{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T09:08:55Z","timestamp":1770282535693,"version":"3.49.0"},"reference-count":30,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2024,10,31]],"date-time":"2024-10-31T00:00:00Z","timestamp":1730332800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"HPV Partnership Project","award":["APP1132344"],"award-info":[{"award-number":["APP1132344"]}]},{"name":"South Eastern Sydney Public Health Unit","award":["APP1132344"],"award-info":[{"award-number":["APP1132344"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vaccines"],"abstract":"<jats:p>Background\/Objectives: Given the discrepancies in immunisation coverage, the goal of this study was to explore the barriers and facilitators to effective communication across the school-based vaccination program in South Eastern Sydney schools. Methods: A qualitative study was undertaken with purposively selected immunisation staff, school coordinators, and parents of Year 7 students who had not received two vaccinations (dTpa and HPV) at school. A focus group with immunisation staff and interviews with school coordinators explored the barriers and facilitators to vaccination uptake, including communication across stakeholders. The parent interviews explored attitudes to vaccination and the school program and investigated the program communication methods. Results: Five immunisation staff, eleven school coordinators, and eleven parents participated in the study. The barriers to participation in the school vaccination program included low parent recall of vaccination information, challenges encountered by school staff in consent tracking, no communication channel between health staff and parents, a greater school focus on vaccination facilitation than student education, and limited communication between stakeholders about catch-up vaccinations. The facilitators included established school\/parent relationships for vaccine communication, effective communication between health and school staff, and using multiple methods to promote clinic and consent requirements. Conclusions: Opportunities exist to increase program participation by enhancing vaccination information and education for students and parents, with better communication about vaccination catch-ups and consent.<\/jats:p>","DOI":"10.3390\/vaccines12111243","type":"journal-article","created":{"date-parts":[[2024,10,31]],"date-time":"2024-10-31T08:44:04Z","timestamp":1730364244000},"page":"1243","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Exploring Communication Barriers and Facilitators in School Vaccination: A Case Study in South Eastern Sydney, Australia"],"prefix":"10.3390","volume":"12","author":[{"given":"Leigh","family":"McIndoe","sequence":"first","affiliation":[{"name":"South Eastern Sydney Public Health Unit, Sydney, NSW 2031, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Young","sequence":"additional","affiliation":[{"name":"Kirby Institute, UNSW Sydney, Sydney, NSW 2052, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7938-8030","authenticated-orcid":false,"given":"Cassandra","family":"Vujovich-Dunn","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Queensland, Brisbane, QLD 4006, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7065-3152","authenticated-orcid":false,"given":"Vicky","family":"Sheppeard","sequence":"additional","affiliation":[{"name":"South Eastern Sydney Public Health Unit, Sydney, NSW 2031, Australia"},{"name":"School of Public Health, University of Sydney, Sydney, NSW 2050, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Kean","sequence":"additional","affiliation":[{"name":"South Eastern Sydney Public Health Unit, Sydney, NSW 2031, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Dives","sequence":"additional","affiliation":[{"name":"South Eastern Sydney Public Health Unit, Sydney, NSW 2031, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1506-3285","authenticated-orcid":false,"given":"Cristyn","family":"Davies","sequence":"additional","affiliation":[{"name":"Specialty of Child and Adolescent Health, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2050, Australia"},{"name":"Sydney Infectious Diseases Institute, University of Sydney, Sydney, NSW 2050, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,31]]},"reference":[{"key":"ref_1","first-page":"E168","article-title":"A history of adolescent school based vaccination in Australia","volume":"37","author":"Ward","year":"2013","journal-title":"Commun. Dis. Intell. Q. Rep."