Coalition Strategies Supporting Success
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The project described within this manuscript originated with the author's participation in a local coalition of immunization providers in Clark County, Washington. This dedicated, multidisciplinary group of immunization providers met routinely, focusing on provider education and liaison with local and state immunization offices. However, lacking a clearly defined mission statement, additional leadership support, and funding, the coalition appeared non-sustainable. Locally, immunization levels for two year olds locally have been assessed as persistently flat, and below Healthy People 2010 targets. Electronic immunization registries have been demonstrated as a proven strategy to increase immunization levels. Washington State's electronic immunization registry, CHILD Profile, is available for use to all immunization providers at no additional cost. However, currently only 28% of local providers in Clark County have integrated CHILD Profile use into routine operations. The purpose of this manuscript, and the project described, is threefold: (a) to review pertinent local and community assessment factors that warrant sustaining the Clark County (WA) Infant Immunization Coalition, (b) to explore and define coalition and related constructs, and (c) to describe a meaningful project strategy that would improve immunization coverage levels within the community, while also promote coalition sustainability.