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Wednesday, October 20, 2004 - 8:55 AM
2

Increasing Immunization Coverage through a WIC-Registry Linkage

Amy E. Metroka1, Shirley Huie2, L Turner3, J Tubridy3, S Anim-Addo3, Frank Roldan4, and Stephen Friedman3. (1) New York City Department of Health, 2 Lafayette Street, 19th Floor, New York, USA, (2) Citywide Immunization Registry, New York City Department of Health and Mental Hygiene, 2 Lafayette Street, 19th Floor, New York, NY, USA, (3) Bureau of Immunization, New York City Department of Health and Mental Hygiene, New York, NY, USA, (4) CDC, NYC Department of Public Health, 2 Lafayette Street, Box 21, New York, NY, USA


BACKGROUND:
A goal was set to increase immunization coverage in children participating in WIC sites by 5% by end of 2004 through promoting use of the Citywide Immunization Registry (CIR) by WIC to obtain immunization records.

OBJECTIVE:
To demonstrate how use of an immunization registry by WIC can improve accurate assessment of UTD status, referral for needed immunizations, and coverage in children participating in WIC.

METHOD:
Nine WIC sites that actively use CIR were selected for review. The results of assessments as specified by WIC for 4 DTaP : 3 Hep B : 1 MMR in children ages 19 – 35 months at these sites in 2002 and 2004 were compared. The volume of requests for immunization records from CIR by WIC in these sites in 2002 and 2004 were also compared. Further, the UTD status of children was determined based upon family records provided to WIC alone, by CIR alone, and by the combination of family and CIR record.

RESULT:
Coverage increased from an average of 58% across the 9 WIC sites in 2002 to and 74% in 2004. Requests for CIR records by these WIC sites increased from 93 records in 2002 to 365 in 2004 (January – June). Preliminary analysis of UTD status based upon family record alone, CIR alone, and the combination indicates that CIR improved the accuracy of UTD assessment and increased coverage overall.

CONCLUSION:
Use of an immunization registry by WIC helps improve the accuracy of coverage assessment and increases coverage overall.

LEARNING OBJECTIVES:
To understand how a WIC-registry linkage can help increase coverage in children participating in WIC.

[ Recorded presentation ]   Recorded presentation

See more of Laws and Avenues of Sharing Immunization Data
See more of The 2004 Immunization Registry Conference