Lessons to be learned: using National Immunisation strategies to improve adherence to acute rheumatic fever secondary prophylaxis

Liaw, Joshua Y., White, Andrew V., Gorton, Susan, and Axford-Haines, Louise (2019) Lessons to be learned: using National Immunisation strategies to improve adherence to acute rheumatic fever secondary prophylaxis. Journal of Paediatrics and Child Health, 55 (10). pp. 1170-1176.

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View at Publisher Website: https://doi.org/10.1111/jpc.14596
 
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Abstract

Rheumatic heart disease, as a result of a single or recurrent episode of acute rheumatic fever (ARF), remains a significant cause of morbidity and mortality in northern and remote Australia; ARF has a peak incidence among 5–14-year-old Aboriginal and Torres Strait Islander children. Long-term regular benzathine penicillin G injections are the only currently successful secondary prevention strategy; however, rates of adherence remain critically low. In contrast, rates of adherence to immunisations on the National Immunisation Program (NIP) Schedule are high, even among this target population. This article compares strategies used to implement and improve ARF secondary prophylaxis with those used in the NIP. Some successful NIP strategies, such as Service Incentive Payment for health providers, home-visiting delivery models and integration into the National Immunisation Register, if applied to ARF secondary prophylaxis have the potential to improve benzathine penicillin G adherence.

Item ID: 61706
Item Type: Article (Research - C1)
ISSN: 1440-1754
Keywords: acute rheumatic fever, acute rheumatic fever secondary prophylaxis, Australia, benzathine penicillin G, immunisation, rheumatic heart disease
Copyright Information: © 2019 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).
Date Deposited: 10 May 2020 22:21
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111701 Aboriginal and Torres Strait Islander Health @ 100%
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