Characterization of Heterogeneity in Childhood Immunization Coverage in Central Florida Using Immunization Registry Data

Risk Analysis ◽  
2015 ◽  
Vol 36 (7) ◽  
pp. 1418-1426 ◽  
Author(s):  
Kimberly M. Thompson ◽  
Grace E. Logan ◽  
2010 ◽  
Vol 2010 ◽  
pp. 1-10 ◽  
Author(s):  
Steve G. Robison ◽  
Samantha K. Kurosky ◽  
Collette M. Young ◽  
Charles A. Gallia ◽  
Susan A. Arbor

A challenge facing immunization registries is developing measures of childhood immunization coverage that contain more information for setting policy than present vaccine series up-to-date (UTD) rates. This study combined milestone analysis with provider encounter data to determine when children either do not receive indicated immunizations during medical encounters or fail to visit providers. Milestone analysis measures immunization status at key times between birth and age 2, when recommended immunizations first become late. The immunization status of a large population of children in the Oregon ALERT immunization registry and in the Oregon Health Plan was tracked across milestone ages. Findings indicate that the majority of children went back and forth with regard to having complete age-appropriate immunizations over time. We also found that immunization UTD rates when used alone are biased towards relating non-UTD status to a lack of visits to providers, instead of to provider visits on which recommended immunizations are not given.


2006 ◽  
Vol 22 (1) ◽  
pp. 77-92 ◽  
Author(s):  
Brian K. Collins ◽  
Helen E. Morrow ◽  
Jennifer M. Ramirez ◽  
Clarke E. Cochran ◽  
David R. Smith

2021 ◽  
Author(s):  
Sarah Cunard Chaney ◽  
Patricia Mechael ◽  
Nay Myo Thu ◽  
Mamadou S Diallo ◽  
Carine Gachen

UNSTRUCTURED The effective use of geospatial data and technologies to collect, manage, analyze, model and visualize geographic data has great potential to improve data driven decision-making for immunization programs. This article presents A Theory of Change for the use of geospatial technologies for immunization programming, a framework to illustrate the ways that geospatial data and technologies can contribute to improved immunization outcomes and have a positive impact on childhood immunization coverage rates in low- and middle-income countries. The Theory of Change is the result of a review of the state of the evidence and literature, consultation with implementers, donors, immunization and geospatial technology experts and a review of country implementation experiences. The framework illustrates how the effective use of geospatial data and technologies can help immunization programs realize improvements in the number of children immunized by producing reliable estimates of target populations, identifying chronically missed settlements and locations with the highest number of zero-dose and under-immunized children and guiding immunization managers with solutions to optimize resource distribution and location of health services. Through these direct effects on service delivery, geospatial data and technologies can contribute to overall health system strengthening with equity in immunization coverage. The Theory of Change presented here may serve as a guide for country program managers, implementers, donors and other stakeholders to better understand how geospatial tools can support immunization programs and facilitate integrated service planning and equitable delivery through the unifying role of geography and geospatial data.


2020 ◽  
Vol 17 ◽  
Author(s):  
Natoshia M. Askelson ◽  
Seungwon Kim ◽  
Youn Soo Jung ◽  
Emily E. Adam ◽  
Grace Ryan ◽  
...  

2002 ◽  
Vol 11 (1) ◽  
pp. 1-17 ◽  
Author(s):  
Ming Chen ◽  
Samira H. Daroub ◽  
Lena Q. Ma ◽  
Willie G. Harris ◽  
Xinde Cao

Sign in / Sign up

Export Citation Format

Share Document