TABLE 1.

Community-Based Immunization-Promotion Program Components

Strategy	Implementation	Result
Membership	A total of 23 community organizations: social services, housing, faith-based, childcare providers, primary care providers, the city health department.	Broad-based constituency.
Leadership	Shared leadership, academic, 2 community organizations.	Enhanced coordination and community ownership.
Program design	Used community organization needs and experiences and provider perspectives to select evidence-based best practices and to develop bilingual and community-specific outreach and educational materials.	Blend of own experience and national evidence-based insights; enhanced community ownership and relevance of immunization materials.
Integration into existing services	Immunization promotion designed as an “add-on” to 5 basic community social service and education programs: parenting assistance, childcare, facilitated enrollment for SCHIP, housing assistance, and WIC. Implementation guide tailored the intervention to each type of program.	Immunization promotion not stand-alone, but incorporated into ongoing programs working with parents of young children.
Staff/peer training	Social service and educational staff or peers trained in immunization outreach, education, reminders and tracking with our own bilingual materials and curriculum, including Immunization 101, Card Reading, Tips on Educating Parents, and Methods for Reminding and Tracking Families.	A total of 998 community staff trained in 2000 to 2007, with 150 to 200 active at any given time; enhanced outreach and sustainability through the long-term presence of trained staff in the community.
Parental empowerment	Parents learn about immunizations, immunization cards, and the immunization schedule from peers or trusted staff through one-on-one and group sessions. Use of coalition-developed, bilingual, low-literacy materials.	A total of 10 251 parents participated, with 60% receiving one-on-one education, and 40% receiving both group and one-on-one education. Parents like the program and recommend it to friends.
Reminders and recall	Parents given calendar dates for when shots are due, reminder phone calls and cards before each immunization due date, and recall phone call, card, or visit if missed.	Average of 2.7 calls, reminders, or visits per child.
Tracking	Decentralized immunization tracking at each member organization, consolidating data from parents’ cards and electronic registries.	A total of 184 896 immunization records in the consolidated coalition database, including 24% recorded only on the child's vaccination card.

Note. SCHIP = State Children's Health Insurance Program; WIC = Special Supplemental Nutrition Program for Women, Infants, and Children.