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Related Experiment Videos

Vaccines for Children program, United States, 1997.

J M Santoli1, L E Rodewald, E F Maes

  • 1Immunization Services Division, National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. zmd4@cdc.gov

Pediatrics
|August 3, 1999
PubMed
Summary

Most preschool children receive immunizations from Vaccines for Children (VFC)-enrolled providers, often within a medical home. Pediatricians, especially those in public settings, are more likely to administer VFC vaccines, improving immunization status.

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Area of Science:

  • Public Health
  • Pediatrics
  • Health Services Research

Background:

  • The Vaccines for Children (VFC) program aims to improve childhood immunization rates by providing vaccines at no cost to eligible children.
  • Understanding the role of VFC-enrolled providers and the concept of a 'medical home' is crucial for optimizing immunization delivery.
  • Provider characteristics may influence vaccine accessibility and uptake among young children.

Purpose of the Study:

  • To determine the proportion of preschool children immunized by VFC-enrolled providers.
  • To assess if immunization providers serve as a medical home for primary care.
  • To examine the relationship between provider characteristics and immunization status.

Main Methods:

  • A two-phase national survey involving parent interviews and verified provider record checks.

Related Experiment Videos

  • Data collected from 21,522 children aged 19-35 months in 1997 across 78 survey areas.
  • Outcome measures included VFC penetration rate, vaccination within a medical home, number of providers, and 4:3:1:3 up-to-date status.

    • Main Results:

    • Approximately 75% of children received immunizations from VFC-enrolled providers and 73% within a medical home.
    • Vaccination by pediatricians and in public facilities was associated with higher VFC provider utilization.
    • While poverty was a factor, immunization coverage showed slight variation with VFC or medical home receipt; pediatrician-led care within a medical home significantly improved up-to-date status.

    Conclusions:

    • Increased VFC program participation among providers, particularly family and private physicians, can benefit more children.
    • Leveraging public-private collaboration within the VFC framework can support adherence to immunization practice standards.
    • Enhancing VFC provider engagement is key to maximizing immunization coverage and achieving public health goals.