Outcome measures data should reflect what we are trying to achieve in our goal. However, population level outcomes may also be influenced by factors unrelated to the SHIP interventions. and 2 more... less...

Outcome measures data for Disease Transmission and Vaccination Priority Area

Result - Arkansas adults are prepared against disease transmission

Indicator - % of Arkansas Adults 18+ receiving annual influenza vaccination

Current Value

47.8%

2020

Definition

Line Bar

How are we doing on the data?

When asked how Arkansas adults are doing relative to the trendline data for the indicator, the stakeholders stated the following:

2020 went up and need more data for the uptick in the current rise

Story Behind the Curve

Stakeholders identified the following positive factors promoting Arkansas adults to get their annual influenza vaccination.

Health Care workers mandates with large employers in rural areas
Long-term Care requires flu shots
Waivers required
Education
COVID-19 pandemic
Convenience/most pharmacists/community events/school clinics
Jails/prisons (incarceration sites) may help with the rise in data

Stakeholders identified the following negative factors preventing Arkansas adults from getting their annual influenza vaccination.

Misinformation and bottom up strategy with small cities, rural and local governments
Developing partnership
Racial and ethnic disparities with gate keepers
COVID-19 contamination
Wording of "immunization" instead of "vaccine"
Imagery
Efficacy
Medicaid reimbursement issues
Vaccine administration fees

Are there any factors creating disparities?

Lack of confidence, vaccine deserts, access in rural areas, anti-science information and hesitancy

Partners

Stakeholders identified the following potential partners to strengthen the positive factors or address the negative factors influencing the rate of Arkansas adults who get their annual influenza vaccination.

Chambers of Commerce (state/local)
Doctors/pharmacist/veterinarian care provider is key
- Engage the front-line worker
Local business organizations
NFIB for policy adoption
- allowing mandates
- engage local events
- educational process- teach science and education
NICU - could help to provide free vaccines
Non-traditional entities such as ARFB/AARP
- Vaccination with infection control training; communication mass media
Religious leaders

Solutions

Stakeholders identified the following solutions to strengthen the positive factors or address the negative factors influencing the rate of Arkansas adults who get their annual influenza vaccination.

Create health insurance incentives for state employees and teachers, and county/city staff
For residents who are homebound, utilize a mobile unit that can take vaccinations to them
Incentivize vaccinations, particularly for population groups with higher non-vaccination rates
Increase awareness and understanding about the importance of vaccinations with targeted messaging, including social media influencers
Leverage the resources of the statewide partners collaborating with the AR SHIP to promote vaccinations amongst their clients and through their respective networks

Strategies

Stakeholders prioritized the following strategies because they ranked highest across four criteria: Impact, Feasibility, Specificity, and Value.

For residents who are homebound, utilize a mobile unit that can take vaccinations to them
Incentivize vaccinations, particularly for population groups with higher non-vaccination rates
Leverage the resources of statewide partners collaborating with the AR SHIP to promote vaccinations amongst their clients and through their respective networks

Work Plan for First Strategy

Strategy: For residents who are homebound, utilize a mobile unit that can take vaccinations to them.

Action Step	Lead	Due
Apply the lessons learned from the mobilization effort for the COVID-19 vaccine to the flu vaccine
Explore organization who may be providing mobile immunization services
Explore collaborations among nurses (homebound coordinators), pharmacies, and other entities to reach residents and deliver vaccine services (need to consider compensations, funding, etc.)
Connect with programs such as Meals on Wheels, faith-based programs, In-Home Service programs and other who have mobile services not necessarily vaccine-related
Utilize nurse volunteers and other health care professional (licensed) within the faith-based community
Connect with community groups/non-profit organizations doing outreach - e.g., ADH OHE, HHI, AMHC, AHA, NW Arkansas Council (Ryan Cork) to join effort of AR SHIP partners to reach homebound population.

Work Plan for Second Strategy

Strategy: Incentivize vaccinations, particularly for population groups with higher non-vaccination rates

Action Step	Lead	Due
Determine what is meant by “incentivize” - access, availability, or an actual incentivize that has a financial component
Think through the feasibility for each incentive (fishing license, lottery tickets. etc/.)
Conduct an analysis for costs associated with each type of potential incentive
Determine if there are partners or champions would be able to absorb the costs and/or dissemination
Defining the target population[s] (Delta, red counties, specific, regional)
Conduct deeper analysis to understand health equity, especially for people in rural parts of the state

Work Plan for Third Strategy

Strategy: Leverage the resources of statewide partners collaborating with the AR SHIP to promote vaccinations amongst their clients and through their respective networks.

Action Step	Lead	Due
Develop a list of partner organizations, or people, and who would need to be engaged to communicate to clients that participate in their services
Develop (or utilize pre-existing) messaging on the value added of flu vaccines
Disseminate vaccination messaging/information to partner organizations so they can distribute that to their clients and/or contact lists
Revive Influenza Workgroup and recruit new members?	11/2022
Develop recommendations that the state would send to local health units, where they can create local partnerships (i.e., local utilities, etc.)

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