Complete Health Indicator Report of Immunizations - 4:3:1:3:3:1:4 - Children (19-35 months) (HA2020 Leading Health Indicator: 17)
DefinitionThe percentage of children aged 19-35 months who received the recommended vaccines (4 DTaP, 3 Polio, 1 MMR, 3 Hep B, 3 Hib, 1 Varicella, 4 PCV).
NumeratorNumber of children aged 19-35 months that have received at least 4 doses of DTaP, 3 doses of Polio, 1 dose of MMR, 3 doses of Hep B, 3 doses of Hib, 1 dose of Varicella antigens, 4 doses of Pneumococcal conjugate vaccine.
DenominatorMid-year resident population of children aged 19-35 months for the same calendar year.
Why Is This Important?Immunizations are the most cost-effective health prevention measures. Development of vaccinations had been cited by the U.S. Public Health Service as one of the Ten Great Public Health Achievements in the 20th Century.^1^ Vaccines play an essential role in reducing and eliminating disease. By two years of age, it is recommended that all children should have received 4 doses of diphtheria-tetanus-pertussis (DTP), 3 doses of polio, 1 dose of measles-mumps-rubella (MMR), 3 doses of Hepatitis B, 3 doses of Haemophilis Influenza, type B (Hib), 1 dose of Varicella vaccine, and 4 doses of Pneumococcal conjugate vaccine (PCV). This recommendation is referred to in shorthand as "4:3:1:3:3:1:4." Public Health Importance: Vaccine-preventable diseases have a costly impact, resulting in doctor's visits, hospitalizations, and premature deaths. Sick children can also cause parents to lose time from work. Thanks to immunizations, many once-common debilitating or fatal diseases like polio are now only distant memories for most Alaskans. Vaccines are a vital part of public health as they help protect not only the people who receive them, but also the people around them. [[br]] [[br]] 1. [http://www.cdc.gov/about/history/tengpha.htm Ten Great Public Health Achievements in the 20th Century].
Healthy People Objective: Achieve and maintain effective vaccination coverage levels for universally recommended vaccines among young childrenU.S. Target: Not applicable, see subobjectives in this category
State Target: Healthy Alaskans 2020 Target: 75%
Evidence-based PracticesAs part of the Healthy Alaskans 2020 health improvement process, groups of Alaska subject matter experts met over a period of months in a rigorous review process to identify and prioritize strategies to address the 25 health priorities. Public health partners around the state are aligning work around these approaches adapted to Alaska's unique needs. '''Strategy 1:''' [[br]]Enhance provider recall and reminder systems to review and update children's immunization status. '''Evidence Base:''' [[br]]The Community Guide provides evidence-based recommendations for preventive care and increasing appropriate vaccination. Client reminder and recall systems have been shown to improve vaccination coverage in both children and adults in a range of settings and populations. '''Source:''' [[br]][http://www.thecommunityguide.org/vaccines/healthsysteminterventions.html The Community Guide] '''Strategy 2:''' [[br]]Expand access to vaccines. '''Evidence Base:''' [[br]]Strongly recommended strategies include reducing out-of-pocket expenses and expanding access to health care services and vaccination programs in WIC settings. Nine states have developed private-public partnerships to provide universal vaccine purchase, which have reduced out-of-pocket expenses for providers and clients and increased 19-35 month old immunization rates among these states. '''Source:''' [[br]][http://www.thecommunityguide.org/vaccines/index.html The Community Guide] A listing of strategies, actions, and key partners on this measure can be found at: [http://hss.state.ak.us/ha2020/assets/Actions-Partners_17_Vaccinations.pdf].
Related Relevant Population Characteristics Indicators:
Related Health Care System Factors Indicators:
Graphical Data Views
Percentage of children aged 19-35 months who receive the ACIP (Advisory Committe on Immunization Practices) recommended vaccination series (4:3:1:3:3:1:4), all Alaskans, Alaska Natives, and U.S., 2009-2020
|Alaska Comparisons||Year||Percentage of 19-35 month olds receiving immunization|
Record Count: 23
|Healthy Alaskans Goal||2013||75.0%|
|Healthy Alaskans Goal||2014||75.0%|
|Healthy Alaskans Goal||2015||75.0%|
|Healthy Alaskans Goal||2016||75.0%|
|Healthy Alaskans Goal||2017||75.0%|
|Healthy Alaskans Goal||2018||75.0%|
|Healthy Alaskans Goal||2019||75.0%|
|Healthy Alaskans Goal||2020||75.0%|
- National Immunization Survey, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention
- National Immunization Program, Indian Health Service
References and Community Resources'''References:''' 1. Ten Great Public Health Achievements in the 20th Century. [http://www.cdc.gov/about/history/tengpha.htm]
More Resources and LinksAlaska and national goals may be found at the following sites:
Maps of health indicators for various subdivisions of Alaska may be found at the following site:
Evidence-based community health improvement ideas and interventions may be found at the following sites:
- The Guide to Community Preventive Services
- Health Indicators Warehouse
- County Health Rankings
- Healthy People 2020 Website
Additional indicator data by state and county may be found on these Websites:
- Chronic Disease Indicators
- Health Indicators Warehouse
- County Health Rankings
- Kaiser Family Foundation's StateHealthFacts.org
- Partners in Information Access for the Public Health Workforce's Health Data Tools and Statistics provides links to county, state, and national resources.
Medical literature can be queried at the PubMed website.
For an on-line medical dictionary, click on this Dictionary link.
Page Content Updated On 01/28/2016, Published on 01/28/2016