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1650","DOI":"10.1080\/21645515.2018.1564440","article-title":"Challenges and opportunities of school-based HPV vaccination in Canada","volume":"15","author":"Gagnon","year":"2019","journal-title":"Hum. Vaccines Immunother."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.pvr.2017.11.003","article-title":"Barriers, facilitators, and potential strategies for increasing HPV vaccination: A statewide assessment to inform action","volume":"5","author":"Cartmell","year":"2018","journal-title":"Papillomavirus Res."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"107542","DOI":"10.1016\/j.ypmed.2023.107542","article-title":"Complex intervention to promote human papillomavirus (HPV) vaccine uptake in school settings: A cluster-randomized trial","volume":"172","author":"Davies","year":"2023","journal-title":"Prev. Med."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Restivo, V., Bruno, A., Minutolo, G., Pieri, A., Riggio, L., Zarcone, M., Candiloro, S., Caldarella, R., Immordino, P., and Amodio, E. (2023). Changes in Students\u2019 Perceptions Regarding Adolescent Vaccinations through a Before\u2013After Study Conducted during the COVID-19 Pandemic: GIRASOLE Project Study. Vaccines, 11.","DOI":"10.3390\/vaccines11101524"},{"key":"ref_6","unstructured":"National Centre for Immunisation Research and Surveillance (2023). Impact of COVID-19 on School-Based Vaccination Programs Module 1, 2 & 3: Final Report, National Centre for Immunisation Research and Surveillance."},{"key":"ref_7","unstructured":"National Centre for Immunisation Research and Surveillance (2023). NSW Annual Immunisation Coverage Report 2022, National Centre for Immunisation Research and Surveillance."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1293","DOI":"10.1007\/s15010-023-01978-0","article-title":"Uptake of HPV vaccination among boys after the introduction of gender-neutral HPV vaccination in Germany before and during the COVID-19 pandemic","volume":"51","author":"Meisel","year":"2023","journal-title":"Infection"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"4190","DOI":"10.1016\/j.vaccine.2021.05.051","article-title":"School-based HPV vaccination positively impacts parents\u2019 attitudes toward adolescent vaccination","volume":"39","author":"Davies","year":"2021","journal-title":"Vaccine"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1177\/0017896915608884","article-title":"Development of a human papillomavirus vaccination intervention for Australian adolescents","volume":"75","author":"Cooper","year":"2015","journal-title":"Health Educ. J."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"e2129057","DOI":"10.1001\/jamanetworkopen.2021.29057","article-title":"Effect of adolescent education about the Human Papillomavirus Vaccine on pPsychological outcomes: A cluster randomized controlled trial","volume":"4","author":"Davies","year":"2021","journal-title":"JAMA Netw. Open"},{"key":"ref_12","first-page":"636","article-title":"Development of a network model to implement the HPV vaccination coverage","volume":"36","author":"Guarducci","year":"2024","journal-title":"Ann. Ig."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1158\/1055-9965.EPI-15-0574","article-title":"Summer Peaks in Uptake of Human Papillomavirus and Other Adolescent Vaccines in the United States","volume":"25","author":"Moss","year":"2016","journal-title":"Cancer Epidemiol. Biomark. Prev."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Ferrer, H.B., Trotter, C., Hickman, M., and Audrey, S. (2014). Barriers and facilitators to HPV vaccination of young women in high-income countries: A qualitative systematic review and evidence synthesis. BMC Public Health, 14.","DOI":"10.1186\/1471-2458-14-700"},{"key":"ref_15","unstructured":"Australian Government Department of Health and Aged Care (2024, September 05). National Immunisation Program Schedule, Available online: https:\/\/www.health.gov.au\/topics\/immunisation\/when-to-get-vaccinated\/national-immunisation-program-schedule."},{"key":"ref_16","unstructured":"NSW Government (2024, September 17). South Eastern Sydney District Data Profile. Available online: https:\/\/facs-web.squiz.cloud\/__data\/assets\/pdf_file\/0011\/725852\/South-Eastern-Sydney-Data-Profile.pdf."