THE PRESIDENT'S CHILDHOOD IMMUNIZATION INITIATIVE

The Initiative's goals include establishing an effective and sustainable vaccination-delivery system and achieving up-to-date immunization for 90 percent of 2-year-olds by 1996.

Specific activities include:

  • enhancing the availability of immunization at the community level by increasing funding for Immunization Action Plans and encouraging the development of state immunization information systems

  • stimulating greater awareness of the importance of immunization through a nationwide health promotion campaign aimed at providers and the public

  • reducing cost barriers through the Vaccines for Children Program, under which the federal government will purchase vaccines for Medicaid-eligible and uninsured children

  • improving disease surveillance and measurement of immunization coverage at the national, state, and local levels and by individual providers

  • coordinating immunization activities among federal departments and agencies and promoting partnerships with private providers and organizations

  • encouraging the development of safer and more effective vaccines, including combination products that can reduce the number of separate vaccine doses required

SOURCE: CDC (1994b).

communicating with a large audience of public and private health care providers. Endorsement of the standards by professional organizations signals their willingness to collaborate with CDC in promoting the standards. It also involves CDC with providers outside of state and local public health departments.

FEDERAL AND STATE COLLABORATION

States have specific responsibilities for and operational resources to apply to the immunization of children, but the committee feels that they may benefit from better federal guidance. The President 's Childhood Immunization Initiative has given immunization greater prominence in federal health planning, and it will be important to ensure that activities already in operation are consistent with



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