Implementing Bundled HPV Immunization Approaches within an Outpatient Military Clinic

The human papillomavirus (HPV) is a common sexually transmitted infection and has affected almost 80 million Americans. Despite the availability of a well-studied, safe, and effective vaccine to prevent the HPV infection since 2006, the national HPV vaccination coverage is below 50% among adolescents. Due to a lack of immunization, many people have experienced HPV-related health problems, including genital warts and cancers. Studies also report that HPV vaccination rates continue to lag among United States military members. We reviewed the literature to understand further the impact that bundle interventions have on HPV vaccine uptake (next due dose 1, 2, or 3) in females. Research shows that multi-component interventions are more effective in improving HPV vaccination rates compared to single interventions or standard care without multi-component interventions. This DNP project tested an evidence-based bundle intervention within a military hospital-based outpatient clinic to improve HPV vaccination rates among females ages 11-26. The purpose of this evidence-based practice project is to increase HPV vaccine uptake and reduce missed opportunities (MO) among females ages 11-26 using a bundle intervention in a hospital-based outpatient obstetrics/gynecology clinic within a military treatment facility. The intervention was evaluated by comparing pre- and post-intervention data on HPV vaccine uptake and MO. In the pre-intervention period, the rates of MO and HPV vaccine uptake was 75.9% and 16.1%, respectively. However, the rates of MO decreased to 47.3% in the post-intervention period. Although the rates of MO declined, there was no improvement in HPV vaccine uptake.A five-year embargo was granted for this item