ArticleProgress in community health partnerships : research, education, and action2016
Improving Immunization Rates Through Community-Based Participatory Research: Community Health Improvement for Milwaukee's Children Program.
Article in Progress in community health partnerships : research, education, and action, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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The trial behind it
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Community Engagement in Vaccination Promotion: Systematic Review and Meta-Analysis.JMIR public health and surveillance · 2024Pooled it
- Behavioral interventions for vaccination uptake: A systematic review and meta-analysis.Health policy (Amsterdam, Netherlands) · 2023Pooled it
- Article
- Culturally Tailored Women's Empowerment Strategies to Improve Immunization Uptake: Formative Research Using a Human-Centered Design Approach.JMIR formative research · 2025Article
- Applications of equity frameworks in theory-based health behavior interventions: a scoping review.International journal for equity in health · 2025Article
- Improving training on hepatitis B research in Nigeria: Findings from an innovation bootcamp to strengthen capacity.PLOS global public health · 2025Article
- Community-based participatory research (CBPR) approaches in vaccination promotion: a scoping review.International journal for equity in health · 2024Article
- Role of community engagement in advancing vaccine equity.Frontiers in public health · 2024Article
- External relationships as implementation determinants in community-engaged, equity-focused COVID-19 vaccination events.Frontiers in health services · 2024Article
- Unveiling and addressing implementation barriers of vaccination communication strategy: Perspectives from government officials at national and provincial levels.Human vaccines & immunotherapeutics · 2022Article
- The Need for Parental Support for Migrant Parents in Transition Into Sweden: A Perspective.Frontiers in public health · 2022Article
- Using participatory action research to improve immunization utilization in areas with pockets of unimmunized children in Nigeria.Health research policy and systems · 2021Article
- Factors impacting self-pay pediatric vaccine utilization in China: a large-scale maternal survey.The Journal of international medical research · 2020Article
- Ancillary Benefit of Increased HPV Immunization Rates Following a CBPR Approach to Address Immunization Disparities in Younger Siblings.Journal of community health · 2019Article
- Introducing the Concepts of Advocacy and Social Determinants of Health Within the Pediatric Clerkship.MedEdPORTAL : the journal of teaching and learning resources · 2019Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundNationally, immunization coverage for the DTaP/3HPV/1MMR/3HepB/3Hib/1VZV antigen series in children ages 19-35 months are near or above the Healthy People 2020 target (80%). However, children in lower socioeconomic families experience lower coverage rates.
objectiveUsing a community-based participatory research (CBPR) approach, Community Health Improvement for Milwaukee Children (CHIMC) intervened to reduce disparities in childhood immunizations.
methodsThe CHIMC adopted a self-assessment to examine the effectiveness of adhering to CBPR principles. Using behavior change models, CHIMC implemented education, social marketing campaign, and theory of planned behavior interventions. Community residents and organizational representatives vetted all processes, messages, and data collection tools.
resultsAdherence to the principles of CBPR was consistently positive over the 8-year period. CHIMC enrolled 565 parents/caregivers with 1,533 children into educational and planned behavior change (PBC) interventions, and enrolled another 406 surveyed for the social marketing campaign. Retention rate was high (80%) with participants being predominately Black females (90%) and the unemployed (64%); children's median age was 6.2 years. Increased knowledge about immunizations was consistently observed among parents/caregivers. Social marketing data revealed high recognition (85%) of the community-developed message ("Take Control: Protect Your Child with Immunizations"). Barriers and facilitators to immunize children revealed protective factors positively correlated with up-to-date (UTD) status (p<0.007). Ultimately, children between the ages of 19 and 35 months whose parents/caregivers completed education sessions and benefitted from a community-wide social marketing message increased their immunization status from 45% baseline to 82% over 4 years.
conclusionsUsing multilayered interventions, CHIMC contributed to the elimination of immunization disparities in children. A culturally tailored CBPR approach is effective to eliminate immunization disparities.
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Registered trials
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