Community-Based Intervention
Public Health Planning
Community-Based Intervention Programs Improve Child Vaccination Rates
Improvements in the rates of childhood vaccinations has, until recently, depended largely on remind/recall strategies employed by provider- and community-based programs (reviewed by Findley, Sanchez, Mejia, Ferreira, Pena, Matos, et al. 2009; Szilagyi, Schaffer, Shone, Barth, Huminston, Sandler et al. 2002). Unfortunately, such programs have failed to erase the racial and economic disparities that leave communities of color more vulnerable to preventable infectious diseases. In an effort to improve the rates of up-to-date child vaccinations in these communities, a group of researchers and clinicians designed and implemented a community program that added tracking and outreach activities to already established programs promoting child vaccination (Northern Manhattan Start Right Coalition; Findley, Irigoyen, Sanchez, Guzman, Mejia, Sajous, et al., 2004). When compared to national averages for all racial groups (74.8%) the improvements were significant, increasing from 65 to 88% for children between the ages of 19 and 35 months during the two-year study period.
Rationale for Further Study
The above study (Findley et al., 2004) suggests focused intervention efforts may have a significant positive effect on vaccination rates for children living in communities of color. What this study failed to show is whether the improved vaccination rates were due specifically to the implemented tracking and outreach efforts, rather than some unknown factors that could have been impacting the community as a whole. In order to provide further...
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