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CDC COMMUNITY GUIDE: Universally Recommended Vaccinations: Vaccination Programs in the Special Supplemental Nutrition Program for WIC Settings

CDC

An Evidence-Based Practice

Description

Vaccination interventions in Women, Infants, and Children (WIC) settings involve activities to assess the immunization status of infants and children participating in the program, and to promote and assist efforts to obtain recommended vaccinations. At a minimum, WIC vaccination interventions involve the periodic assessment of each client's immunization status and referral of underimmunized infants and children to a vaccination provider.

Additional WIC interventions include client reminder and recall systems or tracking and outreach efforts, and incentives to obtain recommended vaccinations (e.g., monthly voucher pickup, which requires more frequent WIC visits when clients are not up-to-date). Access can be enhanced through the provision of vaccinations in WIC settings, or through collocation and coordination of WIC programs with available healthcare services.

Results / Accomplishments

The Community Preventive Services Task Force recommends coordinated vaccination interventions in WIC settings based on strong evidence of effectiveness in increasing vaccination coverage in children. Evidence on effectiveness was considered strong based on studies in which assessment of client immunization status and referral to a vaccination provider was combined with additional interventions or with the provision of vaccinations on-site or in a collocated healthcare service. Studies included in this review combined assessment and referral with monthly voucher pickup requirements, tracking and outreach, client reminder and recall systems, or enhanced access to vaccination services.

-Vaccination rates: median increase of 10.5 percentage points.

About this Promising Practice

Primary Contact
The Community Guide
1600 Clifton Rd, NE
MS E69
Atlanta, GA 30329
(404) 498-6595
communityguide@cdc.gov
https://www.thecommunityguide.org/
Topics
Health / Immunizations & Infectious Diseases
Source
Community Guide Branch Epidemiology and Analysis Program Office, Centers for Disease Control and Prevention
Location
USA
For more details
http://www.thecommunityguide.org/vaccines/universa...
Target Audience
Children, Women, Families

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  3. Vaccination Programs: Immunization Information Systems
  4. Required Influenza Vaccination for Children in Licensed Child Care or Preschool Programs
  5. CDC COMMUNITY GUIDE: Universally Recommended Vaccinations: Home Visits to Increase Vaccination Rates
  6. Vaccination Programs: Community-Based Interventions Implemented in Combination

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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.