The 36th National Immunization Conference of CDC

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Use of NIS data and other population based data to determine pockets of need in Hawaii

Steven M.D. Terrell-Perica, Hawaii Immunization Program, CDC/NIP, 1250 Punchbowl St., 4th Floor, Honolulu, HI, USA, Florentina Reyes-Salvail, Community Health Division, Hawaii Department of Health, 1250 Punchbowl St., 1st Floor, Honolulu, HI, USA, and Philip J. Smith, NIP, CDC, 1600 Clifton Rd, Mailstop E-62, Atlanta, GA, USA.


KEYWORDS:
National Immunization Survey, Pockets of Need, Infants, Immunization rates

BACKGROUND:
Increasing immunization levels of infants 19-35 months of age in Hawaii requires a combination of strategies. One of these strategies is to identify under-immunized pockets of need (PON) in order to target intervention efforts. The Hawaii Immunization Program partnered with the NIP to identify PON areas in the State of Hawaii using available population-based data sets.

OBJECTIVE(S):
Identify under-immunized pockets of need (PON) areas in Hawaii using available population-based data sets.

METHOD(S):
Public-use data from the National Immunization Survey, the 2000 U.S. Census and birth certificate data were compiled, analyzed and plotted by GIS spot map. PON areas were further delineated by statistical methods because of the lack of detailed locating information in some data sets.

RESULT(S):
PON areas in Hawaii were identified and ranked in importance by size of 0-2 years of age infant population. PON area maps will be presented along with the correlation between NIS, census data and birth data in determining immunization levels.

CONCLUSIONS(S):
This is the first time population-based data sets were used to support the use of census and birth data to determine PON areas in Hawaii. Use of these existing data sets can be a cost effective way to determine PON areas.

LEARNING OBJECTIVES:
Understand the methods needed to employ population-based data sets in the determination of PON areas.

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