Year of Publication



Public Health

Date Available


Degree Name

Master of Public Health (M.P.H.)

Committee Chair

Robin Vanderpool, DrPH, CHES

Committee Member

Corrine Williams, ScD, MS

Committee Member

Richard Crosby, PhD


The Graves County Health Department (GCHD) proposes implementation of a multi-level approach to increase Human Papillomavirus (HPV) vaccination rates in Graves County, KY. The approach utilizes multiple evidence-based strategies, including Assessment, Feedback, Incentive, Exchange (AFIX), Vaccines for Children (VFC), Kentucky Immunization Registry (KIR), Comprehensive Clinic Assessment Application (CoCASA), and vaccines per protocol. This proposed project utilizes family medicine and pediatric clinics, pharmacies, and school nurses to deliver the intervention to the target population, which includes 11-12-year-old adolescents residing in Graves County. The objectives of this HPV vaccination-focused intervention align with Healthy People 2020 goals and objectives, the 2012-2013 President’s Cancer Panel report, and the overall mission of GCHD. Implementation of this program will be guided by a local community advisory group (CAG) consisting of physicians, pharmacists, nurses, parents, and religious leaders. The direct, short term goals of this program include increasing countylevel HPV vaccination rates. The indirect, long term impact for this program includes sustained collaboration among health care providers, greater public acceptance of the HPV vaccine, greater public acceptance of vaccine administration at pharmacies, and more efficient use of health care resources. Evaluation of the program is integrated into the work plan and results will be disseminated via multiple lay and scientific outlets.

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