BACKGROUND:
Immunization rates for the 4th DTaP in Washington and Oregon lag behind those for other childhood vaccines. As a result, overall immunization rates, as measured by the NIS, are adversely impacted. At the same time, the number of pertussis cases is increasing in these states.

OBJECTIVE:
Develop innovative regional strategies and maximize resources to promote the 4th DTaP. Strengthen the partnership between the Immunization Action Coalition of Washington and the Oregon Partnership to Immunize Children. Establish a successful multi-state collaborative effort to address immunization issues.

METHOD:
State and local immunization partners developed a strategic plan to coordinate outreach and education activities promoting the 4th DTaP. Simultaneous media campaigns, statewide distribution of provider to provider 4th DTaP tips, and mini-campaigns following local pertussis outbreaks are planned. State immunization information systems, hotlines and websites will be used for promotion efforts and process and outcome measurement.

RESULT:
Educational and promotional materials were developed and shared among the partners. Implementation of a multi-state action plan and timelines for coordinated efforts was initiated. In 2005, Oregon and Washington partners plan to coordinate the launch of a media event promoting the 4th DTaP, and respond to at least one local pertussis outbreak by implementing a 4th DTaP promotion activity.

CONCLUSION:
A multi-state work group can maximize limited resources and enhance each state's efforts to increase immunization rates. Statewide registries, hotlines and Web sites are useful for targeting audiences and evaluating promotion efforts.

LEARNING OBJECTIVES:
Describe the steps in developing regional strategies to promote an immunization goal. Understand how the logic model can be used to develop a strategic plan. Articulate evaluation tools for short and long term outcome measurement.