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Evaluating Immunization Programs: A Study on AFIX Implementation with VFC Clinics

This study assesses how grant money for AFIX programs in VFC clinics is utilized, analyzing spending and FTE data through regression models to propose stronger implementation standards. The findings highlight discrepancies in fund allocation and productivity across grantees.

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Evaluating Immunization Programs: A Study on AFIX Implementation with VFC Clinics

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  1. Resource Use Completing Practice-Based Assessments Margaret S. Coleman PhD Economist Co-authors: Noelle-Angelique Molinari PhD Shannon Stokley MPH Mark Messonnier PhD Hussain Yusuf MBBS

  2. Introduction • 1994 Vaccines for Children (VFC) • 1995 Congress recommended clinic-based immunization assessments • CDC adapted Assessment, Feedback, Information, and eXchange of Information programs (AFIX) • VFC participating medical clinics

  3. What is AFIX? • Health department personnel make site visits: • review clinic records • determine vaccination rates • make recommendations to improve immunization practices & assist in their implementation • 3 types of provider site visits: AFIX-only, VFC-only, combined VFC/AFIX • Both public and private clinics

  4. AFIX: Not Just One Program • AFIX effective at increasing vaccination rates • Programs interpreted AFIX differently • In 2000 and 2001 $29,568,543 awarded but expenditures are not uniform • It’s what you get for the monies…

  5. Objective • Evaluate how immunization programs (grantees) use grant monies for administering AFIX programs in VFC participating clinics

  6. Data and Methods • 2000 and 2001 VFC grant details • FTEs, federal, state, local & private $ • Grantee self-report assessment completion forms • Program spending measured • Poisson regression model estimated using maximum likelihood • Dependent variable AFIX completions

  7. Results Numbers rounded

  8. Results, continued Numbers rounded

  9. Conclusions • Grantee details told partial story • No explanation for wide spread in spending or FTE productivity • Develop stronger standards for program implementation • Develop more uniform grant award guidelines

  10. Future • Program managers’ survey • 4 years of program spending & FTE data waiting to be modeled

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