School/District Administrators
Healthcare providers and schools can form new partnerships to support healthcare for the school community, explicitly providing immunizations and well-child visits to students. Successful youth immunization and well-child visit efforts at schools require culturally appropriate collaboration, communication, and the development of trust between the organizations and key stakeholders (children and adolescents, caregivers/guardians, and school staff). Setting clear expectations, roles, and responsibilities is key to the success and delivery of healthcare services and will create fewer challenges.
A critical initial step in planning successful immunizations and well-child visit access is forming quality partnerships. Public health departments have traditionally led school-based immunization efforts. Still, other public or private organizations, including pharmacies, local pediatrician offices, federally qualified health centers, community health centers, hospitals, or universities, could alternatively serve as the healthcare provider for immunization and well-child visits support. In soliciting the support and partnership of schools and school districts, outreach to superintendents should occur as a first step. It is essential to communicate with and gain the support of school principals and other school leaders to facilitate program implementation, increase student participation, and lead to more successful school-based immunization and well-child visit clinics.
Establishing partnerships can be helpful for immunization-related activities. Schools may consider partnering with local immunization or preventive healthcare-related activities in the community. Partners may include local health departments, municipal governments, healthcare providers, businesses, churches, sports teams, community-based organizations, unions, and media companies. Consider reaching out for assistance if you are not already working with your local health department, federally qualified health centers, large pediatric practices, pharmacists, or other medical, health, or academic institutions.
How schools can work with community health partners:
- Host a school-based immunization clinic and well-child screening clinic.
- Invite a health expert to sit on the school district’s community advisory board to inform members on health issues, including immunizations and the importance of preventive well-child healthcare visits.
- Connect families to experts who can answer questions about immunizations. For example, host a virtual town hall where caregivers can ask local pediatricians questions.
- Inform caregivers through a school’s communication channels about the dates and places of immunization events or ongoing clinics. Send out electronic sign-up links for caregivers to register their child or themselves for an immunization appointment.
- Work with local health departments to help educate teachers and school staff on how to dispel immunization myths and misinformation.
- Find nursing assistance to support schools with limited access to nurses.
Resources
MOUs/Role Definition
- Considerations for Developing MOUs
- Hannibal Sample MOU
- Sample MOU 2
- MOSBHA MOU Webinar 2.27.2020
- MOU with School Nurse
Data Sharing
Outreach and Engagement Strategies with Healthcare Providers
Collaborating with schools on communications regarding immunization and well-child visit efforts is essential. The school is often a trusted resource, particularly for the most vulnerable families. Joint school-based healthcare events can increase child, adolescent, and caregivers’/guardians’ comfort levels and trust. Schools and school districts communicate with their entire communities daily. Their broad reach will significantly enhance your health center’s recruitment efforts.
Social Media: If social media is a tool the community uses to communicate about school events, consider creating a calendar for social media posting. Ideas for posting can include:
- Reposting from trusted sources like the CDC or AAP
- Reposting from local media stories related to immunization or influenza
- Posts related to school events (Back to School Night, Health Fairs, etc.)
- Reminders about deadlines for turning in consents
- Daily/weekly announcements of schools scheduled that day/week
Find several customizable templates for communication for schools and healthcare providers, including letters, email templates, and staff communications, regarding school-based immunization and well-child visit events. All communications should be translated and available in various languages, as locally appropriate.
School-based health and immunization/well-child visit clinic organizers shall consider developing materials and information that describe the services and explain to caregivers and the community:
- What immunization(s) or healthcare services will you offer?
- Why do you recommend these immunization(s) or health care service(s)?
- When will you offer these immunization(s) or healthcare services?
- How can parents register and provide consent for their youth to receive these immunizations and services?
- Why are students being offered immunizations or well-child visits at the school?
- Is it mandatory/required that students receive immunizations?
- What if a student has a reaction to the immunization or medical procedure at school?
- What if the immunization makes my child feel sick and they miss school? Will their absence be excused?
- What are common reactions after immunization (e.g., painful injection site)?
- When should a parent or student seek medical advice, and who should they contact?
- Where can parents or students find consent forms and pre-immunization checklists for immunization contraindications and precautions?
- Who can parents or students contact if they have questions or concerns?
School-located immunization (SLV) clinics can provide a familiar and convenient location for eligible teachers, students, and even families to get vaccinated while also potentially serving other eligible groups in the surrounding community.
- Schools with school-based clinics may offer immunization throughout the school day. SLVs can also be run during the summer months when schools are closed or as part of broader back-to-school efforts with the proper planning and communication.
- SLV clinics are also an effective means to determine if the youth needs their annual well-child visit or additional routine healthcare screenings (dental, vision, etc.).
- School-Located Vaccine Clinics: The Next School Nursing Priority (nasn.org) offers resources specific to school nurse implementation of SLVs, including position statements, best practices regarding hosting SLVs, and a school nurse planning checklist.
- Regarding specific information to pull out regarding the role of the school nurse in coordinating SLVs, a few resources:
For high-level look at what SLVs look like – here are some resources to consider:
- See FAQ for School Leaders: Successful Strategies for Vaccination in School Settings: COVID-19 Vaccination for Children under 12. How schools can prepare to be vaccination sites. While specific to COVID – the flow chart consistent and could probably be adapted for all immunization.
Resources
PR/Marketing – Social Media Strategies and Messaging Templates
- HCP-template-email-letter-to-patients
- HCP-template-email-letter-to-patients
- HCP-template-text-messages-to-patients
- HCP-template-text-messages-to-patients
- HL_Social Media Webinar Resources_1.6.22
- HL_Social Media Webinar Resources_1.6.22
- SLIP Toolkit School Banner
- SLIV Toolkit A-Frame Sign
- SLIV Toolkit Billboard English
- SLIV Toolkit Letter to Providers
- SLIV Toolkit Newsletter Blurbs
- SLIV Toolkit Poster
- SLIV Toolkit Print Ad English
- SLIV Toolkit Print Ad Spanish
- SLIV Toolkit Robo Call Scripts
- SLIV Toolkit School Flyer
- SLIV Toolkit School Leadership Communication to School Staff
- SLIV_Presentation_TEMPLATE
Youth/Family Engagement Resources
- SLIV Toolkit School Leadership Communication to Parents & Guardians
- AIM Vaccine Confidence Guide Chapter 2
- AIM Vaccine Confidence Guide Chapter 1
- IMMs Well Visits Flyer
- Making the Immunization Decision
- School Vaccination Strategies Final
- SLIV Toolkit Parent-Guardian Notification Form
- Vaccine Confidence Guide Chapter 3
- WVP FAQs for Parents Two-Pager
- WVP Parent Flyer
Resources
- SLIV Toolkit Teacher Instructions
- On-Site Toolkit_08.03.21
- School Vaccination Under 12 Final
- SLIV Tookit School Staff Survey
- SLIV Toolkit Discussion Points for Planning with Local School Districts
- SLIV Toolkit General Staff Survey
- SLIV Toolkit Implementation Checklist
- SLIV Toolkit Parent-Guardian Survey
- SLIV Toolkit Sample Letter of Agreement
- SLIV Toolkit School Leadership Communication to Parents & Guardians
- SLIV Toolkit School Leadership Communication to School Staff
- SLIV ToolKit School Staff Instructions
- SLIV Toolkit Student Identification Protocol