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Childhood immunization coverage by provider type.

Holly Groom1, Maureen Kolasa, Karen Wooten

  • 1Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30329,USA. hgroom@cdc.gov

Journal of Public Health Management and Practice : JPHMP
|November 7, 2007
PubMed
Summary
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Child immunization coverage increased across all provider types from 1996-2004. Private providers showed slightly higher coverage in 2004, highlighting the need for equitable public and private provider efforts to reach all children.

Area of Science:

  • Pediatric Health
  • Public Health Policy
  • Immunization Programs

Background:

  • Understanding disparities in child immunization coverage is crucial for public health.
  • The shift towards private healthcare providers may impact vaccination rates.
  • Assessing differences between public and private immunization services is essential.

Purpose of the Study:

  • To compare child characteristics and immunization coverage between public and private healthcare providers.
  • To analyze trends in provider utilization and their impact on vaccination rates.
  • To identify demographic factors associated with provider choice and coverage.

Main Methods:

  • Utilized National Immunization Survey data from 1996-2004 for children aged 19-35 months.
  • Compared coverage of the 4:3:1:3:3 vaccine series across private, public, and mixed provider types.

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  • Stratified analysis by child's race/ethnicity, residence, and income level.

    • Main Results:

    • The proportion of children using exclusively private providers increased from 58% to 61% (P < .05).
    • Overall immunization coverage increased for all provider types.
    • In 2004, private providers had higher coverage (83%) than public providers (79%; P < .05), with no significant demographic differences except for White children.

    Conclusions:

    • Both public and private providers are essential for increasing child immunization coverage.
    • Efforts to boost vaccination rates should equally target public and private sectors.
    • Ensuring equitable access and coverage across all demographic groups is paramount.