文档介绍：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
Visited all 7 awardees between September and November 2006
Study Objectives
Meet with key staff and external partners
Identify program characteristics and interventions that led to increased childhood immunization coverage levels
mon themes and share information with all grantees
What we heard…
Starting at the top
Leadership is everything
Identify trusted immunization leaders to continually promote importance of ination:
– Political (governor, mayor, congress member, secretary of health, etc)
– Medical provider (AAP member, local respected private physician)
The importance of “culture”
Know munity
Understand local attitudes and values
– Public health
– Medical practice
– Community
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 munities
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