Table of Contents:
  • Introduction
  • Background
  • Charge to the committee
  • Study context: the national immunization partnership
  • Six roles of the national immunization system
  • Study approach
  • Organization of the report
  • Change and complexity in the national immunization system
  • Key changes
  • Increasing complexity
  • Successes and persistent problems
  • Financing vaccine purchase and delivery
  • Private insurance coverage of immunization
  • Medicaid, Vaccines for Children, and State Children's Health Insurance Program
  • Medicare
  • Section 317 Vaccine Purchase Grants
  • State vaccine purchase
  • Issues in vaccine purchase
  • Summing up
  • Building, monitoring, and sustaining immunization capacity
  • Infectious disease prevention and control
  • Surveillance of vaccine coverage and safety
  • Efforts to improve and sustain high vaccine coverage rates
  • Summing up
  • Immunization finance policies and practices
  • Private-sector roles and responsibilities
  • Local health department roles and responsibilities
  • State roles and responsibilities
  • Federal roles and responsibilities
  • Summing up
  • Summary findings, conclusions, and recommendations
  • Six questions and six answers
  • Conclusions
  • Summary recommendations
  • Appendixes
  • Public Health Services Act, Section 317
  • Immunization time-line
  • List of contributors
  • Overview of state survey
  • Overview of case studies and site visits
  • Annual Section 317 awards to states, 1995-1999
  • State immunization requirements for school children
  • Committee and staff biographies.