Sharing of Resources



I have been looking at the Advocacy policies on zero to three as well as physical health and Text4baby




Policy & Advocacy

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Learn how you can take action to support critical connection for babies and toddlers. Explore our work in Federal PolicyState and Local Policy, and participate in our Advocacy efforts. Also check out our latest Infant-Toddler Policy Perspectives!


Physical Health

Physical health is the foundation that allows young children to learn, grow and master new skills and abilities. Find more information about supporting children’s health and wellness from birth to age three.

PROFESSIONAL RESOURCE

Text4baby as a Surveillance Tool for Influenza Vaccination

 Download Files  Aug 3, 2016
Text4baby collects data on reported influenza vaccination among pregnant women and new mothers to monitor national and state specific influenza vaccination coverage.


The influenza (flu) vaccine has been shown to protect pregnant women and their infants from flu and flu-related complications that can cause severe illness and adverse pregnancy outcomes. Although flu vaccine coverage among pregnant women has slowly increased over the past 5 years—from 44% during the 2010–2011 flu season to 50% during the 2014–2015 flu season, according to an annual Centers for Disease Control and Prevention (CDC) surveyoffsite link—coverage is still not approaching the population level.
Maternal flu vaccination was identified as a critical issue to target at the inception of Text4babyStarting with the 2011–2012 flu season, Text4baby has collected data via text surveys on reported receipt of the flu shot, barriers to getting the flu shot, and requests for text-based flu shot reminders. Text4baby holds promise as a surveillance tool given its ability to collect timely data, reach (as of July 2016, more than 480,000 participants are enrolled), and diverse participant population. Figures 1 and 2 below show national and state-specific flu vaccine coverage for pregnant Text4baby participants. View a timeline of the evolution of Text4baby flu messaging.

Monitoring National Flu Vaccine Coverage Among Pregnant Women

Text4baby flu vaccine surveys are modeled on the annual CDC internet panel surveys of pregnant women and influenza vaccination with regard to both content and timing. The surveys assess vaccine coverage among pregnant women during both the early [November] and late [April] flu season. Figure 1 shows how flu vaccine coverage of pregnant Text4baby participants compares with national coverage rates reported by the CDC.
External validity of Text4baby flu vaccine coverage for pregnant women is supported by the similarity between Text4baby and CDC rates
External validity of Text4baby flu vaccine coverage for pregnant women is supported by the similarity between Text4baby and CDC rates. Consistency in Text4baby vaccine coverage across years suggests good internal reliability.

Monitoring State-Specific Vaccine Coverage Among Pregnant Women

CDC’s Pregnancy Risk Assessment Monitoring System (PRAMS), an ongoing survey on maternal attitudes and experience around pregnancy, has in the past collected data on flu vaccination, however the most recent available data is for 29 states and New York City from the 2009–2010 influenza season. State-specific flu vaccination coverage for pregnant Text4baby participants for the 2014–2015 flu season are presented in Figure 2 below.
Variation in state-specific flu vaccination coverage for pregnant women was mostly consistent with trends observed in 2009–2010 among Pregnancy Risk Assessment Monitoring System (PRAMS) participating states.
Variation in state-specific flu vaccination coverage for pregnant women was mostly consistent with trends observed in 2009–2010 among PRAMS participating states.


Conclusion

Both national and state-level vaccine coverage rates for pregnant Text4baby participants have shown consistency with more complex and rigorous surveillance efforts of pregnant women. The extensive reach of Text4baby and its ability to collect real-time data position it as a unique tool for broad and timely monitoring and surveillance. These findings demonstrate how Text4baby can be used as a surveillance tool and support opportunities for targeted national and state-specific public health programming.
Learn More About Text4baby
Text4baby is the largest mobile health initiative in the nation and uses the power of cell phone technology to share important health and safety information with expectant women and new mothers.
LEARN MORE

Authors

  • Jessica Bushar, MPH, ZERO TO THREE: National Center for Infants, Toddlers, and Families, Washington, DC
  • Danielle Garfinkel, MSPH, ZERO TO THREE: National Center for Infants, Toddlers, and Families, Washington, DC
  • Juliette Kendrick, MD, Consultant, Decatur, GA
  • Caroline Anderson, MSPH, Voxiva, Arlington, VA
  • Pamela Johnson, PhD, Voxiva, Arlington, VA


Acknowledgements
The authors would like to acknowledge and thank Lalida Thaweethai, former Senior Product Manager for Voxiva, and Amy Pirretti, Text4baby Director for ZERO TO THREE, for their leadership in developing and implementing the Text4baby flu module. Text4baby would also like to thank RiteAid for providing Text4baby participants with coupons for free flu shots in 2013–2014 and 2014–2015, as well as all partners and supporters for their efforts to share Text4baby with pregnant women and mothers across the country.


Walden University M.S. in Early Childhood Studies
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