Vaccination Assessment Activities Reporting Menu

Centers for Disease Control and Prevention • National Center for Immunization and Respiratory Diseases

Vaccination Assessment Activities of School Facilities

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General Information

1. Is five year-old Kindergarten (not pre-k) required in your state/territory/Pacific Island.

2. Does the law specify the vaccines/antigens and doses to be included in the assessment of immunization status of school children?

3. What vaccine/antigen does state/territorial/Pacific Island law require you to monitor for children to enter school? Are doses required by law consistent with ACIP recommendations? Are doses monitored using ACIP recommendations? (Select grade(s))

Kindergarten First grade Middle school

4. Is there a standard state/territorial/Pacific Island certificate or document that is required to present to the school/facility to document vaccination status?

5. Do student records include the individual vaccine/antigen and the dates of receipt?

6. When during the year do you collect data for your school report that is due to CDC on April 30th?

7. Do you give temporary exemptions to newly entering students who are not up to date?

8. Which of the following exemptions are allowed by your state/territorial/Pacific Island law?

9a. What documentation is required for medical exemptions?

9b. Signed by?

10a. What documentation is required for religious exemptions?

10b. Signed by?

11a. What documentation is required for philosophical exemptions?

11b. Signed by?

12. What does your state/territorial/Pacific Island law regarding vaccination of children include?

13. What type of schools does your assessment include?

Census Assessment

14. Does your “census assessment” methodology require you to collect data from 100% or less than 100% of all schools/facilities (all refers to public and private schools)?

15. If your methodology includes less than 100% of all schools/facilities, how do you select the schools/facilities to be included in the annual assessment?

15a. Probability sampling procedures

15b. Non-probability sampling procedures

16. Of schools/facilities included in your “census assessment,” do you collect information on 100% or less than 100% of all the children in each school/facility?

17. If your methodology includes the records of less than 100% of all the children, how do you select the children to be included in the school/facility coverage assessment?

17a. Probability sampling procedure used in selecting the children

17b. Non-probability sampling procedure used in selecting the children

18. How are data collected?

19. What information is “assessed” or reviewed during the assessment activities?

20. To whom are the results of your census assessment distributed?

21. What month is your deadline for accepting data from schools/facilities?

22. Does the assessment report form that you send to NIP reflect school/facility assessment results before or after “follow-up” of children who are not up-to-date? Follow-up refers to any activities or interventions implemented in order to ensure that non-compliant students become compliant.

23. Who has the primary responsibility for contacting parents of non-compliant children entering school?

24. Does the state/territorial/Pacific Island law impose a penalty for parents with children who are not immunized or not up to date?

25. Specify what actions are taken by the grantee to enforce vaccination school entry requirements.

26. Estimate the number of weeks or months that your public health assessment team is involved in collecting and reporting data.

27. Approximately how many full and part-time public health staff members are involved in the collecting and reporting process?

Validation Assessment

28. Do you conduct a VALIDATION assessment or additional survey to verify the results of your previous assessment of coverage in schools/facilities?

29. How do you select the schools/facilities to be included in the validation survey?

29a. Specific probability procedures?

29b. Specific non-probability procedures?

30. How do you select the children to be included in the school validation survey?

30a. Specific probability procedures?

30b. Specific non-probability procedures?

31. Who actually implements the validation survey?

32. What information is “assessed” or reviewed during the validation survey?

33. To whom are the results of your validation study distributed?

34. Are there consequences for facilities whose reports seriously or continually deviate from the validation study results?

35. How frequently do you conduct a validation study?

36. When during the year do you conduct your validation study?

37. Does your validation report reflect school/facility assessment results before or after “follow-up” of non-compliant children? Follow-up refers to any activities or interventions implemented in order to ensure that non-compliant students become compliant.

38. We would like to reduce the burden of data collection both in the census and validation portions of your assessments. Do you have “resource saving” ideas that you could share with other states?

38a. How would you like to share those “resource saving” ideas with other states?

39. Is the state/territorial/Pacific Island law available on the web?

40. Do you have any additional comments that you would like to share with us...

41. Is the information in the school immunization record certified by a health official (e.g. signed by a doctor, nurse, PA, health department, etc…)?

Date last modified: Tuesday, March 01, 2005 2:37:32 PM