Overcoming Barriers to Immunization A Workshop Summary (1994) / Chapter Skim
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EXECUTIVE SUMMARY
EXECUTIVE SUMMARY
Pages 1-6
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In 1993, the President's Childhood Immunization Initiative substantially increased the visibility of expanded public and private efforts to improve immunization levels among preschool children. It also set 1996 instead of the year 2000 as the target date for achieving the Healthy People 2000 objective that 90 percent of 2-year-olds complete the basic immunization series against the major preventable childhood illnesses (USDHHS, 1991~.
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The committee's special concern is those issues that require the attention of statelevel decisionmakers, including government officials, public health officials, and leadership in the health professions. The report also addresses issues of importance to local government and public health officials, national leaders in government and the health professions, and public- and private-sector developers of health care reform plans.
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Immunization is one of the safest and most cost-effective means of preventing illness. Second, the environment for vaccine delivery is rapidly changing: the introduction of new and reformulated vaccines, federal purchase of vaccines for Medicaid-eligible and uninsured children beginning in October 1994, adoption of managed care plans by state Medicaid programs, and probable passage of health care reform legislation.
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To ensure that every child receives needed immunizations at appropriate times, state collaboration with local health departments, private providers, state and local chapters of professional organizations, community groups, and others is essential. States benefit from federal leadership provided by the National Vaccine Program Office and the CDC through channels such as the President's Childhood Immunization Initiative, funding for states' Immunization Action Plans, and the Standards for Pediatric Immunization Practices (CDC, 1993b)
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Individual providers, office and clinic staff, community groups, and public health officials should be able to deliver accurate and effective messages. To have a long-term impact, public information programs must be sustainable and sustained.
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CONCLUSIONS The nation needs an enhanced, broad-based collaboration between the public health system and private medical practice to meet the primary care needs, including immunization, of preschool children. Although some of what should be done is complex or costly, many simple steps can be taken, often without additional funding.
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