The 131st Annual Meeting (November 15-19, 2003) of APHA

Abstract #61047

Mary Scheib, MSN, FNP¹, Sharon Kimball, RN, NP¹, Mattie Peckenham, BA, RN¹, Beverley Bagdorf, FNP-PAC¹, Jun-Ting Liu, MSN, FNP¹, Rebecca Jackson, MD¹, and Charla W. Ekstrand, MS, MPA². (1) Women's Health Clinic, San Francisco General Hospital, San Francisco Public Health Deparment, San Francisco General Hospital, 1001 Potrero Avenue, 5M, San Francisco, CA 94110, 415-206-3417, mary.scheib@sfdph.org, (2) Community Health Network, San Francisco Public Health Department, 3507 Laguna Avenue, Palo Alto, CA 94306-2652

A Women's Health Center clinic in a large, urban public hospital used State Family Planning and Medicaid funding to develop and implement a program incorporating hepatitis B immunizations into routine family planning/reproductive and sexual health visits. Patients at the site included women with multiple sex partners, low income, underserved, homeless, monolingual, and substance-abusing women for whom hepatitis B vaccine had never been recommended. An assessment tool was developed for identifying women for whom hepatitis B vaccine was indicated. A protocol for hepatitis B vaccine administration was written. Schedules for hepatitis B immunizations were developed which coincided with return visit schedules for routine family planning/reproductive health services such as appointments for Depo Provera injections, birth control pill refill check-ups, clinical breast exams, and PAP smears. Various levels of staff were trained in the use of the above tools, protocols and schedules. This presentation will discuss the process used to implement hepatitis B vaccine administration to achieve maximum compliance within the context of routine family planning/reproductive health and sexual health visits for high risk women. The session will provide detailed information on how interested agencies can replicate this model.

Learning Objectives:

At the conclusion of the session, the participant will be able to:
• Describe a model of incorporating hepatitis B immunization into routine women's health care visits;
• List two or more tools, protocols or schedules which can facilitate appropriate administration of hepatitis B vaccine during a routine women's health care visits; and
• Describe one or more criteria which identify women for whom hepatitis B vaccine would be indicated.

Keywords: Hepatitis B, Prevention

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Women's Health Center, San Francisco General Hospital, San Francisco Department of public Health
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: Employed by San Francisco General Hosptal