Promising Practices to Improve Pediatric COVID-19 Immunization Rates Toolkit

Does your jurisdiction need ideas for expanding or improving pediatric COVID-19 immunization programming? Explore AIM’s latest toolkit that features five promising practices that programs can implement to improve immunization rates. Each tab below highlights one practice and includes lessons learned, key considerations, and more. Explore promising practices about:

  • Targeted outreach
  • Basic needs
  • Mobile clinics
  • At-home vaccination
  • Provider support

Background

In 2023, the Association of Immunization Managers (AIM) received supplemental funding from the Centers for Disease Control and Prevention (CDC) to identify promising practices used during the COVID-19 public health emergency to improve COVID-19 vaccination uptake among children ages 6 months to 11 years. As part of this work, AIM conducted feasibility, policy, and economic analyses of five prioritized practices and created materials that equip AIM members, their staff, and partners to implement these five promising practices to improve COVID-19 immunization rates.  

Key findings and lessons learned in these materials are largely based on pediatric vaccination strategies implemented during the COVID-19 public health emergency. Some of the practices were implemented with support that was linked to one-time emergency federal funds. Practices were also supported with a mix of state and local government funds and private and philanthropic funds that were available during the public health emergency. As such, the practices may not be identically replicated moving forward, as the vaccination landscape has changed due to commercialization of COVID-19 vaccines and other factors. However, we anticipate that lessons learned during the public health emergency can inform strategies for COVID-19 vaccination after the public health emergency, vaccinations for those older than age 11, routine vaccinations, and future pandemic response. 

Five Practices for Increasing COVID-19 Pediatric Vaccine Coverage Rates: Translating Lessons Learned During the Pandemic to the Current Environment Webinar

AIM hosted the Five Practices for Increasing COVID-19 Pediatric Vaccine Coverage Rates: Translating Lessons Learned During the Pandemic to the Current Environment webinar on August 9. During this webinar, attendees heard from Katelyn Wells, Ph.D., AIM’s chief research, evaluation, and development officer, Michelle Fiscus, MD, FAAP, AIM’s chief medical officer, and Emily Messerli, DNP, APRN, FNP-C, AIM’s chief programmatic officer, about five promising practices immunization programs used during the public health emergency and how these practices may be adapted for use during post-COVID-19 vaccine commercialization.

Evaluation of Five Promising Practices Used During the COVID-19 Public Health Emergency to Improve Pediatric COVID-19 Immunization Rates

This technical report details the background, methodology, feasibility analysis, policy analysis, economic analysis, implications, and next steps for the five promising practices.

  1. Conducting targeted outreach to Medicaid beneficiaries for COVID-19 vaccines by linking immunization information system and Medicaid data
  2. Connecting opportunities to vaccinate children against COVID-19 with the chance to address basic needs of children and families
  3. Using mobile clinics to vaccinate children against COVID-19 at community-based locations
  4. Vaccinating children against COVID-19 at home
  5. Providing operational support to help pediatric health care providers vaccinate children against COVID-19

What are the feasibility, policy, and economic analyses?

  • Feasibility analysis examines the potential for implementing and replicating the five practices in jurisdictions across the country.
  • Policy analysis examines how the policy landscape affects the implementation of the five practices.
  • Economic analysis examines the costs and benefits associated with implementing the five practices.

To find more innovative practices that AIM members utilize to improve immunization rates, visit the AIM Program Practices Database 

Conducting Targeted Outreach to Medicaid Beneficiaries for COVID-19 Vaccines by Linking Immunization Information System (IIS) and Medicaid Data

To identify and provide outreach to un/under-vaccinated Medicaid beneficiaries, IIS and Medicaid data are linked and combined to enhance the overall completeness and accuracy of immunization records. After the data is combined and individuals are identified, the Medicaid agency or their contractors can provide targeted outreach to these individuals encouraging them to get up to date on recommended vaccinations. Learn more about conducting targeted outreach to Medicaid beneficiaries for COVID-19 vaccines by linking IIS and Medicaid data by exploring the implementation guide, tip sheet, and resource list below.

Implementation Guide and Tip Sheet

This implementation guide answers the “what,” “why,” and “how” of identifying and providing outreach to Medicaid beneficiaries. Across these three chapters, you will find:

  • examples from the field
  • resources
  • tools
  • considerations
  • lessons learned

This tip sheet provides key considerations and implementation tips for immunization programs when implementing targeted outreach to Medicaid beneficiaries.

