Skip Navigation

Strengthen the Evidence for Maternal and Child Health Programs

Sign up for MCHalert eNewsletter

Evidence Tools
MCHbest. Childhood Vaccination with MMR, Flu, and HPV.

MCHbest Logo

Strategy. Partnerships with Healthcare Providers

Approach. Create partnerships between vaccine specialists and families to increase vaccine compliance.

Return to main MCHbest page >>

Overview. Fostering partnerships between vaccine specialists and families involves creating a collaborative environment where open communication and shared decision-making are central to childhood vaccination.[1] This approach empowers families to actively participate in their child's immunization journey, fostering trust and promoting vaccine compliance.[1] Healthcare providers, including pediatricians, nurse practitioners, or immunization specialists, should prioritize building rapport with families by actively listening to their concerns and addressing them in a respectful and informative manner. Providing families with educational resources and clear communication about vaccine safety and efficacy can empower them to make informed decisions.[1] Fostering a collaborative environment where families feel comfortable asking questions and raising concerns is crucial to building trust and ensuring adherence to the recommended vaccination schedule.[1] Examples of successful public health programs promoting partnerships between families and vaccine specialists include initiatives by professional pediatric organizations offering educational materials and toolkits for parents, and similar programs by healthcare provider networks organizing community forums where families can discuss their questions with immunization specialists.[2, 3] Peer-reviewed research suggests that fostering partnerships between families and vaccine specialists can significantly improve vaccination rates.[1] Studies have shown that open communication, collaborative decision-making, and access to reliable information can empower families to overcome vaccine hesitancy and ensure their children receive timely immunizations.[1]

Evidence. Emerging Evidence. Strategies with this rating typically trend positive and have good potential to work...

Access the peer-reviewed evidence through the MCH Digital Library or related evidence source.

Potential Data Sources. Data to support this strategy can be accessed through:

  • Provider-to-family communication data
  • Collaboration and engagement data
  • Parent Attitudes about Childhood Vaccines (PACV) Survey

Outcome Components. This strategy has shown to have impact on the following outcomes (Read more about these categories):

  • Access to/Receipt of Care. This strategy increases the ability for individuals to obtain healthcare services when needed, including preventive, diagnostic, and treatment services.
  • Utilization. This strategy improves the extent to which individuals and communities use available healthcare services.
  • Timeliness of Care. This strategy promotes delivery of healthcare services in a timely manner to optimize benefits and prevent complications.

Detailed Outcomes. For specific outcomes related to each study supporting this strategy, access the peer-reviewed evidence and read the Intervention Results for each study.

Intervention Type. Collaboration (Read more about intervention types and levels as defined by the Public Health Intervention Wheel).

Intervention Level. Individual/Family-Focused

Examples from the Field. There are currently no ESMs that use this strategy. Search similar intervention components in the ESM database.

Sample ESMs. Here are sample ESMs to use as models for your own measures using the RBA framework (see The Role of Title V in Adapting Strategies).

Quadrant 1:
Measuring Quantity of Effort
(“What/how much did we do?”)

  • Number of vaccine specialists partnered with Title V engaged in providing education and support to families. (Measures access to vaccine expertise)
  • Number of families partnered with a designated vaccine specialist for personalized guidance and support. (Shows reach of the intervention)

Quadrant 2:
Measuring Quality of Effort
(“How well did we do it?”)

  • Percent of vaccine specialists who use motivational interviewing and other evidence-based communication strategies to understand and address families' unique concerns. (Assesses specialist competency)
  • Percent of vaccine specialist-family partnerships that develop a shared plan and timeline for completing recommended immunizations. (Measures collaborative goal-setting)

Quadrant 3:
Measuring Quantity of Effect
(“Is anyone better off?”)

  • Number of primary care practices partnered with Title V that integrate vaccine specialist partnerships into their standard immunization process and workflows. (Measures adoption of team-based care model)
  • Number of training programs developed to equip vaccine specialists with the knowledge, skills, and tools to effectively partner with families that result in an increase in knowledge and/or skill. (Builds workforce capacity)
  • Number of communities that achieve and maintain high childhood vaccination rates through tailored vaccine specialist partnerships. (Shows population health impact)
  • Number of families who experience improved access to and utilization of comprehensive child health services as a result of relationships developed through vaccine specialist partnerships. (Indicates positive spillover effects)

Quadrant 4:
Measuring Quality of Effect
(“How are they better off?”)

  • Percent of primary care practices partnered with Title V that integrate vaccine specialist partnerships into their standard immunization process and workflows. (Measures adoption of team-based care model)
  • Percent of training programs developed to equip vaccine specialists with the knowledge, skills, and tools to effectively partner with families that result in an increase in knowledge and/or skill. (Builds workforce capacity)
  • Percent of communities that achieve and maintain high childhood vaccination rates through tailored vaccine specialist partnerships. (Shows population health impact)
  • Percent of families who experience improved access to and utilization of comprehensive child health services as a result of relationships developed through vaccine specialist partnerships. (Indicates positive spillover effects)

Note. When looking at your ESMs, SPMs, or other strategies:

  1. Move from measuring quantity to quality.
  2. Move from measuring effort to effect.
  3. Quadrant 1 strategies should be used sparingly, when no other data exists.
  4. The most effective measurement combines strategies in all levels, with most in Quadrants 2 and 4.

Learn More. Read how to create stronger ESMs and how to measure ESM impact more meaningfully through Results-Based Accountability.

References

[1] Huang, D., Ganti, L., Graham, E. W., Shah, D., Aleksandrovskiy, I., Al-Bassam, M., ... & Lopez-Ortiz, C. (2022). COVID-19 vaccine hesitancy among healthcare providers. Health Psychology Research, 10(2).

[2] Immunizations. (n.d.). HealthyChildren.org. https://www.healthychildren.org/English/safety-prevention/immunizations/Pages/default.aspx

[3] Vaccines and Immunizations | CDC. (n.d.-b). https://www.cdc.gov/vaccines/index.html

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.