical experience at the ULSS 12 Venetian Public Health and Hygiene Service.
Introduction. Since Regione Veneto suspended compulsory
vaccination for children in 2008, and because of an increasing
disaffection of parents to the vaccine practice, the vaccination
rates have been slowly but steadily decreasing. The aim of this
study was to analyze internal and external factors of immunization
reduction and to implement potential solutions of the problem.
Methods. Servizio Igiene e Sanit\ue0 Pubblica of ULSS 12 Veneziana
(SISP \u2013 Hygiene and Public Health Service) analyzed and
addressed both, the reasons of parents who do not vaccinate their
children and the internal problems regarding vaccination clinics
management, information to families, procedures and guidelines
and, in general, the communication skills of the vaccination staff.
Results. A positive trend in vaccination rates was observed, especially
in Venice historical centre. Moreover the staff reported a
better working atmosphere and benefit from sharing common
goals and procedures, even though the workforce was reduced of
about 30% in terms of equivalent unit (EU).
Discussion. The continuous quality improvement method followed
in this experience led to a steady increase in vaccination
coverage in all territorial clinics, to a better adhesion of guidelines
and standard operating procedures and to a general professional
empowerment of SISP staff. The service now offered to
the population is better and more efficient, since the workforce
has been reduced. Future goals are to improve information about
vaccinations among the population