Table 5.

State health department quotes about facilitators and barriers.

Facilitators
“We use our registry to notify individuals who are overdue for vaccines. We generate letters to parents at the state level, send those out to parents who may have kids that are overdue for vaccines. That seems to impact the number of people that return in for a vaccine”	“We’re a universal state, so we provide vaccines for use in all children. And the doctor-the provider office only orders once through us, and insures pay part of it and BF pays part of it. So our access is excellent.”
Barriers
“People don’t want to watch the 13-minute video. They feel like it takes too much of their time. So basically, they just don’t want to spend the time. They want to come in, have us hand their certificate across the desk and leave, and we don’t do that.”	“I think the other challenge is the lens and the view with which those who are vaccine-hesitant or pro vacs choice look at it – it would be hard I think to satisfy their – what they feel should be in under risks and benefits.”