Skip directly to searchSkip directly to the site navigationSkip directly to the page's main content
Skip directly to searchSkip directly to the site navigationSkip directly to this page's context menuSkip directly to the page's main content
State of Alaska

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

Definition

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).

Numerator

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.

Denominator

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. [[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 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 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 Indicators

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

::chart - missing::

Alaska ComparisonsYearPercentage of 19-35 month olds receiving immunization
Record Count: 23
All Alaskans200955.2%
All Alaskans201065.0%
All Alaskans201167.7%
All Alaskans201259.5%
All Alaskans201367.1%
Alaska Natives200971.0%
Alaska Natives201077.0%
Alaska Natives201175.0%
Alaska Natives201273.0%
Alaska Natives201378.0%
U.S.200944.3%
U.S.201056.6%
U.S.201168.5%
U.S.201268.4%
U.S.201372.6%
Healthy Alaskans Goal201375.0%
Healthy Alaskans Goal201475.0%
Healthy Alaskans Goal201575.0%
Healthy Alaskans Goal201675.0%
Healthy Alaskans Goal201775.0%
Healthy Alaskans Goal201875.0%
Healthy Alaskans Goal201975.0%
Healthy Alaskans Goal202075.0%

Data Sources

  • 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 Links

Alaska and national goals may be found at the following sites:

Alaska health promotion resources may be found at the following site:

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Maps of health indicators for various subdivisions of Alaska may be found at the following site:

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.

AK-IBIS Web Citation

Use and reproduction of the information published on this website are encouraged and may be done without permission. The following citation should accompany information from this website whenever it is used, reproduced, or published:

AK-IBIS Indicator Citation:
"[Indicator name]. Retrieved on [insert date] from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Example:
Diabetes Prevalence. Retrieved on March 25, 2016, from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Page Content Updated On 01/28/2016, Published on 01/28/2016
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 (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Tue, 03 May 2016 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Thu, 28 Jan 2016 12:27:22 AKST
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Tue, 03 May 2016 15:53:34 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Thu, 28 Jan 2016 12:27:22 AKST