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This overview provides information on the McLennan County Immunization Coalition's efforts to raise immunization rates for preschool age children in McLennan County. The coalition has identified barriers to immunizations and has developed strategies and tactics to overcome them, including providing education, implementing mobile clinics, and creating/volunteering faith-based coalition resources. The overview also discusses pilot programs for community and parental awareness, as well as a daycare pilot program to improve immunization rates in childcare facilities.
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Overview ofMcLennan County Immunization Coalition Coordinator: Jacqueline Walker Date: February 17, 2011
McLennan County 2009-2010 Childcare Survey Results Preschool Children age 3 months to 59 months
Demographics • McLennan County population- 230,000 • Percentage of population under age 5- 7.5% • Number of children under age 5 – 17,250 • Est. # of children not vaccinated - 8500
Call to Action Raise the immunization rate for preschool age children by 10% each year for the next 4 years. Achieve 95% target immunization coverage rate for McLennan County
June 10, 2010Work Group Discussion Identify Barriers to Immunizations
Immunization Barriers • Education • Money/Transportation • Time to commit • Government Interactions
July 9, 2010 Coalition Meeting Discuss Strategies to overcome the barriers
Immunization Strategies • Provide multifaceted education to the community • Mobile Clinics • Create/Volunteer faith based coalition/resources School based clinics
August 5, 2010Coalition Meeting Discuss tactics for implementing the strategies
Tactic 1 Provide multifaceted education to the community Goal: Educate where people are in the community Sub tactics: developing marketing materials multimedia campaign and website
Tactic 2 Community Awareness/Involvement Goal: Create/Volunteer faith based coalition resources Sub tactics: public speaking engagements and information booths
Tactic 3 Mobile/Off site Clinics Goal: Better Access to Clinics Sub tactics: mobile community shot clinics, local school clinics and hospitals
Tactic 3 Mobile/Off site Clinics Goal: Better Access to Clinics Sub tactics: mobile community shot clinics, local school clinics and hospitals
December – FebruaryCoalition Meetings Discussion of the next Tactical Phase Community Awareness Tactic
Community Awareness Pilot • Suggestions were made to conduct public presentations by designated individuals at the following public forums: • Waco City Council -Jacqueline • County Commissioner’s Court - Jacqueline • Rotary/Kiwanis - Jacqueline • Lion’s Club - Jacqueline • McLennan County Medical Society – JoAn • Junior League -TBD • Family Practice - TBD • Local Chambers - TBD • Waco ISD/TSTC - TBD • Smart Association - TBD • Greater Health Alliance TBD
Parental Awareness Pilot • Suggestions were made to conduct parent educational presentations at the • following types of locations: • Daycares • Family Practice Networks • Hospitals • Free Clinics • Medicaid Sites
Daycare Pilot Program Daycare Pilot Strategy a. target two daycares and two EOAC Head Start facilities with the lowest Immunization rates. b. Recruit daycares by “selling” them on the benefit of the pilot. c. Use the “Help Card”, how the pilot will offer improvement of the facilities immunization rates, immunization record assessment training for daycare staff and lower the risk of penalties by Texas Childcare Licensing. d. Utilize Baylor students to help with immunization record assessment and staff training. e. A control study will be conducted with the facilities in which onsite vaccinations will occur at one location and immunization referrals will be made at the other facility. The purpose of the study will determine to what degree onsite vaccinations will directly impact Immunization rates.
Jacqueline WalkerMcLennan County Immunization Coalition CoordinatorJacquelinew@ci.waco.tx.us (254) 750-5461