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Closing the Gap. Achieving coverage rate increases. Our destinations. How the itinerary was chosen. Grantees with greatest absolute % increase in coverage levels from 2001 to 2004 NIS were defined as “most improved” and received awards at NIC 2006

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slide1

Closing the Gap

Achieving coverage rate increases

how the itinerary was chosen
How the itinerary was chosen
  • Grantees with greatest absolute % increase in coverage levels from 2001 to 2004 NIS were defined as “most improved” and received awards at NIC 2006
  • Visited all 7 awardees between September and November 2006
study objectives
Study Objectives
  • Meet with key staff and external partners
  • Identify program characteristics and interventions that led to increased childhood immunization coverage levels
  • Find common themes and share information with all grantees
starting at the top
Starting at the top
  • Leadership is everything
  • Identify trusted immunization leaders to continually promote importance of vaccination:

– Political (governor, mayor, congress member, secretary of health, etc)

– Medical provider (AAP member, local respected private physician)

the importance of culture
The importance of “culture”
  • Know your community
  • Understand local attitudes and values

– Public health

– Medical practice

– Community

ah relationships
Ah, relationships…
  • Reach out and partner:

– WIC practices – Private practices

– AAP/AAFP – Hospitals

– MCOs – Universities

– Schools/daycares – Parent groups

– Media reps. – Pharm. reps

  • Build a coalition that extends access into your communities
slide10

Raising provider awareness

  • Evaluate your VFC and AFIX programs

– What is working? What could be better?

  • Use VFC and/or AFIX visits to develop relationships with private practices
  • Take all opportunities to educate
  • Be a resource, not a regulator
  • Be accessible and responsive
what s passion got to do with it
What’s passion got to do with it?
  • Devotion to the cause
  • Like who?

– Internal staff at all levels

– External partners: Coalition leaders, local practitioners, organizations, and service clubs (Kiwanis, Rotary)

  • You can’t teach passion, but you can find it in your community
maintaining visibility
Maintainingvisibility
  • Through……

– Good leadership

– Understanding your environment

– Strong partners/collaborators

– Raising awareness

– Using data

– Devoted staff and community members

challenges we all face
Challenges we all face
  • Could the immunization schedule be any more confusing?
  • Getting accurate records & timely entry of data
  • Access to provider offices (AFIX visits)
  • Exemptors
  • Immunization fatigue
  • Working with daycare providers
  • Reimbursement for providers
next steps 2007
Next steps (2007)
  • Visit programs with consistently high coverage levels

– Identify factors that make that possible

  • Visit program with lower coverage levels

– Understand their barriers and challenges