title: [Improvement strategy to increase vaccination rates in adolescents].
abstract: BACKGROUND
  Vaccination rates in adolescents in Germany are not sufficient. An intervention programme, which has been launched by the community health centre in Essen, should significantly increase vaccination coverage.
  
  
  METHODS
  In 2001 the Children and Youth Health Service at the Community Health Centre in Essen implemented a specific strategy to improve vaccination rates in adolescents. Vaccination rates were determined by control of vaccination certificates of all 6 (th) graders in Essen (n=5 589). After control of vaccination records the parents got a written, individual vaccination counselling for their child as well as a referral to the paediatrician to get the missing vaccinations. After 6 months the vaccination certificates were looked at again and vaccination coverage was determined.
  
  
  RESULTS
  At the initial vaccination record control of 6 (th) graders in 2001 only 15% of the students, who presented their vaccination certificate, had an appropriate age related immunisation status. 84% of the students had had the tetanus/diphtheria and polio booster. But only 43% had been given a second measles, mumps and rubella (MMR) immunisation and only 24% had a complete hepatitis B coverage. The intervention programme (e. g., individual vaccination counselling) improved vaccination rates for hepatitis B and MMR by 16%. From 2001 to 2008 vaccination coverage in this age group could be improved from 43% to 87% for the second MMR vaccination and from 24% to 85% for hepatitis B.
  
  
  CONCLUSIONS
  A remarkable improvement in vaccination coverage in children and adolescents could be achieved by a single, individual, written vaccination reminder. As a prerequisite a good cooperation between schools/paediatricians and the health authorities is needed.
authors.affiliation: Kinder- und Jugendgesundheitsdienst, Gesundheitsamt Essen. hedwig.roggendorf@gesundheitsamt.essen.de
authors.forename: H
authors.initials: H
authors.lastname: Roggendorf
authors.forename: P
authors.initials: P
authors.lastname: Freynik
authors.forename: F
authors.initials: F
authors.lastname: Hofmann
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D005858:Germany; D006266:Health Education / Q000379:methods*; D006801:Humans; D007115:Immunization Schedule; D007117:Immunization, Secondary / Q000706:statistics & numerical data; D008297:Male; D008403:Mass Screening; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D012017:Referral and Consultation; D014600:Utilization Review / Q000706:statistics & numerical data; D014611:Vaccination / Q000706:statistics & numerical data*