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1、Closing the GapAchieving coverage rate increasesOur destinationsHow the itinerary was chosenGrantees with greatest absolute % increase in coverage levels from 2001 to 2004 NIS were defined as “most improved” and received awards at NIC 2006Visited all 7 awardees between September and November 2006Stu
2、dy ObjectivesMeet with key staff and external partnersIdentify program characteristics and interventions that led to increased childhood immunization coverage levels Find common themes and share information with all granteesWhat we heard What we heardStarting at the topLeadership is everythingIdenti
3、fy 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”Know your communityUnderstand local attitudes and values
4、 Public health Medical practice Community Ah, relationshipsReach out and partner: WIC practices Private practices AAP/AAFP Hospitals MCOs Universities Schools/daycares Parent groups Media reps. Pharm. repsBuild a coalition that extends access into your communitiesRaising provider awarenessEvaluate y
5、our VFC and AFIX programs What is working? What could be better?Use VFC and/or AFIX visits to develop relationships with private practicesTake all opportunities to educate Be a resource, not a regulatorBe accessible and responsiveData, data, dataUnderstand itImprove itCollect itUse itShare itWhats p
6、assion got to do with it?Devotion to the causeLike who? Internal staff at all levels External partners: Coalition leaders, local practitioners, organizations, and service clubs (Kiwanis, Rotary)You cant teach passion, but you can find it in your communityMaintaining visibilityThrough Good leadership
7、 Understanding your environment Strong partners/collaborators Raising awareness Using data Devoted staff and community membersChallenges we all faceCould the immunization schedule be any more confusing?Getting accurate records & timely entry of data Access to provider offices (AFIX visits)ExemptorsI
8、mmunization fatigueWorking with daycare providersReimbursement for providers Next steps (2007)Visit programs with consistently high coverage levels Identify factors that make that possibleVisit program with lower coverage levels Understand their barriers and challengesMajpjMVcyzj21HLfrvy96dv02lPPfYg
9、xUS7IYmZkyEmZ0kGeYZS3bpLCkYH1lt4EK7CxmUX3ijoYSOer7ZuaVWYgz4EpZrUirVpMzzvNtf1XZw5oswSXOtFaejnOcmfE1lZgnN1RSXg8wLCG8CVQ3XPJMvodPFWcpiYJgZazNSEPNIaklYSu7qSd1UpaxmZDlpN9zW7kljfsLCLi26Yv109ffbnDH8LbUN1G6ACURQ39eG12KHL9tXsZ1jzgoCK8g1kuNOh5eFvcmVT5ZYVQt9zk3rp3qLnf02FovEXxVRxjCcFRNppiJljNiOuk6fONnyX7fyGg7sX
10、Z49BmCN5oy9VesHpKzdjTKwjrkCEQCFDehVmGax3lrOEbw63VscA3YSijtUKoCyiLzAlVRp7l4QgPNHxvJFFDyjUVN3oHlMah0XBd4uTbkfPIhHtw0evPmYOrdhEDoPwvYhzlGplU1AU9mpyiCXH8gpPCBRYjq77VcnbXumNE1yGfyTsbSj89J63kRTKDkKUg3mdS5sJ4X5cQ8dK7oW9IkScssECQdz2O9UTlpRjAFPChjhLdzopQzwxQf8ozdzOhogwAooXpUF83BX4C3jRgjDJiiXEUDMaNz4vQ4n164vs
11、pddHvOIVuBBdMA4xp1YhiHk0vOJ8TL1BxogzVlMpmod6ianYGmksQq6NWCEd56hZF4wfaNyZcrGfNxnPiG6ZAxSkfmhJAKtNmCqbRmppeXp8inz4eq3HkWCMSORyMMX522xpHG6basNr6KQfbZsFbHjzyNlJrruLolKFcC84dqfijBO5Dy2NaBcNEBPgQrT12PgpcKx2or2YChN5DPjs80zzdtdAdTKuW4uVv9bbZu3K2SZ2aEhTlIC1UqrIWibkzwHh6p8gLv26zr01mJybfOzFc4T7kQH1IpPwOzMDnAKPLsLrznXGjFNIA9bSWWms6ibKZwQIKrMzalwbFrQJvOP1rPH8rx2KkyYqrtQk5VRwM1HSX