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"McIndoe, L., Wilson, E., Ferson, M.J., and Sheppeard, V. (2024). Beyond Averages: Unpacking Disparities in School-Based Vaccination Coverage in Eastern Sydney: An Ecological Analysis. Vaccines, 12.","DOI":"10.3390\/vaccines12080888"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"6117","DOI":"10.1016\/j.vaccine.2021.08.076","article-title":"Differences in school factors associated with adolescent HPV vaccination initiation and completion coverage in three Australian states","volume":"39","author":"Sisnowski","year":"2021","journal-title":"Vaccine"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"e000057","DOI":"10.1136\/fmch-2018-000057","article-title":"Semistructured interviewing in primary care research: A balance of relationship and rigour","volume":"7","author":"DeJonckheere","year":"2019","journal-title":"Fam. Med. Community Health"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups","volume":"19","author":"Tong","year":"2007","journal-title":"Int. J. Qual. Health Care"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Vasileiou, K., Barnett, J., Thorpe, S., and Young, T. (2018). Characterising and justifying sample size sufficiency in interview-based studies: Systematic analysis of qualitative health research over a 15-year period. BMC Med. Res. Methodol., 18.","DOI":"10.1186\/s12874-018-0594-7"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual. Res. Psychol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1080\/2159676X.2019.1628806","article-title":"Reflecting on reflexive thematic analysis","volume":"11","author":"Braun","year":"2019","journal-title":"Qual. Res. Sport Exerc. Health"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1177\/109019818801500401","article-title":"An Ecological Perspective on Health Promotion Programs","volume":"15","author":"McLeroy","year":"1988","journal-title":"Health Educ. Q."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Cuccaro, P.M., Choi, J., Gabay, E.K., Wilkerson, J.M., Santa Maria, D., Misra, S.M., Aguilar McBride, M., and Vernon, S.W. (2023). Lessons Learned from All for Them: Best Practices for a Cross-Collaboration Approach to HPV Vaccination in Public Schools. Vaccines, 11.","DOI":"10.3390\/vaccines11050946"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Netfa, F., King, C., Davies, C., Rashid, H., Tashani, M., Booy, R., and Skinner, S.R. (2021). Knowledge, attitudes, and perceptions of the Arabic-speaking community in sydney, Australia, toward the human papillomavirus (HPV) vaccination program: A qualitative study. Vaccines, 9.","DOI":"10.3390\/vaccines9090940"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"100335","DOI":"10.1016\/j.jvacx.2023.100335","article-title":"Perceived facilitators and barriers to the uptake of the human papillomavirus (HPV) vaccine among adolescents of Arabic-speaking mothers in NSW, Australia: A qualitative study","volume":"14","author":"Netfa","year":"2023","journal-title":"Vaccine X"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"6824","DOI":"10.1016\/j.vaccine.2012.09.012","article-title":"Effect of an educational intervention on Hungarian adolescents\u2019 awareness, beliefs and attitudes on the prevention of cervical cancer","volume":"30","author":"Marek","year":"2012","journal-title":"Vaccine"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Bethke, N., Gellert, P., Knoll, N., Weber, N., and Seybold, J. (2022). A school-based educational on-site vaccination intervention for adolescents in an urban area in Germany: Feasibility and psychometric properties of instruments in a pilot study. BMC Public Health, 22.","DOI":"10.1186\/s12889-021-12443-8"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"4204","DOI":"10.1016\/j.vaccine.2015.04.039","article-title":"Addressing vaccine hesitancy: The potential value of commercial and social marketing principles and practices","volume":"33","author":"Nowak","year":"2015","journal-title":"Vaccine"}],"container-title":["Vaccines"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-393X\/12\/11\/1243\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:25:31Z","timestamp":1760113531000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-393X\/12\/11\/1243"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,31]]},"references-count":30,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,11]]}},"alternative-id":["vaccines12111243"],"URL":"https:\/\/doi.org\/10.3390\/vaccines12111243","relation":{},"ISSN":["2076-393X"],"issn-type":[{"value":"2076-393X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,31]]}}}