Cph footer idea

Story from the Field: Utilizing the Minnesota Immunization Registry and Community Partnerships to Identify the Un/Undervaccinated

Jun 18, 2020 | Guest Author

By Gloria Tobias, RN, PHN, Public Health Nurse, Countryside Public Health (Madison, MN)

The Challenge

When Countryside saw lower than desired rates of vaccination in the 1990’s they looked at the Minnesota Immunization Registry (MIIC) to see what their data showed. Using both the data from MIIC and other anecdotal evidence, they determined a number of reasons children weren’t getting vaccinated. These included people living miles away from their provider, making it difficult to go often to get vaccinations, as well as some being unsure of their vaccination status. They also noticed low vaccination rates among two special populations in their area, Hutterites and Micronesians.

The Solution

To identify un/under-vaccinated individuals and communities throughout the region, Countryside Public Health utilizes their registry to identify gaps in overall vaccination coverage, track immunization trends, and identify individuals that may not be up-to-date on their vaccinations. Countryside closely examines registry data as a regular practice, regardless of the occurrence of vaccine-preventable disease outbreaks in the area.

Many in the Hutterite culture do not vaccinate infants, though they will vaccinate when the children are older for school. They have a specific form of health insurance which first caused difficulty with payment for vaccine. Countryside Public Health worked with the healthcare providers and their insurance representative to ensure that vaccinations are covered by the insurance.

Over the last ten years, the jurisdiction has had a growing Micronesian community. Vaccinations are not common in the Federated States of Micronesia, so people often come to the area with no history or record of vaccination. It is difficult to obtain records from Micronesia, and many individuals are unsure which, if any, vaccinations they have had. When it was determined which vaccinations they needed, the Micronesian community was open and readily received these vaccinations.

Results

Key to the success of this immunization program is the relationship Countryside Public Health has with other health department programs, healthcare providers, schools, and daycares in their area. The immunization program often collaborates with the jurisdiction’s WIC program to bring children up-to-date on their immunizations. WIC routinely uses MIIC to identify un/under-vaccinated children and ensure that they receive needed vaccines in the clinic or referred to their primary care provider before the end of the family’s visit. In efforts to collaborate with community healthcare providers, the immunization program ensures that providers are trained on the standards of practice for immunizations, proper storage and handling, as well as administrative processes such as immunization registry use.

Countryside also provides quarterly MIIC reports to area clinics detailing the children in their practice that require vaccination services. Countryside has established strong partnerships with the school nurses and daycare providers across the five counties. When a child does not have a primary care doctor and is behind on immunizations, Countryside notifies the school nurse to contact the parents to arrange immunization services. Daycare providers, which need to comply with immunization requirements for licensure, often work with the health department to review records and reach out to the parents of un/under-vaccinated children.

Lessons Learned

Collectively, Countryside Public Health has strongly relied on the state immunization registry, outreach and education, and community partnerships as effective means to increase awareness of the importance of vaccines, combat vaccine misinformation, and maintain high immunization rates across the jurisdiction. For their efforts in immunization, three of the local counties have received awards from the state of Minnesota, and a Countryside Public Health staff member, Gloria Tobias, RN, PHN, was recognized as a 2019 National Immunization Champion by the CDC.


NACCHO logo small version02 square N pms321

About Guest Author

NACCHO periodically invites guest authors to write first-person accounts of their work in public health. To submit your own story for consideration, please visit our form.

More posts by Guest Author

Related Posts

FSG local action institute w both logos pdf
  • Food Safety & Inspection

NACCHO Launches Food Service Guidelines Action Institute

NACCHO, in collaboration with the CDC, has launched the Food Service Guidelines...

Sep 29, 2020 | Andrea Grenadier

NACCHO Launches Food Service Guidelines Action Institute

Mask Up Lather Up Sleeve Up 1200x627
  • Tools & Resources
  • Immunization
  • Influenza

CDC Social Media Campaign: Roll your #SleeveUp to...

CDC recently released the Roll your #SleeveUp to #FightFlu social media...

Sep 29, 2020 | Kimberly Sharpe-Scott

CDC Social Media Campaign: Roll your #SleeveUp to...

I Stock girl with healthcare provider sm
  • Opportunity

Request for Applications: Comprehensive Community...

Request for Applications: Comprehensive Community Approaches that Address...

Sep 27, 2020 | Andrea Grenadier

Request for Applications: Comprehensive Community...

  • COVID-19
  • Immunization

CDC’s COVID-19 Vaccination Program Interim Playbook for...

On September 16, the Department of Health and Human Services (HHS) along with...

Sep 24, 2020 | Amy Frandsen

CDC’s COVID-19 Vaccination Program Interim Playbook for...

  • COVID-19
  • HIV, STI, & Viral Hepatitis

COVID-19 Real-Time Learning Network

The Infectious Diseases Society of America (IDSA) and partners recently...

Sep 23, 2020 | Shalesha Majors

COVID-19 Real-Time Learning Network

  • COVID-19
  • HIV, STI, & Viral Hepatitis

Rights in a pandemic – Lockdowns, rights and lessons...

During the early response to COVID-19 UNAIDS received numerous reports of...

Sep 23, 2020 | Shalesha Majors

Rights in a pandemic – Lockdowns, rights and lessons...

  • COVID-19
  • HIV, STI, & Viral Hepatitis

COVID-19 and HIV: 1 moment, 2 epidemics, 3...

A new report from UNAIDS shows how countries grappling with COVID-19 are using...

Sep 23, 2020 | Shalesha Majors

COVID-19 and HIV: 1 moment, 2 epidemics, 3...

HRSA logo
  • COVID-19
  • HIV, STI, & Viral Hepatitis

HRSA/HAB Issues Letter COVID-19 Impact on RWHAP Clinical...

HRSA HIV/AIDS Bureau released a new program letter for Ryan White HIV/AIDS...

Sep 23, 2020 | Shalesha Majors

HRSA/HAB Issues Letter COVID-19 Impact on RWHAP Clinical...

Cdc badge small
  • COVID-19
  • HIV, STI, & Viral Hepatitis

The CDC’s Eviction Moratorium Order Is Unprecedented:...

Millions of Americans are at risk of losing their homes in the wake of the...

Sep 23, 2020 | Shalesha Majors

The CDC’s Eviction Moratorium Order Is Unprecedented:...

Back to Top