ERIC Number: ED373918
Record Type: Non-Journal
Publication Date: 1994-Jul
Reference Count: N/A
Vaccines for Children: Critical Issues in Design and Implementation. Report to Congressional Requesters [and] Vaccines for Children: Major Implementation Hurdles Remain. Testimony of Kwai-Cheung Chan, before the Subcommittee on Labor, Health, Human Services, and Education, Committee on Appropriations, United States Senate.
General Accounting Office, Washington, DC. Program Evaluation and Methodology Div.
In response to congressional request, this report provides information on the implementation plans developed by the Center for Disease Control (CDC) for the Vaccines for Children (VFC) Program. Introductory material indicates that the VFC was created to increase vaccine coverage levels nationwide by creating an entitlement to free vaccine for VFC-eligible children and thereby reducing vaccine cost as a barrier to immunization. The next sections of the report identify tasks essential to full VFC implementation and describe a study involving: (1) a literature review on barriers to childhood immunization; (2) interviews with CDC and General Services Administration officials; (3) a telephone survey of immunization projects in 49 states and the District of Columbia to ascertain the status of implementation efforts; (4) interviews with drug industry representatives to investigate existing vaccine distribution arrangements; and (5) tours of proposed vaccine distribution facilities. The report summarizes CDC's existing plans, the key assumptions of such plans, and current progress in implementation of seven major tasks: (1) vaccine contract negotiations; (2) provider enrollment; (3) provider reimbursement; (4) order processing; (5) vaccine distribution; (6) accountability mechanisms; and (7) evaluation plans. The final sections focus on unresolved issues and comments by the Assistant Comptroller General. Data on the vaccination rates and schedules are included. Testimony before the Senate by Kwai-Cheung Chan, the director of Program Evaluation in Physical Systems Areas of the Program Evaluation and Methodology Division is included. (AC)
Descriptors: Child Health, Children, Communicable Diseases, Federal Programs, Health Facilities, Immunization Programs, Medical Services, Program Implementation, Public Health Legislation, State Programs
U.S. General Accounting Office, P.O. Box 6015, Gaithersburg, MD 20884-6015 (two documents: first copy of each, free; additional copies, $2 each document; 100 or more copies of each, 25 percent discount).
Publication Type: Reports - Descriptive
Education Level: N/A
Authoring Institution: General Accounting Office, Washington, DC. Program Evaluation and Methodology Div.