Key Resources to Implement This Practice

AIM 

American Immunization Registry Association (AIRA) 

Other 

 

Connecting Opportunities to Vaccinate Children Against COVID-19 with the Chance to Address Basic Needs of Children and Families

Jurisdictions can connect opportunities to vaccinate children with efforts to help families meet their non-monetary basic needs. Examples of basic needs include food, diapers, period products, school supplies, and/or safety net program enrollment assistance. Learn more about connecting vaccination opportunities to address basic needs of children and families by exploring the implementation guide, tip sheet, and resource list below.

This implementation guide answers the “what,” “why,” and “how” of connecting opportunities to vaccinate children with the chance to address families’ basic needs. Across these three chapters, you will find:

  • examples from the field
  • resources
  • tools
  • considerations
  • lessons learned

This tip sheet provides key considerations for immunization programs when implementing partnerships that connect opportunities to vaccinate children against COVID-19 with the chance to address families’ basic needs.

Key Resources to Implement This Practice

AIM  

CDC  

Immunize.org 

  • Ask the Experts: COVID-19: This page is frequently updated with answers to questions about COVID-19 vaccine products, recommendations, and more.  

Other 

Using Mobile Clinics to Vaccine Children Against COVID-19 at Community-Based Locations

Mobile vaccination clinics (or mobile clinics) are vans or other vehicles that bring vaccines to convenient community locations. Although jurisdictions can use other approaches to deliver vaccines to children, such as large-scale vaccination sites or pop-up vaccine clinics, these resources focus on using mobile clinics to vaccinate children at community-based locations. Learn more about using mobile clinics to vaccinate children against COVID-19 at community-based locations by exploring the implementation guide, tip sheet, and resource list below.

This implementation guide answers the “what,” “why,” and “how” of using mobile clinics to vaccinate children against COVID-19 at community-based locations. Across these three chapters, you will find:

  • examples from the field
  • resources
  • tools
  • considerations
  • lessons learned

This tip sheet provides key considerations for immunization programs when implementing mobile clinics.

Key Resources to Implement this Practice

AIM  

CDC  

Immunize.org 

Other 

For resources on communicating the value of IIS and its importance to public health, visit AIM’s Communicating the Value of Immunization Information Systems (IIS): a Toolkit for Program Managers. 

Vaccinating Children Against COVID-19 at Home

Jurisdictions can provide vaccinations to children in their homes to serve families that may encounter challenges in obtaining vaccinations for their children at clinics or community locations. Although in-home programs might be part of larger mobile vaccination programs, these resources focus on in-home operations. Learn more about vaccinating children against COVID-19 at home by exploring the implementation guide, tip sheet, and resource list below.

This implementation guide answers the “what,” “why,” and “how” of vaccinating children against COVID-19 at home. Across these three chapters, you will find:

  • examples from the field
  • resources
  • tools
  • considerations
  • lessons learned

This tip sheet provides key considerations and implementations tips for immunization programs when implementing partnerships that connect opportunities to vaccinate children against COVID-19 with the chance to address families’ basic needs.

Key Resources to Implement this Practice

AIM  

CDC  

Immunize.org 

Other 

For more resources on promising practices and proven strategies to improve vaccine confidence, visit AIM’s Vaccine Confidence Toolkit.

Providing Operational Support to Help Pediatric Health Care Providers Vaccinate Children Against COVID-19

Provider support includes supporting vaccination administration through resources such as free or reduced-cost supplies, technical assistance, and/or additional staff. While these supports may be funded through local, state, or federal grants, the support can also be provided through partnerships with other organizations such as community-based organizations, foundations, and universities. Learn more about providing operational support to help pediatric health care providers vaccinate children against COVID-19 by exploring the implementation guide, tip sheet, and slide deck below.

This implementation guide answers the “what,” “why,” and “how” of providing operations support to help pediatric health care providers vaccinate children against COVID-19. Across these three chapters, you will find:

  • examples from the field
  • resources
  • tools
  • considerations
  • lessons learned

This tip sheet provides key considerations and implementation tips for immunization programs when implementing operational support to help pediatric health care providers vaccinate children against COVID-19.

Key Resources to Implement this Practice

AIM  

CDC  

Other 

This toolkit was supported by the Centers for Disease Control and Prevention (CDC) Immunization Services Division (ISD)/Immunization Operations Services Branch (IOSB) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $3 million, with 100 percent funded by Immunization Services Division (ISD)/Immunization Operations Services Branch (IOSB). The contents are those of the authors and do not necessarily represent the official views of, nor an endorsement by, the CDC/ISD/IOSB or the U.S. Government. 

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