Table 4.

Theme 3- Areas for improvements as perceived by the providers

Sub-theme	Example Quotes
Expanding postpartum education	“They are overwhelmed with just having a baby…They’ll say, “I know they gave it to me after I had the baby, but what is it for again?”…You have to re-educate them a lot of times…It’s our job to give them as much information on it as they need.” (RN, Pediatrics) “I actually don’t know that the patients ever get a postpartum packet… But I don’t recall ever seeing a nice packet about the stuff that they could get that’s preventative. That could be given at that time.” (MD, OB/GYN) “Teach back all, ‘Do you know what this is for? Can you tell me?’ I could see if they have any knowledge about it and if they have any other questions, I’ll try to answer their questions to the best of my ability or get the appropriate resources for them.” (RN, OB/GYN)
Continuing provider education	“I promise you my residents don’t remember half of the data that she told them… They would be lucky to know one quarter of the stuff she told them. So this is part of the education process and have to be repeated over and over throughout the providers.” (MD, OB/GYN) “Do the face-to-face, let us know ‘Hey, what you’re doing is really making a difference.’ This is the improvements we made. I mean, I have no data; I have no clue.” (RN, Pediatrics)
Increasing community awareness	“Maybe do like a community education. I don’t know what you guys do regarding reaching the masses, but we serve a really big population. And we have a lot of clinics in Southeast Texas, and I’m not sure how much they’re advocating this vaccine and the completion of the series and targeting the right age groups.” (MD, Resident, OB/GYN) “Your physicians could branch out into the community. And make it public. I think, you know, it would be that visiting churches, be that lecturing to large groups of people. I think that would be an advantage.” (MD, Pediatrics)
Improving care coordination	“We have that big gap between the clinics and the hospital setting. We have no contact with them…. Did they get received or not and we go from there. But we don’t have much connection there.” (NP, OB/GYN) “Compliancy for follow-up. Because when I get the report, most of them will receive them here. Then the numbers drop off for the second and third doses.” (RN, OB/GYN) “And part of the problem is the subsequent follow-up is provided by different providers involved. And they may not be, they should know, not as educated as the initial recruitment of people.” (MD, OB/GYN)