title: Impact of a collaborative immunisation programme in an inner city practice.
abstract: OBJECTIVE
  To describe the impact of a collaborative immunisation programme, between an inner city practice and the Eastern Health Board (EHB).
  
  
  METHODS
  An observational study using a computer database formed from practice and EHB records.
  
  
  METHODS
  One Dublin inner city practice with three partners located in an area with a deprived socio-economic profile.
  
  
  METHODS
  All patients in the practice aged more than six months and less than five years identified both from practice registers and opportunistically during study period.
  
  
  RESULTS
  342 children, older than six months and less than five years were identified at start and 464 (a 36% increase) by end of the programme. Uptake changed for DPT from 30% before, to 57% after the programme (p < 0.0005), for DT from 15% to 13%, for Hib from 7% to 50% (p < 0.0005) and for MMR (over 15 months) from 53% to 75% (p < 0.0005). Uptake of the DPT, Hib and MMR was 35% among GMS eligible, 51% among GMS ineligible (p < 0.005).
  
  
  CONCLUSIONS
  A collaborative immunisation programme significantly improved practice uptake rates. These improved rates still do not attain declared national targets. To achieve these targets, radical overhaul of the immunisation service is required.
authors.affiliation: Department of General Practice, University College Dublin, Coombe Healthcare Centre, Dolphin's Barn.
authors.forename: A W
authors.initials: AW
authors.lastname: Murphy
authors.forename: M
authors.initials: M
authors.lastname: Harrington
authors.forename: G
authors.initials: G
authors.lastname: Bury
authors.forename: K
authors.initials: K
authors.lastname: O'Doherty
authors.forename: F
authors.initials: F
authors.lastname: O'Kelly
authors.forename: M
authors.initials: M
authors.lastname: Smith
authors.forename: L
authors.initials: L
authors.lastname: Vickers
authors.forename: H
authors.initials: H
authors.lastname: Johnson
mesh_terms: D003299:Cooperative Behavior; D006801:Humans; D017589:Immunization Programs / Q000706:statistics & numerical data*; D007494:Ireland; D009313:National Health Programs; D011204:Poverty Areas; D011331:Private Practice; D019037:Urban Health Services / Q000706:statistics & numerical data*