Vaccines for Children: Barriers to Immunization : Statement of Kwai-Cheung Chan, Director for Program Evaluation in Physical Systems Areas, Program Evaluation and Methodology Division, Before the Committee on Finance, United States Senate

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The Office, 1995 - 5 pages

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Page 1 - By providing free vaccines, VFC was intended to remove vaccine cost as a barrier to childhood immunization. VFC is a part of the Childhood Immunization Initiative (CII), the goal of which is to raise immunization rates for 2-year-old children to 90 percent for most antigens. By law, VFC is to provide the states with vaccines. The schedule established by the Public Health Service's Advisory Committee on Immunization Practices includes vaccines for measles, mumps, rubella, diphtheria, polio, tetanus,...
Page 2 - The literature does identify many barriers, including parents' lack of awareness of their children's vaccination schedule, inadequate resources (for example, insufficient clinic staff, insufficient or inconvenient clinic hours, and inaccessible clinic locations), clinic policies that deter vaccination by requiring appointments or refusing to see walk-in patients, and various factors that cause providers to miss opportunities to immunize children at regular visits. We found that although a variety...
Page 3 - ... occurred at approximately 25 to 30 percent of preventive visits but at more than 75 percent of sick-child visits and that a health care provider was more likely not to vaccinate a child during a sick-child visit.2 Table 1 shows immunization levels observed among children 24 months old in each of CDC's four diagnostic studies and potential levels that the investigators believed could be achieved by eliminating missed opportunities. Table 1: Percentage of Actual and Potential Vaccination Coverage...
Page 2 - s diagnostic studies indicate that most under immunized children have access to free vaccine through Medicaid or public health clinics (that is, through private or public providers) and that they had visited their providers an average of six to eight times during a given year. During these visits, these children could have received their scheduled immunizations, but providers failed to vaccinate them. These occasions are commonly known as "missed opportunities.
Page 2 - These primarily include provider and clinic-related factors and policies, such as failure to use simultaneous vaccinations or accelerated immunization schedules for children who are behind schedule, lack of access to records of a child's immunization status, and lack of organizational support.
Page 1 - ... entitlement program to provide free vaccine to children 18 and younger who are eligible for Medicaid, Native American or Alaskan natives, uninsured, or underinsured (that is, whose insurance does not cover childhood vaccinations) . The administration had stipulated that an increase in the cost of...
Page 1 - It is a pleasure to be here to share with you the preliminary results of our ongoing work on the Vaccine For Children (VFC) program.
Page 3 - MMR = meas les -mumps rubella vaccine. Source: Morbidity and Mortality Weekly Report. 43:39 (October 7, 1994), 711.

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