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Simple solutions to complex issues: minimizing disparities in childhood immunization rates by providing walk-in shot
Victoria Niederhauser1, Michael Walters, Robyn Ganeko
1School of Nursing & Dental Hygiene, Kalihi Palama Health Center, University of Hawaii, Honolulu, HI 96822, USA. niederha@hawaii.edu
Abstract:
The aims of this project were to minimize organizational barriers and increase access to immunizations for children aged 6 months to 21 years in a multiethnic community health center in Honolulu. The intervention consisted of opening a "walk-in" shot clinic (WISC), run by a nurse practitioner, 2 evenings per week and Saturdays. Between January and July 2005, 351 clients accessed the clinic, with 774 immunizations administered. Clinic satisfaction measures were excellent. Up-to-date immunization status for all clients improved significantly. The WISC is an effective and customer-friendly way to improve childhood and adolescent immunization rates in a community health center setting.
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