BACKGROUND:
The Shotzy Challenge (TISC) encourages timely immunization of children under two years in Riverside County, California in an effort to reach the Healthy People 2010 objective of adequately immunizing 90% of 19-35 month olds. Its purpose is to expand the education tactics of Riverside County's Immunization Program. TISC provides appropriate venues for collaborating with multiple county programs, reaches parents of children under three years old coming from a variety of socio-economic backgrounds, assists physicians in their difficult task of ensuring timely childhood immunization, and allows for more extensive data collection and monitoring of Riverside County's Immunization Program.

OBJECTIVE:
• Increase general public's knowledge of the importance of immunizations for children 6-35 months.
• Increase collaborative efforts with the community and between county programs.
• Improve monitoring techniques of community immunization knowledge.
• Identify appropriate venues for reaching the public.

METHOD:
TISC participants are recruited through Immunization Program activities, pediatricians, childcare agencies, and other collaborative partners. When enrolling their child in TISC, parents take a pre-test and have the option of requesting referrals to other county health programs. When a child turns two years, parents send a copy of their child's completed shot record to TISC for a prize. Quarterly newsletters are mailed to participants that include immunization and other pertinent health information.

RESULT:
Since TISC was initiated in April 2004, 387 children have enrolled. More than 200 requested referrals to at least one of four Disease Control programs. Nine childcare and healthcare offices have partnered with TISC.

CONCLUSION:
TISC is an effective program in disseminating health information. It is also an effective tool for increasing collaboration between health programs.

LEARNING OBJECTIVES:
• Identify the components of an educational immunization program
• Develop a project that increases collaboration between health programs
• Identify venues for reaching a target population