Complete Indicator Profile - Immunizations - 4:3:1:3:3:1:4 - Children (19-35 months) (HA2020 Leading Health Indicator: 17)

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State of Alaska

Complete Indicator Profile of Immunizations - 4:3:1:3:3:1:4 - Children (19-35 months) (HA2020 Leading Health Indicator: 17)


The 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).


Number 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.


Mid-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.

Healthy People Objective IID-7:

Achieve and maintain effective vaccination coverage levels for universally recommended vaccines among young children
U.S. Target: Not applicable, see subobjectives in this category
State Target: Healthy Alaskans 2020 Target: 75%

Evidence-based Practices

As part of the Healthy Alaskans 2020 health improvement process, groups of Alaskan 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:
Enhance provider recall and reminder systems to review and update children's immunization status.

Evidence Base:
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.

The Community Guide:

Strategy 2:
Expand access to vaccines.

Evidence Base:
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.

The Community Guide:

Related Indicators

Related Relevant Population Characteristics Indicator Profiles:

Related Health Care System Factors Indicator Profiles:

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

::chart - missing::

Alaska Comparisons Year Percentage of 19-35 month olds receiving immunization
Record Count: 23
All Alaskans 2009 55.2%
All Alaskans 2010 65.0%
All Alaskans 2011 67.7%
All Alaskans 2012 59.5%
All Alaskans 2013 67.1%
Alaska Natives 2009 71.0%
Alaska Natives 2010 77.0%
Alaska Natives 2011 75.0%
Alaska Natives 2012 73.0%
Alaska Natives 2013 78.0%
U.S. 2009 44.3%
U.S. 2010 56.6%
U.S. 2011 68.5%
U.S. 2012 68.4%
U.S. 2013 72.6%
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%

Data Notes

Healthy Alaskans 2020 Target: 75%

Data Sources

  • National Immunization Survey, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention
  • National Immunization Program, Indian Health Service

More Resources and Links

Alaska 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:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 06/30/2015, Published on 08/07/2015
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site ( The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Thu, 26 November 2015 6:53:06 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site:".

Content updated: Fri, 7 Aug 2015 10:00:16 AKDT