CHIMC: Take Control - IMMUNIZE!

描述（由申请人提供）：密尔沃基儿童社区健康改善（CHIMC）起源于社区合作伙伴和学术研究人员之间的合作，旨在实施以社区为基础的参与式研究（CBPR）模式，解决密尔沃基服务不足人群的当地健康差距。2008年，中国医药集团在邻近的4个邮政编码地区实施了干预措施。在目标地区，有35,036户；主要是高失业率的低收入家庭。居住在目标邮政编码的19-35个月儿童的免疫率范围为：2000-2005年4DTaP、3IPV、1MMR、3Hib、3HepB和3HepB的免疫率为31.24%至35.4%。1VZV系列（4:3:1:3:3:1抗原系列），与威斯康星州相比发病率为78%。中国儿童中心的研究招募了1533名儿童和971名家长/看护人参与教育项目、社会营销活动和计划行为改变理论模型。到研究结束时，儿童的免疫状况是最新的，并且在统计上与“健康人2020”目标显著相关

DESCRIPTION (provided by applicant): Community Health Improvement for Milwaukee's Children (CHIMC) originated as collaboration between community partners and academic researchers to implement a community-based participatory research (CBPR) model addressing local health disparities with Milwaukee's underserved populations. In 2008, CHIMC implemented interventions within 4 adjacent zip codes. In the targeted area, there are 35,036 households; primarily low-income families experiencing high unemployment. Children, ages 19-35 months, residing in the targeted zip codes had an immunization rate range: 31.24% to 35.4% for years 2000-2005 for the 4DTaP;3IPV;1MMR;3Hib;3HepB;1VZV series (4:3:1:3:3:1 antigen series), compared to the State of Wisconsin rate of 78%. The CHIMC study enrolled 1,533 children and 971 parents/caregivers into an educational program, social marketing campaign, and a model of theory of planned behavior change. By the end of the study, immunization status of children is up-to-date and statistically significantly correlated with Healthy People 2020 goals for all children except for those births to 18 months. In fact over the 4-year study period, the immunization rates increased by ~ 82% for children ages 19-35 months. CHIMC-Take Control IMMUNIZES! (CHIMC-TCI) will be developed to disseminate findings and to facilitate adoption of CBPR approaches for a larger population. For children ^ 4years of age, CHIMC-TCI proposes to utilize the Knowledge-to-Action framework to incorporate CHIMC- Save Lives Immunize (CHIMC-SLI) promising practices into local community-based organizations (CBOs) and public service providers (5 neighborhood centers and 5 WIC sites) across 10 zip codes to reduce the immunization disparities. CHIMC- TCI will develop a dissemination plan that includes a web-based CHIMC Immunization Toolkit for use by CBOs and community members and conduct relevant trainings for CBO staff, volunteers and community members. Dissemination strategies and tactics will utilize technological resources within their communities employing social media and other marketing strategies. We will evaluate the impact of adopted communication strategies and tactics by stakeholders and document the sustainability of those strategies.