Assessment and feedback intervention, 42, 134–135, 139, 179

Association of Maternal and Child Health Programs, 51

Association of State and Territorial Health Officers, 51

Autism, 125–126

B

Belau, 27

Birth rate, 4, 19

Bush administration, 35–36

C

California, 83, 115, 147, 201

See also Los Angeles, San Diego

Capitated payments, 62, 63, 67, 83, 85, 147

Carryover of funds, 51, 180–183, 191 n.6, 192 n.14, 203

Carter administration, 35

Case studies, 51, 263–270

See also specific site

Centers for Disease Control and Prevention, 2, 5, 8, 26, 64, 79, 113, 119, 125, 168, 175

adult vaccination role, 6, 33, 193, 217, 220

control of disease outbreaks, 35– 36, 105–106

global polio eradication initiative, 183

grant administration, 27–28, 160– 161, 203, 208, 215

immunization project grants, 27– 28

immunization surveillance initiatives, 116, 117, 157, 184

incentive grants, 180, 210

infrastructure grants, 10, 90, 202

monitoring of disease reports by, 107

pockets-of-need strategy, 178–180, 192 nn.12–13

in projecting vaccine purchase needs, 14–15, 195, 223–224

provider definitions, 141 n.9

responsibilities, 91, 177

in Section 317 reauthorization, 214, 226

special population studies, 147

in state immunization programs, 6, 33, 160–161, 163, 165, 196, 216–217

state match requirements, 212–213

See also Section 317 program

Chicago, Illinois, 27, 30, 35, 67, 69

Child care centers, 133

Client-held medical records, 138

Clinical Assessment Software Application, 110, 113–114, 115, 157, 191 n.5

Clinics, public health, 8, 129–130

client trends, 166

educational intervention in, 137

historical role in immunization, 40, 142–143

immunization costs billed to client insurance carrier by, 94– 95

limitations on free vaccination in, 97–98

referrals from managed care settings to, 62–63, 129–130, 166–168

role of, 40–41, 62, 99–100, 166

Section 317 spending by local health departments, 153

Clinton administration, 35, 117

College student immunizations, 55, 106

Community Health Network, 113

Community/Migrant Health Centers grants, 196

Congressional action, 176–177

recommendations for, 2, 195, 224, 225–226

Connecticut, 201

Cost of vaccine delivery components, 21–24, 41, 42, 71, 100 n.1

Front Matter (R1-R20)

Executive Summary (1-17)

Introduction (18-53)

Change and Complexity in the National Immunization System (54-70)

Financing Vaccine Purchase and Delivery (71-102)

Building, Monitoring, and Sustaining Immunization Capacity (103-141)

Immunization Finance Policies and Practices (142-192)

Summary Findings, Conclusions, and Recommendations (193-227)

References (228-242)

Appendix A: Public Health Services Act, Section 317 (243-249)

Appendix B: Immunization Time-Line (250-252)

Appendix C: List of Contributors (253-260)

Appendix D: Overview of State Survey (261-262)

Appendix E: Overview of Case Studies and Site Visits (263-270)

Appendix F: Annual Section 317 Awards to States (271-281)

Appendix G: State Immunization Requirements for School Children (282-286)

Appendix H: Committee and Staff Biographies (287-294)

Index (295-308)