Evaluation of a community-based program to improve infant immunization rates in rural Minnesota

Wendy L. Hellerstedt, Susan M. Olson, John W. Oswald, Phyllis L. Pirie

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Objective: The purpose of this study was to evaluate the effects of enrollment in a community-based public health nursing program, Communities Caring for Children (CCC), on infant immunization rates in rural Minnesota. The program involved health education, a registry, and a reminder system. Design: The evaluation was a collaborative effort of university, public health agency, and private managed-care personnel. Two data sources were used to assess the association of program enrollment and immunization compliance: public birth certificates and a telephone survey of 421 CCC enrollees and non-enrollees. Results: Birth certificate and survey data showed that CCC enrollees were significantly younger, less educated, more likely to be white, and of lower parity than non-enrollees. The average age of subjects' infants was eight months. The survey data showed that, overall, CCC enrollees perceived less danger in infant immunizations than did non-enrollees and were more likely than non-enrollees to have access to infant immunization reminder cards. CCC enrollees reported significantly higher immunization compliance for their infants than did non-enrollees. Conclusions: The area served by this program is relatively low-income and rural. Infant immunization status was among the lowest in Minnesota prior to the implementation of CCC. The evaluation suggested that enrollment in CCC was one of the most powerful predictors of infant immunization compliance.

Original languageEnglish (US)
Pages (from-to)50-57
Number of pages8
JournalAmerican journal of preventive medicine
Issue number3 SUPPL.
StatePublished - Apr 1999

Bibliographical note

Funding Information:
This evaluation was supported, in part, by a grant from the Allina Foundation, Minneapolis, Minnesota. Portions of this paper were presented at Prevention 98, the 15th Annual National Preventive Medicine meeting, in San Francisco, CA, April 2–5, 1998.


Dive into the research topics of 'Evaluation of a community-based program to improve infant immunization rates in rural Minnesota'. Together they form a unique fingerprint.

Cite this