Increase Childhood Immunizations

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MaineHealth continues to collaborate with organizations to implement clinical, community, and policy strategies to increase on-time childhood immunization rates in Maine.

Maine's 2015 estimated up-to-date rate among all 19-35 month olds is 72%

 

Up-to-Date on 7 Immunizations

Results of the 2015 National Immunization Survey (NIS) released by the U.S. Centers for Disease Control and Prevention indicate that an estimated 71.8% (95% CI ±5.0) of Maine’s children aged 19-35 months were up-to-date on a combined series of seven vaccines* compared to the national average of 72.2%.  The 2015 rate represents a significant decrease from the 2014 estimated rate of 85%, however the 2015 rate is not statistically different from the majority of states.   Only 1 State (Texas) had a statistically significant increase in their Up-to-Date rate of 7 vaccines from 2014 to 2015.  

Both the Maine and U.S. estimates were below the HealthyPeople 2020 target of 80% and the MaineHealth goal rate of 85%.  

 

Individual Vaccines

DTap - (Diphtheria, tetanus, acellular pertussis) The estimated rate for DTap coverage of 92% is the highest in the U.S. and above the HealthyPeople 2020 goal of 90% and statistically above that of 5 other states.  

Polio - The estimated Polio vaccine rate in Maine is 95%, slightly above the U.S. estimate as well as the Healthy People 2020 target of 90%.  There is much consistency in the Polio vaccine rate across the United States with only 2 states statistically above the U.S. estimate and none below.  

MMR - (Measles, Mumps and Rubella) vaccine rates are also very consistent across the U.S. with only 2 states statistically above the U.S. average and only 1 below.  The Maine estimate of 96% and U.S. estimate of 92% are both above the Healthy People 2020 goal of 90%.  

HepB - (Hepatitis B) The Maine vaccine rate estimate for HepB ≥3 doses was 89%, only slightly below the HP2020 target of 90%.  The majority of U.S. states have an estimated immunization rate for HepB that is above the target.  

Varicella - The estimated immunization rate of 93.8% is very similar to the 2014 estimate of 94.5%.  The varicella estimate is above the Healthy People target of 90% in Maine and in the U.S. overall.  Only 1 state has an estimate statistically below and 3 above the U.S. estimate.

PCV - (Pneumococcal conjugate vaccine) - The estimate of PCV vaccine coverage in Maine is 85%, slightly above the overall U.S. estimate of 84%.  Both the US and Maine rate estimates are below the Healthy People 202 target of 90%.  

 

Teens

Teen Human Papiloma Virus (HPV) immunization rates for females receiving ≥doses in Maine remained virtually unchanged from 2014 to 2015 (44%) however the rate for males ≥3 doses HPV rose from 28% to 47%, a statistically significant increase.  This increase of almost 20 points was the second largest of all U.S. states. 

 

*series of 7 vaccines include ≥4 DTaP, ≥3 IPV, ≥1 MMR, full HIB series, ≥ 3 HepB, ≥ 1 VAR, ≥ 4 PCV

 

If you would like more information about MaineHealth’s Childhood Immunization Program, please contact Caroline Zimmerman, Program Manager at MaineHealth or visit Vax Maine Kids.    

 

Indicators

Clinical Strategies

  • Provide training, assessments, feedback and incentives for providers.
  • Expand use of provider reminders and standing orders.
  • Expand access to vaccination services, data and combination vaccines.
  • Provide vaccine education during prenatal visits.
  • Expand use of 2-way communication between Electronic Health Records (EHRs) and ImmPact.
  • Expand the ease and use of ImmPact across all sites.
  • Maintain provider reimbursement.
  • Implement patient reminder and recall systems and system-based enhancements.

Community Strategies

  • Engage and educate vaccine-hesitant families.
  • Implement evidence-based interventions that focus on:
    • Increasing community demand for vaccines.
    • Enhancing access to vaccination services.
  • Improve community engagement in interventions.

Policy Strategies

  • Advocate for and implement policies that expand access, improve monitoring, enhance requirements and increase vaccination rates.
  • Improve regional surveillance efforts.
  • Logic Model: Increase Childhood Immunizations
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    Logic Model – A roadmap or diagram showing chain results connecting activities to the expected initial outputs, and intermediate and final outcomes.  It provides a basis for developing the performance measurement and evaluation strategies 

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  • 2016 America's Health Rankings Report
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  • America's Health Rankings
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    America's Health Rankings compares the health of all 50 states to each other.  This ranking tool is used as a benchmark for MaineHealth's Health Index.

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  • Community Commons
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    Community Commons can help with your Community Health Needs Assessment

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  • Community Health Needs Assessment (CHNA)
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  • County Health Rankings - Visit Website
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    Look up your county's rankings, learn about our methods, and download the data you need. This ranking tool is used as a benchmark for MaineHealth's Health Index.

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  • Healthy People 2020 Objectives
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  • Logic Model: Increase Childhood Immunizations
    More...

    Logic Model – A roadmap or diagram showing chain results connecting activities to the expected initial outputs, and intermediate and final outcomes.  It provides a basis for developing the performance measurement and evaluation strategies 

    Download
  • Maine Department of Health and Human Services
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    Maine DHHS provides integrated health and human services to the people of Maine to assist individuals in meeting their needs, while respecting the rights and preferences of the individual and family, within available resources.

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  • MaineHealth Health Index Report - 2013
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