Normalizing inconvenience to promote childhood vaccination: a qualitative implementation evaluation of a novel Michigan program.

ABSTRACT:

Background

In 2015, Michigan implemented a rule requiring parents to attend an education session at a local health department (LHD) prior to waiving mandatory child vaccinations. This study utilizes Normalization Process Theory (NPT) to assess program implementation, identifying potential threats to fidelity and sustainability.

Methods

We conducted 32 semi-structured interviews with individuals involved in these education programs across 16 LHDs. Participating LHDs were selected from a stratified, representative sample. One interviewer conducted all interviews using a semi-structured interview guide; two authors coded and analyzed the interview transcripts according to the NPT framework (i.e, sense-making, engagement, collective action, and reflexive monitoring).

Results<

SUBMITTER: Lillvis DF 

PROVIDER: S-EPMC7379806 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature